DPBRN Hygienists Internet Quality Improvement in Tobacco Cessation (HiQuit)

Early Phase 1

Completed

• Conditions: Smoking Cessation
• Interventions: Other: Electronic Referral

• Registration Number: NCT01108432
• Lead Sponsor: Dental Practice-Based Research Network

Brief Summary

Our overall goal is to advance science related to using the Internet in health services delivery, and specifically smoking cessation by targeting dental hygienists. Our proposed intervention is the first Internet-delivered intervention to target the dental microsystem for smoking cessation-providing access to hygienists and patients.

Detailed Description

This study is designed to allow dental hygienists and dentists to provide additional tobacco cessation counseling with little additional marginal effort. This would be done using an Internet-based referral to external resources. This system, termed "ReferASmoker", will allow hygienists and dentists to refer patients to a patient education, self-management website, "Decide2Quit" and accompanying Quitline, while the patient is still in the dental office. We anticipate that hygienists will be the primary drivers of this intervention. Our intervention has several innovations designed to support the dental practice in their tobacco cessation activities and maximize patient cessation rates. We will randomize 80 community-based primary dental practices into a clinical trial.

Aim 1. To test hypothesis 1(H1)that the number of patients REFERRED to the self-management resource website will be larger in the intervention practices compared to control practices.

Aim 2. To test hypothesis 2 (H2) that the proportion of patients referred who GO to the patient self-management website will be larger in intervention practices compared to control practices

Aim 3. To test hypothesis 3 (H3) that the proportion of smokers who are referred who QUIT at six months will be larger among intervention compared to control because of the additional connectivity of the intervention.

Study Timeline

• Study Start: 2010-04
• Study First Submitted: 2010-04-20
• Study First Submitted QC: 2010-04-20
• Study First Posted: 2010-04-22
• Primary Completion: 2011-06
• Study Completion: 2011-06
• Status Verified: 2013-01
• Last Update Submitted: 2013-01-24
• Last Update Posted: 2013-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Community-based practices with internet access available in the office seeing an average of five or more smokers in a week.

Exclusion Criteria

• Exclude practices that have ongoing computer-based smoking cessation programs for patients.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Electronic Referrals	Electronic Referral	Dental practices randomized to the experimental group will have options on how to refer patients to the tobacco cessation website.

Primary Outcome Measures

Name	Time	Method
Number of smokers referred to tobacco cessation website	12 months	We will asses the number of patient referrals that the dental hygienists make to the tobacco cessation website.

Secondary Outcome Measures

Name	Time	Method
Proportion of smokers who go to the tobacco cessation website	12 months	We will assess the proportion of smokers who were referred to the tobacco cessation website to the number of patients who registered on the website.
Point prevalence smoking cessation	6 months	Tobacco cessation behaviors will be assessed by follow-up email and/or telephone interviews at six months from website enrollment.

Trial Locations

Locations (2)

Health Partners Research Foundation; 🇺🇸 Minneapolis, Minnesota, United States

University of Alabama at Birmingham; 🇺🇸 Birmingham, Alabama, United States