Smoking Cessation
Conditions
Keywords
Tobacco cessation counseling
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.
Interventions
OTHERElectronic Referral
Dental practices in this arm will be able to have option of making electronic patient referrals to the Decide2Quit website.
Sponsors
University of Alabama at Birmingham
University of Massachusetts, Worcester
HealthPartners Institute
Dental Practice-Based Research Network
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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. |
Countries
United States
Outcome results
None listed