Web-delivered Provider Intervention for Tobacco Control

NCT00797628 | Completed DMC

• 2 other identifiers: X071211009NIH R01CA129091
• Study Type: interventional
• Target: 174
• Locations: 1 country
• Sites: 1

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.

Conditions

Smoking Cessation

Outcome Measures

Primary Outcomes (3)

• Physician performance on refering patients that smoke cigarettes to the web intervention

  pre-intervention, 6 months, 12 months and 24 months

• Of the smokers who are referred to the web intervention, the number who go to the site

  preintervention, 6 months, 12 months, 24 months

• Point prevalence smoking cessation

  6 months

Study Arms (2)

Information Prescription

EXPERIMENTAL

Providers will give usual care to patients who smoke and a paper prescription with the name and url of the "Smoking Coach" website. The smoking coach website is a tailored, public health intervention for smoking cessation.

Behavioral: Smoking Coach

QUIT-PRIMO

EXPERIMENTAL

Providers will give usual care to patients who smoke and then refer patients to the online smoking cessation system electronically.

Behavioral: Decide2Quit

Interventions

Decide2Quit BEHAVIORAL

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.

QUIT-PRIMO

Smoking Coach BEHAVIORAL

Control Patients will be referred by paper prescription to the control- "Smoking Coach" website.

Information Prescription

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Community based primary care practices who have:
• Internet access in office
• Sees 4 - 5 smokers per week

You may not qualify if:

• Practices with more than five providers

Sponsors & Collaborators

• University of Massachusetts, Worcester: lead
• Johns Hopkins University: collaborator
• University of Alabama at Birmingham: collaborator

Study Sites (1)

University of Massachusetts Medical School

Worcester, Massachusetts, 01655, United States

Location

Related Publications (6)

• DeLaughter KL, Sadasivam RS, Kamberi A, English TM, Seward GL, Chan SW, Volkman JE, Amante DJ, Houston TK. Crave-Out: A Distraction/Motivation Mobile Game to Assist in Smoking Cessation. JMIR Serious Games. 2016 May 26;4(1):e3. doi: 10.2196/games.4566.

  PMID: 27229772 DERIVED

• Houston TK, Sadasivam RS, Allison JJ, Ash AS, Ray MN, English TM, Hogan TP, Ford DE. Evaluating the QUIT-PRIMO clinical practice ePortal to increase smoker engagement with online cessation interventions: a national hybrid type 2 implementation study. Implement Sci. 2015 Nov 2;10:154. doi: 10.1186/s13012-015-0336-8.

  PMID: 26525410 DERIVED

• Coley HL, Sadasivam RS, Williams JH, Volkman JE, Schoenberger YM, Kohler CL, Sobko H, Ray MN, Allison JJ, Ford DE, Gilbert GH, Houston TK; National Dental PBRN and QUITPRIMO Collaborative Group. Crowdsourced peer- versus expert-written smoking-cessation messages. Am J Prev Med. 2013 Nov;45(5):543-50. doi: 10.1016/j.amepre.2013.07.004.

  PMID: 24139766 DERIVED

• Sadasivam RS, Kinney RL, Delaughter K, Rao SR, Williams JH, Coley HL, Ray MN, Gilbert GH, Allison JJ, Ford DE, Houston TK; National Dental PBRN Group; QUIT-PRIMO Collaborative Group. Who participates in Web-assisted tobacco interventions? The QUIT-PRIMO and National Dental Practice-Based Research Network Hi-Quit studies. J Med Internet Res. 2013 May 1;15(5):e77. doi: 10.2196/jmir.2385.

  PMID: 23635417 DERIVED

• Sadasivam RS, Delaughter K, Crenshaw K, Sobko HJ, Williams JH, Coley HL, Ray MN, Ford DE, Allison JJ, Houston TK. Development of an interactive, Web-delivered system to increase provider-patient engagement in smoking cessation. J Med Internet Res. 2011 Oct 18;13(4):e87. doi: 10.2196/jmir.1721.

  PMID: 22011394 DERIVED

• Houston TK, Sadasivam RS, Ford DE, Richman J, Ray MN, Allison JJ. The QUIT-PRIMO provider-patient Internet-delivered smoking cessation referral intervention: a cluster-randomized comparative effectiveness trial: study protocol. Implement Sci. 2010 Nov 17;5:87. doi: 10.1186/1748-5908-5-87.

  PMID: 21080972 DERIVED

MeSH Terms

Conditions

Smoking Cessation

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Officials

• Thomas K Houston, MD

  University of Massachusetts, Worcester

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 24, 2008
• First Posted: November 25, 2008
• Study Start: March 1, 2010
• Primary Completion: August 1, 2013
• Study Completion: August 1, 2013
• Last Updated: August 28, 2013

Record last verified: 2013-08

Locations

US (1)