DPBRN Hygienists Internet Quality Improvement in Tobacco Cessation (HiQuit) (HiQuit)

Hygienists Internet Tobacco Cessation Study (HiQuit)

Our overall goal is to advance science related to using the Internet in health services delivery, and specifically smoking cessation by targeting dental hygienists. Our proposed intervention is the first Internet-delivered intervention to target the dental microsystem for smoking cessation-providing access to hygienists and patients.

Study Overview

• Status: Completed
• Conditions: Smoking Cessation
• Intervention / Treatment: Other: Electronic Referral

Detailed Description

This study is designed to allow dental hygienists and dentists to provide additional tobacco cessation counseling with little additional marginal effort. This would be done using an Internet-based referral to external resources. This system, termed "ReferASmoker", will allow hygienists and dentists to refer patients to a patient education, self-management website, "Decide2Quit" and accompanying Quitline, while the patient is still in the dental office. We anticipate that hygienists will be the primary drivers of this intervention. Our intervention has several innovations designed to support the dental practice in their tobacco cessation activities and maximize patient cessation rates. We will randomize 80 community-based primary dental practices into a clinical trial.

Aim 1. To test hypothesis 1(H1)that the number of patients REFERRED to the self-management resource website will be larger in the intervention practices compared to control practices.

Aim 2. To test hypothesis 2 (H2) that the proportion of patients referred who GO to the patient self-management website will be larger in intervention practices compared to control practices

Aim 3. To test hypothesis 3 (H3) that the proportion of smokers who are referred who QUIT at six months will be larger among intervention compared to control because of the additional connectivity of the intervention.

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Early Phase 1

Contacts and Locations

Study Locations

• United States
  • Alabama
    • Birmingham, Alabama, United States, 35294
      • University of Alabama at Birmingham
  • Minnesota
    • Minneapolis, Minnesota, United States
      • Health Partners Research Foundation

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Community-based practices with internet access available in the office seeing an average of five or more smokers in a week.

Exclusion Criteria:

• Exclude practices that have ongoing computer-based smoking cessation programs for patients.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Electronic Referrals; Dental practices randomized to the experimental group will have options on how to refer patients to the tobacco cessation website.	Other: Electronic Referral; Dental practices in this arm will be able to have option of making electronic patient referrals to the Decide2Quit website.
No Intervention: Routine Referral; Dental practices in this arm will refer patients to the Decide2Quit website by using an information prescription.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of smokers referred to tobacco cessation website	We will asses the number of patient referrals that the dental hygienists make to the tobacco cessation website.	12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Proportion of smokers who go to the tobacco cessation website	We will assess the proportion of smokers who were referred to the tobacco cessation website to the number of patients who registered on the website.	12 months
Point prevalence smoking cessation	Tobacco cessation behaviors will be assessed by follow-up email and/or telephone interviews at six months from website enrollment.	6 months

Collaborators and Investigators

• Sponsor: Dental Practice-Based Research Network
• Collaborators: University of Alabama at Birmingham; HealthPartners Institute; University of Massachusetts, Worcester
• Investigators: Study Chair: Gregg H. GIlbert, DDS, MBA, Dental Practice-Based Research Network (DPBRN); Principal Investigator: Midge N. Ray, RN, MSN, CCS, University of Alabama School of Health Professons at Birmingham

Publications and helpful links

General Publications

• Holliday R, Hong B, McColl E, Livingstone-Banks J, Preshaw PM. Interventions for tobacco cessation delivered by dental professionals. Cochrane Database Syst Rev. 2021 Feb 19;2(2):CD005084. doi: 10.1002/14651858.CD005084.pub4.
• Coley HL, Sadasivam RS, Williams JH, Volkman JE, Schoenberger YM, Kohler CL, Sobko H, Ray MN, Allison JJ, Ford DE, Gilbert GH, Houston TK; National Dental PBRN and QUITPRIMO Collaborative Group. Crowdsourced peer- versus expert-written smoking-cessation messages. Am J Prev Med. 2013 Nov;45(5):543-50. doi: 10.1016/j.amepre.2013.07.004.
• Ray MN, Funkhouser E, Williams JH, Sadasivam RS, Gilbert GH, Coley HL, Rindal DB, Houston TK; National Dental PBRN Collaborative Group. Smoking-cessation e-referrals: a national dental practice-based research network randomized controlled trial. Am J Prev Med. 2014 Feb;46(2):158-65. doi: 10.1016/j.amepre.2013.10.018.

Study record dates

Study Major Dates

• Study Start: April 1, 2010
• Primary Completion (Actual): June 1, 2011
• Study Completion (Actual): June 1, 2011

Study Registration Dates

• First Submitted: April 20, 2010
• First Submitted That Met QC Criteria: April 20, 2010
• First Posted (Estimate): April 22, 2010

Study Record Updates

• Last Update Posted (Estimate): January 25, 2013
• Last Update Submitted That Met QC Criteria: January 24, 2013
• Last Verified: January 1, 2013

More Information

Terms related to this study

• Keywords: Tobacco cessation counseling
• Other Study ID Numbers: 122286; U01DE016747 (U.S. NIH Grant/Contract)