Clinical trial NCT03656874: Engaging Patients in Tobacco Cessation Resources in Dental Settings
Official title: A Clinic-randomized Trial of a Clinical Decision Support System to Improve Dental Provider Delivery of Brief Tobacco Interventions and Quitline Referrals
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Smoking
Keywords: Decision Support Systems, Clinical
Smoking reduction
Smoking cessation
Smoking, Tobacco
Lead sponsor: HealthPartners Institute
Sponsor class: OTHER
Collaborators: name: National Institute of Dental and Craniofacial Research (NIDCR)
name: University of Sydney
name: University of Pittsburgh
name: Indiana University
First posted: 2018-09-04
Enrollment: 56
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.

Detailed 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.

Eligibility 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

Primary outcomes:
measure: Percentage of Smokers With Delivery of Brief Interventions and/or Referral to Treatment
timeFrame: within a week of the index dental encounter
Secondary outcomes:
measure: Percentage of Smokers With Initial Actions Related to Cessation
timeFrame: within a week of index dental encounter
measure: Percentage of Smokers With Long-term Actions Related to Cessation
timeFrame: within six-months of index dental encounter
Other outcomes:
Locations:
city: Indianapolis
country: United States
facility: Indiana University School of Dentistry
state: Indiana
city: Bloomington
country: United States
facility: HealthPartners Institute
state: Minnesota
city: Pittsburgh
country: United States
facility: University of Pittsburgh School of Dental Medicine
state: Pennsylvania
Study officials:
affiliation: HealthPartners Institute
name: D. Brad Rindal, DDS
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Sydney
name: Heiko Spallek, DMD,PhD,MSBA
role: PRINCIPAL_INVESTIGATOR
References:
citation: Holliday R, Hong B, McColl E, Livingstone-Banks J, Preshaw PM. Interventions for tobacco cessation delivered by dental professionals. Cochrane Database Syst Rev. 2021 Feb 19;2(2):CD005084. doi: 10.1002/14651858.CD005084.pub4.