Secondhand Smoke Clinical Trial
Official title:
Parent eReferral to Tobacco Quitline in Primary Care
Secondhand smoke (SHS) exposure is a significant public health problem in that it both harms children and is widely prevalent, affecting more than 40% of US children. Tobacco cessation quitlines are effective in helping smokers quit, but few smokers make use of their services. Electronic health record-based systems that automate referral of interested parents to quitlines through pediatric settings may increase the proportion of smokers who successfully enroll in treatment.
This is a randomized controlled study of electronic quitline referral compared to standard
practice. Parent enrollment in the quitline will be reported to the study team by the state
tobacco quitline, managed by the Pennsylvania Department of Health.
This is a single site study at one large outpatient pediatric practice. Eligible study
participants are parents/caregivers (hereafter referred to as "parents"), 18 years of age or
older, who are present for the child's healthcare (both well-child and acute) visit, who
smoke, and who are interested in receiving treatment through the tobacco quitline.
The intervention is electronic referral to the tobacco quitline for parent smokers. The
referral process will be embedded in a tobacco treatment clinical decision support (CDS)
tool, created to help pediatricians provide counseling and treatment to parent smokers. The
primary outcome of interest is smoker enrollment in the quitline, defined as the proportion
of parent smokers identified in the clinic that enroll in quitline treatment compared across
the intervention (electronic referral) and control (standard practice) approaches. Secondary
outcomes include patient and parent demographic and behavioral factors associated with
successful enrollment.
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