N/A
Completed N=14,930
EHR-Based and Fax-Based Referral to a Tobacco Quitline: A Comparative Study
Tobacco Use Cessation · Tobacco Smoking
Source: ClinicalTrials.gov NCT02735382 ↗
Enrolled (actual)
14,930
Serious AEs
—
Results posted
Aug 2019
Primary outcomePrimary: Number of Participants Referred — 1380; 331 Participants — p=<.0001
Summary
This study is designed to assess whether completely electronic, HIPAA-compliant, EHR-based, closed-loop referrals for tobacco cessation from primary care clinics to a state telephone tobacco quitline service can increase the number/percentage of adult tobacco users receiving evidence-based tobacco dependence treatment when compared to paper-based fax referrals. This study also will survey clinic staff to evaluate satisfaction with the referral process.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Referred |
1380; 331 | <.0001 sig |
| SECONDARY Number of Participants Meeting Criteria for Quality Referral |
400; 121 | <.0001 sig |
| SECONDARY Number of Participants Self-reporting Smoking Abstinence |
34; 14 | .8438 |
| SECONDARY Change in Global Staff Satisfaction With the Referral Intervention |
0.76; 0.32 | .007 sig |
Eligibility Criteria
Clinic Eligibility:
Inclusion Criteria
- The presence of discrete primary care clinical services within the clinic (defined as general internal medicine or family medicine clinical services);
- At least three primary care clinician providers in the clinic (physicians or nurse practitioners/physician assistants who see patients independently of a physician);
- A total primary care clinical volume of at least 60 patients each week;
- An existing EHR requirement for staff to document tobacco use status including smoking status on all adult patients visiting the clinic at every visit;
- A capacity to enumerate patient visit information including adult patients/month and adult tobacco users/month by clinician and by clinic;
- A willingness to participate in the proposed research;
- A lead physician or a clinic manager on site who agree to serve as a clinic champion for the project;
- Prior use of the fax referral system to refer patients to the Wisconsin Tobacco Quit Line with use data available for the 12 months prior to study launch;
- A willingness to accept random assignment to either of the two experimental conditions.
Exclusion Criteria
- Those clinics not meeting the above criteria (e.g. too small, limited EHR capacity).
(Note: In this study, the clinics are the "subjects" under study. The patients that will be referred by the clinic to the Wisconsin Tobacco Quit Line will be least 18 years old and Cigarette smokers)
Data sourced from ClinicalTrials.gov (NCT02735382). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.