QuitAdvisorDDS: A Point-of-Care Tobacco Cessation Tool for Dental Settings

Study Overview
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Brief Summary
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Using a single-arm trial design, this study will examine the feasibility and acceptability of evaluating QuitAdvisorDDS, a clinical decision support software application designed to facilitate implementation of evidence-based tobacco treatment interventions into the dental setting. The study will examine the feasibility and acceptability of evaluating the impact of the QuitAdvisorDDS tool on patient outcomes related to tobacco use and cessation attempts as well as provider knowledge, attitudes, and practices regarding tobacco treatment. Practitioners (dentists and hygienists) will complete surveys at baseline and follow-up, while patients will complete surveys at baseline and 1-month follow-up. An embedded substudy will also evaluate the feasibility and acceptability of collecting biospecimens (saliva) to serve as biochemical verification of smoking status.

Official Title
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QuitAdvisorDDS: A Point-of-Care Tobacco Cessation Tool for Dental Settings

Conditions
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Tobacco Use

Intervention / Treatment
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* Behavioral: QA-DDS


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Receives dental care from a participating practitioner; Is age 18 or older; Self-reports tobacco use within the past month; Willing to comply with all study procedures and be available for the duration of the study; Willing to provide verbal informed consent; Has access to a telephone, and agrees to receive text messages, emails, or telephone calls related to the study. (The patient's preferred method of contact will be ascertained). Willing to be contacted on a regular basis by each of these entities: the practice;Regional Coordinators (RC) and/or University of Kentucky (UK) researchers; and Willing to provide contact information of one person living at a different address who will know the patient's whereabouts in the event the patient cannot be reached. Exclusion Criteria: Psychiatric disability or mental illness judged by the practitioner to be clinically significant so as to preclude informed consent or compliance with procedures of study visits. Cognitive impairment judged by the practitioner to be significant so as to preclude informed consent or compliance with procedures of study visits.

Ages Eligible for Study
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Minimum Age: 18 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: QA-DDS<br>Patients will receive exposure to the QA-DDS tool from their dental care practitioner. | Behavioral: QA-DDS<br>* QuitAdvisorDDS is a point-of-care software tool to facilitate implementation of evidence-based tobacco treatment interventions in dental care settings.<br>* Other names: QuitAdvisorDDS;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Primary Patient Acceptability A: Rate of Patient Wanting Provider to Use QA-DDS | 80% of participating patients must indicate that they would want their dental practitioner to continue to use QA-DDS. | Immediately Post-Consultation up to 1 week | 
| Primary Patient Acceptability B: Rate of Patient Wanting to Use QA-DDS Patient Portal | 80% of participating patients must indicate that they would want to continue to use the QA-DDS Patient Portal. | 1-Month Follow-Up | 
| Primary Patient Feasibility A: Rate of Patient Completion of 1-Month Follow-Up Survey | 80% of the enrolled dental care patients must complete the 1-month follow-up survey with the 7-day point prevalence measure of self-reported smoking status. | 1-Month Follow-Up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Secondary Patient Acceptability A: Average QA-DDS Satisfaction Ratings Among Patients on 0-10 Scale | Average QA-DDS satisfaction ratings among enrolled dental patients must be 7 or greater on a 0-10 scale. | Immediately Post-Consultation up to 1 week | 
| Secondary Patient Feasibility A: Rate of Patient Accrual by Study Practices | 75% of the study practices must recruit 10 eligible dental patients within a 4-month recruitment phase | 4-Month Follow-Up |