Smoking Cessation
Conditions
Brief summary
This is a randomized control trial to determine the efficacy of a multi-modal intervention in improving smoking cessation processes of care and patient outcomes in community-based primary care practices. Our Overall Goal is to advance science related to the use and impact of the Internet in health services delivery, specifically smoking cessation, by targeting primary care clinical microsystems. A clinical microsystem is defined as the smallest functional healthcare unit. A clinical microsystem is not simply equivalent to a clinical team of doctors and nurses, but also the panel of patients cared for by the providers and the processes of care that are used.
Interventions
BEHAVIORALDecide2Quit
Patient intervention website that includes 1) interactive calculators to assess readiness to quit, symptoms and quit plan, 2) motivational content, and 3) links to other high quality information.
BEHAVIORALSmoking Coach
Control Patients will be referred by paper prescription to the control- Smoking Coach website.
Sponsors
Johns Hopkins University
University of Alabama at Birmingham
University of Massachusetts, Worcester
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Community based primary care practices who have: * Internet access in office * Sees 4 - 5 smokers per week
Exclusion criteria
* Practices with more than five providers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Of the smokers who are referred to the web intervention, the number who go to the site | preintervention, 6 months, 12 months, 24 months |
| Physician performance on refering patients that smoke cigarettes to the web intervention | pre-intervention, 6 months, 12 months and 24 months |
| Point prevalence smoking cessation | 6 months |
Countries
United States
Outcome results
None listed