DPBRN Hygienists Internet Quality Improvement in Tobacco Cessation (HiQuit)

Dental Practice-Based Research Network

Status and phase: Completed; Early Phase 1

Conditions: Smoking Cessation

Treatments: Other: Electronic Referral

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT01108432

122286

U01DE016747 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Full 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.

Enrollment: 80 patients

Sex: All

Ages: 19+ years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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80 participants in 2 patient groups

Electronic Referrals

Experimental group

Description:

Dental practices randomized to the experimental group will have options on how to refer patients to the tobacco cessation website.

Treatment:

Other: Electronic Referral

Routine Referral

No Intervention group

Description:

Dental practices in this arm will refer patients to the Decide2Quit website by using an information prescription.