Evaluation of Electronic Portal Messaging and Embedded Asynchronous Care on Physician-Assisted Smoking Quit Attempts

NCT05172219 | Completed

• 1 other identifier: 2020031
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Among 10 PCPs, 200 adult smokers with an active patient portal who had been seen by a PCP within 12 months were randomly selected and randomly assigned to one of four conditions to compare the quit attempts of patients sent electronic outreach with and without asynchronous care link and to compare the quit attempts of patients who recieved the portal message from PCP or the health system.

Conditions

Smoking, Tobacco

Keywords

Smoking Quit Attempts; Quality Improvement; Asynchronous Care; Electronic Messaging

Outcome Measures

Primary Outcomes (1)

• Smoking Quit Attempt

  Smoking Quit Attempt documented in the EMR

  30 days after intervention

Other Outcomes (1)

• Physician Perceptions of Electronic Outreach Intervention

  6 months after intervention

Study Arms (4)

Message Type PNSL: Physician sender, No Survey Link

ACTIVE COMPARATOR

In this arm, the Physician is message sender and the message does not include a link to a survey that initiates asynchronous care.

Behavioral: Physician Sent Outreach without Embedded Asynchronous Care in Portal Message

Message Type PSL: Physician sender, Survey Link

ACTIVE COMPARATOR

In this arm, the Physician is message sender and the message does include a link to a survey that initiates asynchronous care.

Behavioral: Physician Sent Outreach with Embedded Asynchronous Care in Portal Message

Message Type SNSL: System sender, No Survey Link

ACTIVE COMPARATOR

In this arm, the Health System is message sender and the message does not include a link to a survey that initiates asynchronous care.

Behavioral: System Sent Outreach without Embedded Asynchronous Care in Portal Message

Message Type SSL: System sender, Survey Link

ACTIVE COMPARATOR

In this arm, the Health System is message sender and the message does include a link to a survey that initiates asynchronous care.

Behavioral: System Sent Outreach with Embedded Asynchronous Care in Portal Message

Interventions

Physician Sent Outreach with Embedded Asynchronous Care in Portal Message BEHAVIORAL

PCPs sent a portal message encouraging a quit attempt embedded a link to asynchronous care within a portal message encouraging a quit attempt in order to compare EMR-documented, physician-assisted quit attempts to those who received messages without the link 30 days after messages were sent.

Also known as: PSL

Message Type PSL: Physician sender, Survey Link

Physician Sent Outreach without Embedded Asynchronous Care in Portal Message BEHAVIORAL

Physician sent a portal message encouraging a quit attempt without a link to asynchronous care within a portal message encouraging a quit attempt in order to compare EMR-documented, physician-assisted quit attempts to those who received messages without the link 30 days after messages were sent.

Also known as: PNSL

Message Type PNSL: Physician sender, No Survey Link

System Sent Outreach with Embedded Asynchronous Care in Portal Message BEHAVIORAL

Health System sent a portal message encouraging a quit attempt embedded a link to asynchronous care within a portal message encouraging a quit attempt in order to compare EMR-documented, physician-assisted quit attempts to those who received messages without the link 30 days after messages were sent.

Also known as: SSL

Message Type SSL: System sender, Survey Link

System Sent Outreach without Embedded Asynchronous Care in Portal Message BEHAVIORAL

Health System sent a portal message encouraging a quit attempt without a link to asynchronous care within a portal message encouraging a quit attempt in order to compare EMR-documented, physician-assisted quit attempts to those who received messages without the link 30 days after messages were sent. Half of the messages came from the patient's PCP and the other half came from the health system to determine if communication from a patient's physician was associated with more quit attempts.

Also known as: SNSL

Message Type SNSL: System sender, No Survey Link

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 18 years and older who were designated as a smoker in the EHR who had at least one face-to-face visit with their PCP in the prior 12 months and had a patient portal account
• To ensure equal representation across the 10 physicians, we randomly selected 20 patients under each physician to serve in the sample.

You may not qualify if:

• Patients were excluded if they no longer see the PCP, had a diagnosis for which the outreach program would be insensitive (e.g., lung cancer), previously expressed not wanting smoking cessation counseling, or were no longer a smoker.
• (Patients were post-hoc excluded if EHR indicated that they had received smoking cessation treatment 60 days prior to portal message intervention.)

Sponsors & Collaborators

• Oklahoma State University Center for Health Sciences: lead

Study Sites (1)

Oklahoma State University Center for Health Sciences

Tulsa, Oklahoma, 74107, United States

Location

Related Publications (1)

• Erdmann M, Edwards B, Adewumi MT. Effect of Electronic Portal Messaging With Embedded Asynchronous Care on Physician-Assisted Smoking Cessation Attempts: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e220348. doi: 10.1001/jamanetworkopen.2022.0348.

  PMID: 35226082 DERIVED

MeSH Terms

Conditions

Tobacco Smoking

Condition Hierarchy (Ancestors)

Smoking; Behavior; Tobacco Use

Study Officials

• Marjorie A Erdmann, MS

  Oklahoma State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Participants: The patients were not informed of other portal messages. The portal message they received (if it had a link to asynchronous care or not and if it was sent by physician or system) was determined by random assignment. Care Providers: After reviewing patients for exclusion criteria, the physicians were not informed which intervention group patients were assigned. They knew who was selected for the study and then those patients were randomly assigned to intervention groups by computerized randomization system. Investigators: The data was extracted from the EHR and de-identified prior to sharing it with the investigators. Therefore, the investigators were blind to patients and patient assignment. Outcomes Assessor: Outcomes were assessed only from de-identified data.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The model was a 2 (link to survey) × 2 (message source) experimental design; therefore, we had two factors that created four treatment conditions.

Study Record Dates

• First Submitted: November 30, 2021
• First Posted: December 29, 2021
• Study Start: January 13, 2020
• Primary Completion: February 24, 2020
• Study Completion: December 31, 2020
• Last Updated: December 29, 2021

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)