Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial

Article

Minian, Nadia, Ivanova, Anna, Voci, Sabrina, Veldhuizen, Scott, Zawertailo, Laurie, Baliunas, Dolly, Noormohamed, Aliya, Giesbrecht, Norman and Selby, Peter. 2020. "Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial." International Journal of Environmental Research and Public Health. 17 (3). https://doi.org/10.3390/ijerph17031024
Article Title

Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial

ERA Journal ID44293
Article CategoryArticle
AuthorsMinian, Nadia, Ivanova, Anna, Voci, Sabrina, Veldhuizen, Scott, Zawertailo, Laurie, Baliunas, Dolly, Noormohamed, Aliya, Giesbrecht, Norman and Selby, Peter
Journal TitleInternational Journal of Environmental Research and Public Health
Journal Citation17 (3)
Article Number1024
Number of Pages14
Year2020
PublisherMDPI AG
Place of PublicationSwitzerland
ISSN1660-4601
1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph17031024
Web Address (URL)https://www.mdpi.com/1660-4601/17/3/1024
AbstractAlthough brief alcohol intervention can reduce alcohol use for both men and women, health care providers (HCPs) are less likely to discuss alcohol use or deliver brief intervention to women compared to men. This secondary analysis examined whether previously reported outcomes from a cluster randomized trial of a clinical decision support system (CDSS)-prompting delivery of a brief alcohol intervention (an educational alcohol resource) for patients drinking above cancer guidelines-were moderated by patients' sex. Patients (n = 5702) enrolled in a smoking cessation program at primary care sites across Ontario, Canada, were randomized to either the intervention (CDSS) or control arm (no CDSS). Logistic generalized estimating equations models were fit for the primary and secondary outcome (HCP offer of resource and patient acceptance of resource, respectively). Previously reported results showed no difference between treatment arms in HCP offers of an educational alcohol resource to eligible patients, but there was increased acceptance of the alcohol resource among patients in the intervention arm. The results of this study showed that these CDSS intervention effects were not moderated by sex, and this can help inform the development of a scalable strategy to overcome gender disparities in alcohol intervention seen in other studies.
Keywords alcohol; tobacco; smoking cessation; clinical decision support systems; brief intervention; sex differences
ANZSRC Field of Research 2020420302. Digital health
Byline AffiliationsCentre for Addiction and Mental Health, Canada
University of Toronto, Canada
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