About this trial
The purpose of this study is to evaluate the comparative effectiveness of two different informatics-enabled implementation strategies on increasing tobacco treatment and improving smoking cessation rates for cancer control and prevention. This will be done via a two-arm pragmatic cluster randomized trial (CRT) to test the effectiveness of nudges to change (ELEVATE-S) vs. quit-focused usual care (ELEVATE) in increasing tobacco treatment (use of medication, brief advice, or referral to external counseling) and smoking cessation.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Be receiving care at a participating clinic
Report current tobacco use (assessed by the rooming staff during the index visit)
Have a completed appointment with a participating clinic
Be an adult (at least 18 years old).
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
ELEVATE
BehavioralELEVATE uses implementation strategies to support clinicians (support clinicians by revising professional roles to enable point of care tobacco treatment with a team are approach and support clinicians by providing clinical decision support tools).
ELEVATE-S
BehavioralELEVATE-S uses implementation strategies to support clinicians (support clinicians by revising professional roles to enable point of care tobacco treatment with a team are approach and support clinicians by providing clinical decision support tools) and implementation strategies to support patients with chronic care model-informed self-management support (patient centered flexible goals and patient-generated health data).
Treatment groups
Trial outcomes
Primary outcomes
Patient receipt of tobacco use treatment, i.e. Tobacco use treatment (TUT) Reach
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment (either medication or behavioral intervention (brief advice or referral to counseling)).
Secondary outcomes
Patient receipt of tobacco use treatment - behavioral intervention.
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment behavioral intervention (brief advice or referral to counseling).
Patient receipt of tobacco use treatment - medication.
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment medication.
Patient smoking abstinence
This will be quantified by the proportion of patients who smoke with EHR-documented smoking abstinence
Other outcomes
Patient receipt of tobacco use treatment, i.e. Tobacco use treatment (TUT) Reach
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment (either medication or behavioral intervention (brief advice or referral to counseling).
Patient receipt of tobacco use treatment - behavioral intervention.
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment behavioral intervention (brief advice or referral to counseling).
Patient receipt of tobacco use treatment - medication.
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment medication.
Patient smoking abstinence
This will be quantified by the proportion of patients who smoke with EHR-documented smoking abstinence
Sponsors and contacts
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