A Clinic-randomized Trial of a Clinical Decision Support System to Improve Dental Provider Delivery of Brief Tobacco Interventions and Quitline Referrals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 56
- 试验地点
- 6
- 主要终点
- Percentage of Smokers With Delivery of Brief Interventions and/or Referral to Treatment
研究概览
简要总结
The overarching goal of this project is to reduce smoking-associated morbidity and mortality by increasing the number of patients who are referred for tobacco cessation counseling. Using a stratified, group-randomized, controlled, 2-arm trial conducted in two settings, the investigators will compare smoking-related clinical decision support (CDS) to usual care.
详细描述
This project aims to reduce smoking-associated morbidity and mortality by increasing the number of patients who are referred for tobacco cessation counseling. The study team will evaluate the effectiveness of clinical decision support (CDS) to improve dental provider delivery of brief tobacco interventions and referrals to tobacco quitlines for further tobacco counseling. The CDS will generate personalized, evidence-based recommendations for dentists and dental hygienists to actively engage their smoking patients in the course of usual dental care. Subsequently, the study team will assess the tobacco cessation actions of smokers using patient-centered outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •3rd and 4th year predoctoral students or dental hygiene students enrolled at selected dental schools
- •PRIVATE PRACTICE DENTISTS & HYGIENISTS
- •Inclusion Criteria:
- •General practice dentists or dental hygienists practicing at selected private practice clinics
排除标准
- •Providers not able or willing to record current tobacco use status in their electronic health record
- •Providers affiliated with selected dental schools who hold a current teaching or clinical position
- •Inclusion Criteria:
- •Current cigarette smokers
- •Exclusion Criteria:
- •patients requesting to opt out of research
结局指标
主要结局
Percentage of Smokers With Delivery of Brief Interventions and/or Referral to Treatment
时间窗: within a week of the index dental encounter
Composite of provider actions reported by patient regarding delivery of brief interventions and/or referral to treatment. These actions included that the provider 1) delivered a brief smoking intervention by discussing, a)developing a quit plan or b)setting a quit date or c)using medications to help patients quit or d)discussed strategies for quitting. The provider made a 2) referral to a quitline; a)provided information about how to contact a tobacco quitline or b) arranged for the patient to be contacted by the tobacco quit line for smoking cessation. The composite is satisfied if the patient reports that any of the intervention activities or referral was delivered by the provider.
次要结局
- Percentage of Smokers With Initial Actions Related to Cessation(within a week of index dental encounter)
- Percentage of Smokers With Long-term Actions Related to Cessation(within six-months of index dental encounter)