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Implementation Science
Published in: Implementation Science 1/2010

Open Access 01-12-2010 | Study protocol

The QUIT-PRIMO provider-patient Internet-delivered smoking cessation referral intervention: a cluster-randomized comparative effectiveness trial: study protocol

Authors: Thomas K Houston, Rajani S Sadasivam, Daniel E Ford, Joshua Richman, Midge N Ray, Jeroan J Allison

Published in: Implementation Science | Issue 1/2010

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Abstract

Background

Although screening for tobacco use is increasing with electronic health records and standard protocols, other tobacco-control activities, such as referral of patients to cessation resources, is quite low. In the QUIT-PRIMO study, an online referral portal will allow providers to enter smokers' email addresses into the system. Upon returning home, the smokers will receive automated emails providing education about tobacco cessation and encouragement to use the patient smoking cessation website (with interactive tools, educational resources, motivational email messages, secure messaging with a tobacco treatment specialist, and online support group).

Methods

The informatics system will be evaluated in a comparative effectiveness trial of 160 community-based primary care practices, cluster-randomized at the practice level. In the QUIT-PRIMO intervention, patients will be provided a paper information-prescription referral and then "e-referred" to the system. In the comparison group, patients will receive only the paper-based information-prescription referral with the website address. Once patients go to the website, they are subsequently randomized within practices to either a standard patient smoking cessation website or an augmented version with access to a tobacco treatment specialist online, motivational emails, and an online support group. We will compare intervention and control practice participation (referral rates) and patient participation (proportion referred who go to the website). We will then compare the effectiveness of the standard and augmented patient websites.

Discussion

Our goal is to evaluate an integrated informatics solution to increase access to web-delivered smoking cessation support. We will analyze the impact of this integrated system in terms of process (provider e-referral and patient login) and patient outcomes (six-month smoking cessation).

Trial Registration

Web-delivered Provider Intervention for Tobacco Control (QUIT-PRIMO) - a randomized controlled trial: NCT00797628.
Appendix
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Metadata
Title
The QUIT-PRIMO provider-patient Internet-delivered smoking cessation referral intervention: a cluster-randomized comparative effectiveness trial: study protocol
Authors
Thomas K Houston
Rajani S Sadasivam
Daniel E Ford
Joshua Richman
Midge N Ray
Jeroan J Allison
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2010
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-5-87

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