DPBRN Hygienists Internet Quality Improvement in Tobacco Cessation (HiQuit)

Study Overview
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Brief Summary
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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
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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.

Official Title
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Hygienists Internet Tobacco Cessation Study (HiQuit)

Conditions
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Smoking Cessation

Intervention / Treatment
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* Other: Electronic Referral


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Electronic Referrals<br>Dental practices randomized to the experimental group will have options on how to refer patients to the tobacco cessation website. | Other: Electronic Referral<br>* Dental practices in this arm will be able to have option of making electronic patient referrals to the Decide2Quit website.<br>|
| No Intervention: Routine Referral<br>Dental practices in this arm will refer patients to the Decide2Quit website by using an information prescription. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of smokers referred to tobacco cessation website | We will asses the number of patient referrals that the dental hygienists make to the tobacco cessation website. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of smokers who go to the tobacco cessation website | 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. | 12 months | 
| Point prevalence smoking cessation | Tobacco cessation behaviors will be assessed by follow-up email and/or telephone interviews at six months from website enrollment. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tobacco cessation counseling