Trial Outcomes & Findings for Using a Teachable Moment Communication Process to Improve Outcomes of Quitline Referrals (NCT NCT02764385)
NCT ID: NCT02764385
Last Updated: 2021-07-27
Results Overview
The number of patients contacted by the Quitline among those ready to quit and who accepted a referral to the quitline
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
15786 participants
Primary outcome timeframe
Every visit until end of study, up to 6 months post TMCP implementation
Results posted on
2021-07-27
Participant Flow
Participant milestones
| Measure |
AAC Only
This is a system-based intervention that involves changes in the EHR regarding documenting tobacco assessment and the capability to order an eReferral to the Quitline. This system-based intervention also changes the role of the medical technical assistant.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
AAC + TMCP
The Teachable Moment Communication Process is a clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
Teachable Moment Communication Process: A clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
|---|---|---|
|
Overall Study
STARTED
|
9145
|
6641
|
|
Overall Study
COMPLETED
|
9145
|
6641
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Using a Teachable Moment Communication Process to Improve Outcomes of Quitline Referrals
Baseline characteristics by cohort
| Measure |
AAC Only
n=9145 Participants
This is a system-based intervention that involves changes in the EHR regarding documenting tobacco assessment and the capability to order an eReferral to the Quitline. This system-based intervention also changes the role of the medical technical assistant.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
AAC + TMCP
n=6641 Participants
The Teachable Moment Communication Process is a clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
Teachable Moment Communication Process: A clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
Total
n=15786 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Customized
18-34 years
|
1697 Participants
n=5 Participants
|
1123 Participants
n=7 Participants
|
2820 Participants
n=5 Participants
|
|
Age, Customized
35-64 years
|
6532 Participants
n=5 Participants
|
4675 Participants
n=7 Participants
|
11207 Participants
n=5 Participants
|
|
Age, Customized
65+ years
|
916 Participants
n=5 Participants
|
843 Participants
n=7 Participants
|
1759 Participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
5300 Participants
n=5 Participants
|
3885 Participants
n=7 Participants
|
9185 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
3845 Participants
n=5 Participants
|
2756 Participants
n=7 Participants
|
6601 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
4194 Participants
n=5 Participants
|
3177 Participants
n=7 Participants
|
7371 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
4334 Participants
n=5 Participants
|
2993 Participants
n=7 Participants
|
7327 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
617 Participants
n=5 Participants
|
471 Participants
n=7 Participants
|
1088 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Every visit until end of study, up to 6 months post TMCP implementationPopulation: unit is the patient; among referrals received by the quitline, documented as contacted.
The number of patients contacted by the Quitline among those ready to quit and who accepted a referral to the quitline
Outcome measures
| Measure |
AAC Only
n=1393 Participants
This is a system-based intervention that involves changes in the EHR regarding documenting tobacco assessment and the capability to order an eReferral to the Quitline. This system-based intervention also changes the role of the medical technical assistant.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
AAC + TMCP
n=426 Participants
The Teachable Moment Communication Process is a clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
Teachable Moment Communication Process: A clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
|---|---|---|
|
Number of Patients Contacted for Quitline Enrollment
|
273 Participants
|
59 Participants
|
SECONDARY outcome
Timeframe: Every visit until end of study, up to 6 months post TMCP implementationPopulation: number of smokers
The number of patients that use tobacco with documentation of brief advice
Outcome measures
| Measure |
AAC Only
n=9145 Participants
This is a system-based intervention that involves changes in the EHR regarding documenting tobacco assessment and the capability to order an eReferral to the Quitline. This system-based intervention also changes the role of the medical technical assistant.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
AAC + TMCP
n=6641 Participants
The Teachable Moment Communication Process is a clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
Teachable Moment Communication Process: A clinician-focused intervention designed to guide an approach to discussing smoking cessation during routine primary care visits.
AAC: A system-based change to the EHR that allows for eReferral to the Quitline coupled with role and process changes for medical technical assistants
|
|---|---|---|
|
Number of Patients With Documentation of Brief Advice
|
7086 Participants
|
5579 Participants
|
Adverse Events
AAC Only
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
AAC + TMCP
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place