{"doi":"10.1055/a-2062-9627","title":"A Clinical Decision Support System for Motivational Messaging and Tobacco Cessation Treatment for Parents: Pilot Evaluation of Use and Acceptance","abstract":"BACKGROUND: Research is needed to identify how clinical decision support (CDS) systems can support communication about and engagement with tobacco use treatment in pediatric settings for parents who smoke. We developed a CDS system that identifies parents who smoke, delivers motivational messages to start treatment, connects parents to treatment, and supports pediatrician-parent discussion. OBJECTIVE: The objective of this study is to assess the performance of this system in clinical practice, including receipt of motivational messages and tobacco use treatment acceptance rates. METHODS: The system was evaluated at one large pediatric practice through a single-arm pilot study from June to November 2021. We collected data on the performance of the CDS system for all parents. Additionally, we surveyed a sample of parents immediately after the clinical encounter who used the system and reported smoking. Measures were: (1) the parent remembered the motivational message, (2) the pediatrician reinforced the message, and (3) treatment acceptance rates. Treatments included nicotine replacement therapy, quitline referral (phone counseling), and/or SmokefreeTXT referral (text message counseling). We described survey response rates overall and with 95% confidence intervals (CIs). RESULTS: = 379) accepted at least one treatment. A total of 102 parents who smoke who used the system were approached to survey 100 parents (98% response rate). Most parents self-identified as female (84%), aged 25 to 34 years (56%), and Black/African American (94%), and had children with Medicaid insurance (95%). Of parents surveyed, 54% accepted at least one treatment option. Most parents recalled the motivational message (79%; 95% CI: 71-87%), and 31% (95% CI: 19-44%) reported that the pediatrician reinforced the motivational message. CONCLUSION: A CDS system to support parental tobacco use treatment in pediatric primary care enhanced motivational messaging about smoking cessation and evidence-based treatment initiation.","journal":"Applied Clinical Informatics","year":2023,"id":347589,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":11,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9582,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1089467,"name":"Shannon L. Kelleher","orcid":"0000-0003-0613-6294","position":1,"is_corresponding":false},{"id":596070,"name":"Dean Karavite","orcid":"0000-0003-0554-5715","position":2,"is_corresponding":false},{"id":1089468,"name":"Ekaterina Nekrasova","orcid":"0009-0000-3405-7919","position":3,"is_corresponding":false},{"id":1018569,"name":"Jeritt G. Thayer","orcid":"0000-0002-9202-539X","position":4,"is_corresponding":false},{"id":1089957,"name":"Raj Ratwani","orcid":null,"position":5,"is_corresponding":false},{"id":403971,"name":"Judy A. Shea","orcid":"0000-0002-7334-4192","position":6,"is_corresponding":false},{"id":391301,"name":"Emara Nabi-Burza","orcid":"0000-0002-3910-1824","position":7,"is_corresponding":false},{"id":391299,"name":"Jeremy E. Drehmer","orcid":"0000-0002-5022-5836","position":8,"is_corresponding":false},{"id":391303,"name":"Jonathan P. Winickoff","orcid":"0000-0001-6126-9095","position":9,"is_corresponding":false},{"id":262569,"name":"Robert W. Grundmeier","orcid":"0000-0002-8290-5588","position":10,"is_corresponding":false},{"id":414466,"name":"Robert A. Schnoll","orcid":"0000-0002-4089-856X","position":11,"is_corresponding":false},{"id":572159,"name":"Alexander G. Fiks","orcid":"0000-0001-6525-8764","position":12,"is_corresponding":false},{"id":757482,"name":"Brian P. Jenssen","orcid":"0000-0001-6082-4931","position":0,"is_corresponding":true}],"reference_count":47,"raw_metadata":null,"created_at":"2026-07-19T01:12:01.859977Z","pmid":"36972687","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}