Smoking, Tobacco Clinical Trial
Official title:
Proactive Population Health Strategy to Offer Tobacco Dependence Treatment to Smokers in a Primary Care Practice Network
Health care systems are key channels for delivering tobacco cessation treatment to the
smokers in a population. A population-based approach could complement office-based care and
offload busy clinicians. The project will conduct population-based proactive outreach to
current smokers in a health care system's primary care practices and randomize smokers who
respond to the outreach to 3 groups: 2 alternative evidence-based cessation resources or to
usual care.
Specific Aims:
Aim 1: To determine the feasibility and reach of the program
Aim 2a: To determine whether the 2 intervention arms combined increase the proportion of
smokers who use tobacco cessation treatment over a 6-month follow-up compared to those
randomized to usual clinical care.
Aim 2b: To determine whether each of the two intervention arms increases the proportion of
smokers who use tobacco cessation treatment over a 6-month follow-up, compared to those
receiving usual clinical care.
Health care systems are key channels for delivering tobacco cessation treatment to the
smokers in a population. Current health care system approaches require busy clinicians with
many competing demands on their time to initiate treatment in the course of clinical
encounter. A population-based approach is an alternative that could complement office-based
care and offload busy clinicians. The ongoing evolution of the health care system is making
this more feasible with adoption of electronic health records (EHR) that document patients'
smoking status in a coded field. This facilitates the creation of a registry of smokers who
can be offered tobacco treatment proactively. However, the optimal way to implement a
proactive population health strategy for tobacco users is unclear.
The goal of the project is to implement a population-based proactive outreach program to
current smokers in a health care system's primary care practices. The program will
1. Proactively contact smokers independent of their health care visits and
2. Connect smokers who respond to evidence-based tobacco cessation resources available in
the health care system and/or community.
The study aims of the study are to:
Aim 1: To determine the feasibility and reach of the program.
Aim 2a: To determine whether the two intervention arms combined increase the proportion of
smokers who use tobacco cessation treatment over a 6-month follow-up, compared to those
receiving usual clinical care.
Aim 2b: To determine whether each of the two interventions increases the proportion of
smokers who use tobacco cessation treatment over a 6-month follow-up, compared to those
receiving usual clinical care.
Exploratory aim: To compare the 7-day point prevalence smoking cessation rate in each
intervention arm to usual care.
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