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Using Innovative Video Doctor Technology in Primary Care to Deliver Brief Smoking and Alcohol Intervention

Center for Health Improvement and Prevention Studies and University of California, San Francisco, Center for Health Improvement and Prevention Studies.

Steven Berg-Smith, MS

Kaiser Permanente in Oakland, California.

Michelle Mancuso, MPH

Kaiser Permanente's Care Management Institute in Oakland California.

Nona Caspers, MFA

San Francisco State University.

Stephen McPhee, MD

Division of General Internal Medicine at the University of California, San Francisco.

Daniel Null, MD

University of California, San Francisco and Mt. Zion General Internal Medicine Practice.

Judith Wofsy, MD

primary care internal medicine at Highland General Hospital in Oakland, California.

Given physicians' increased responsibilities and time constraints, it is increasingly difficult for primary care physicians to assume a major role in delivering smoking and alcohol assessment and intervention. The authors developed an innovative use of computer technology in the form of a "video doctor" to support physicians with this. In this article, two brief interventions, delivered by an interactive, multimedia video doctor, that reduce primary care patients' smoking and alcohol use are detailed: (a) a patient-centered advice message and (b) a brief motivational intervention. The authors are testing the use of the video doctor to deliver these interventions in a randomized, controlled study, Project Choice. A pilot study testing the feasibility and acceptability of the video doctor suggests it was well received and accepted by patients (n = 52) and potentially provides an innovative, cost-effective, and practical way to support providers' efforts to reduce smoking and alcohol use in primary care populations.

Key Words: video doctor • brief interventions • motivation • computer technology • alcohol • smoking

Health Promotion Practice, Vol. 4, No. 3, 249-261 (2003)
DOI: 10.1177/1524839903004003009


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