Smoking Cessation Clinical Trial
Official title:
An EPIC Based BPA to Enhance Quit Line Referral and Use
NCT number | NCT03229356 |
Other study ID # | IRB00124880 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | April 18, 2017 |
Est. completion date | May 30, 2019 |
Verified date | February 2023 |
Source | Johns Hopkins University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Smoking is the number one cause of preventable death in the United States. Given the magnitude of the problem, interventions aimed at promoting smoking cessation have the potential to make large changes in improving health outcomes. Resources to aid with smoking cessation such as telephone-based counseling are generally underutilized. The electronic medical record (EMR) in use at Johns Hopkins has limited decision support to promote referral to the Maryland Quit Line, a free smoking cessation counseling resource. The investigators propose a cluster randomized trial (Implementation-RCT hybrid design) with a waitlist control at the 22 Johns Hopkins Community Physicians (JHCP) sites, which offer primary care. The intervention will include a multi-modality intervention to promote provider use of smoking cessation resources which include an Epic-based Best Practice Advisory (BPA) that allows providers to electronically refer to the Maryland State Quit Line, educational materials, and provider visits with Quit Line representatives to review use of smoking cessation practices. Sites will be randomized to one of three arms with increasing support: 1) six-month waitlist control; 2) BPA with optional educational modules; 3) BPA with online educational modules, a quick-reference educational document, and additional visit with Quit Line representatives. The investigators hypothesize that by implementing a new Epic BPA that allows providers to easily refer to the Maryland Quit Line electronically, investigators will increase use of this resource. The investigators also hypothesize that adding additional educational materials and having Quit Line representatives perform educational outreach visits will further increase use of the Quit Line and will increase prescription of medications to assist with smoking cessation. Ultimately The investigators hope to improve patient care by increasing providers' use the Maryland Quit Line and pharmacotherapy. The investigators hope that the use of these resources will decrease smoking rates and thereby improve patient health and outcomes while improving JHCP quality metrics.
Status | Completed |
Enrollment | 22 |
Est. completion date | May 30, 2019 |
Est. primary completion date | May 30, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Johns Hopkins Community Physicians Primary Care Practices (Internal Medicine and Family Medicine) Exclusion Criteria: - None |
Country | Name | City | State |
---|---|---|---|
United States | Johns Hopkins Community Physcians | Baltimore | Maryland |
Lead Sponsor | Collaborator |
---|---|
Johns Hopkins University | Maryland Department of Health and Mental Hygiene |
United States,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Provider Electronic Referrals to the Maryland Quit Line | Number of referrals made out of total eligible for referral. | 6 months | |
Secondary | Prescription of Pharmacotherapy for Smoking Cessation | Nicotine replacement, Varenicline or Bupropion prescription. | 12 months | |
Secondary | Patient Engagement With the Quit Line | Number of patients that accepted services or declined or were not reached or were already enrolled. | 6 months | |
Secondary | Provider Electronic Referrals to the Maryland Quit Line | Number of referrals made out of total eligible for referral. | 12 months | |
Secondary | Patient Engagement With the Quit Line | Number of patients that accepted services or declined or were not reached or were already enrolled. | 12 months |
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