Engaging Patients in Tobacco Cessation Resources in Dental Settings (ENGAGE)

HealthPartners Institute

Status: Completed

Conditions: Smoking

Treatments: Other: Clinical Decision Support

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03656874

U01DE026135 (U.S. NIH Grant/Contract)

A15-107

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 56 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

DENTAL STUDENTS AND DENTAL HYGIENE STUDENTS

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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

PATIENTS

Inclusion Criteria:

• Current cigarette smokers

Exclusion Criteria:

• patients requesting to opt out of research

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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56 participants in 2 patient groups

Usual Care

No Intervention group

Description:

Usual care, practitioners review clinical guidelines for tobacco during consent process.

Clinical Decision Support

Experimental group

Description:

The clinical decision support will provide clinical practice guideline-supported, evidence-based, and personalized scripts that are tailored based on patients' self-reported smoking attributes to deliver interventions consistent with the standard of care.

Treatment:

Other: Clinical Decision Support