Division of Health Informatics and Implementation Science, Quantitative Health Sciences and Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
Implement Sci. 2010 Nov 17;5:87. doi: 10.1186/1748-5908-5-87.
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).
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.
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).
Web-delivered Provider Intervention for Tobacco Control (QUIT-PRIMO) - a randomized controlled trial: NCT00797628.
尽管电子健康记录和标准协议的使用越来越多，但其他烟草控制活动（如将患者转介至戒烟资源）的参与度仍然很低。在 QUIT-PRIMO 研究中，将为提供者提供一个在线转介门户，以便他们将吸烟者的电子邮件地址输入系统。患者回到家后，会收到自动发送的电子邮件，提供有关戒烟的教育，并鼓励他们使用患者戒烟网站（提供互动工具、教育资源、激励性电子邮件、与烟草治疗专家的安全消息传递以及在线支持小组）。
该信息系统将在一项针对 160 家社区初级保健实践的比较效果试验中进行评估，该试验以实践为单位进行聚类随机分组。在 QUIT-PRIMO 干预中，将为患者提供纸质信息处方转介，然后将其“电子转介”至系统。在对照组中，患者仅会收到带有网站地址的纸质信息处方转介。一旦患者访问该网站，他们将在实践中随机分为标准患者戒烟网站或增强版，后者可以在线访问烟草治疗专家、激励性电子邮件和在线支持小组。我们将比较干预和对照组实践的参与度（转介率）和患者的参与度（转介到网站的比例）。然后，我们将比较标准和增强版患者网站的效果。
我们的目标是评估一种集成的信息学解决方案，以增加获取网络戒烟支持的机会。我们将根据过程（提供者电子转介和患者登录）和患者结果（六个月戒烟）来分析该集成系统的影响。
网络提供的烟草控制提供者干预（QUIT-PRIMO）-一项随机对照试验：NCT00797628。
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