Computer-Assisted Tobacco Interventions in Dental Offices

Not Applicable

Completed

• Conditions: Smoking

• Registration Number: NCT01584882
• Lead Sponsor: HealthPartners Institute

Brief Summary

Electronic dental records (EDR) are a potentially powerful tool to incorporate current scientific evidence into clinical practice by providing key information at the point of patient care. The investigators know that disseminating evidence-based guidelines is not sufficient to change clinical practice so innovative approaches need to be tested in dentistry. The composite expertise of the investigators and consultants on this project and a large group practice with multiple clinics utilizing one EDR are essential to address the aims of this study. This project will examine whether dentists and hygienists will assess interest in quitting and deliver a tobacco intervention more frequently when provided with computer assisted guidance compared to a control group. Specifically the investigators will measure the delivery of questions assessing willingness to change and appropriate interventions based on willingness to change by measuring the recording of these activities in the EDR and patient receipt of these recommendations through a phone survey. In addition, the study will do a qualitative assessment of the patient perceived value of the provider-patient encounter to further inform us about patient perception of this interaction. The investigators want to know if dental providers will utilize these tools during the dental encounter. If they are used, the investigators would propose further studies examining smoking cessation rates. The investigators were not able to measure cessation rates due to the short two year timeline of this funding mechanism. This tool has potential application for other clinical topics, which makes this approach very innovative when considering the translation of evidence into the unique clinical practice of dentistry.

Detailed Description

Not available

Study Timeline

• Study Start: 2009-10
• Primary Completion: 2011-04
• Study First Submitted: 2012-04-23
• Study First Submitted QC: 2012-04-24
• Study First Posted: 2012-04-25
• Study Completion: 2012-07
• Status Verified: 2014-07
• Last Update Submitted: 2023-08-21
• Last Update Posted: 2023-08-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 548

Inclusion Criteria

• Adult dental patient presenting for an exam visit whose most recent history reports the patient is a smoker. Patients had to agree to the phone survey.

Exclusion Criteria

• Research opt out list
• Patients who discontinued the survey prior to completion(considered withdrawals)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Patient report	Within 3 days of the dental encounter	Patient report of dental providers delivery of: 1. Screening for tobacco; 2. Discussion of specific strategies to assist the patient with quitting smoking; 3. Referral to a Quitline (toll free number for comprehensive tobacco cessation support)

Trial Locations

Locations (1)

HealthPartners Research Foundation; 🇺🇸 Bloomington, Minnesota, United States