Electronic Pediatric Office Systems to Support Treatment for Parental Tobacco Use
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 817
- 试验地点
- 2
- 主要终点
- Parental Combusted Tobacco Quit Rate at 12 Months
研究概览
简要总结
The proposed project aims to develop an innovative and disseminable electronic health record (iEHR)-based approach that supports optimal primary care workflows to routinely screen families for tobacco and e-cigarette use, address household smoking behavior and promote smoke-free and e-cigarette free home and car rules in a routine and effective manner in the pediatric setting. Additionally, parents enrolled in the study will be offered assistance by a community health navigator (CHN). This study aims to examine how effective the iEHR + Navigator strategy is compared to usual care control.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
After the intervention has been assigned at random to one practice in each of the six pairs, the intervention will be blinded at random with either the label "A" or the label "B", and the other label will be assigned to the control practice. The statisticians will be blinded as to which of "A" and "B" is the intervention until the analyses are completed.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parents or legal guardians who smoke, are present at the visit, and whose child is seen by a child healthcare clinician in a participating practice. "Smoker" will be defined as answering "yes" to either of the screening questions: "Have you smoked a cigarette, even a puff, in the past 7 days?" and "Have you smoked any other tobacco product (cigars like black and mild, hookah), even a puff, in the past 7 days?"
排除标准
- •Parent/legal guardian does not speak English;
- •No telephone; and
- •Prior enrollment in the study during a previous visit.
结局指标
主要结局
Parental Combusted Tobacco Quit Rate at 12 Months
时间窗: 12-months
Parental 7-day combusted tobacco quit rates, as assessed by validated surveys, biochemically confirmed at 12 months between the intervention \& usual care arms
次要结局
- Rates of Parental Quit Attempts(12-months)
- Rates of Parental Use of Pharmacotherapy or Services(12-months)
- Rates of Parental Institution of Smoking and Vaping Bans in Their Homes and Cars(12-months)
- Incremental Cost Per Quit of the Intervention(12-months)
- Rates of Tobacco Use Treatment Delivery(36 months)
研究者
Jonathan P. Winickoff, MD, MPH
Professor
Massachusetts General Hospital