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Completed

NCT Number: NCT03656874

Engaging Patients in Tobacco Cessation Resources in Dental Settings

The overarching goal of this project is to reduce smoking-associated morbidity and mortality by increasing the number of patients who are referred for tobacco cessation counseling. Using a stratified, group-randomized, controlled, 2-arm trial conducted in two settings, the investigators will compare smoking-related clinical decision support (CDS) to usual care.

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Key information

Conditions

Smoking Behavior Health Behavior Smoking Cessation Smoking Reduction Tobacco Smoking Tobacco Use

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Indiana University School of Dentistry, Indianapolis, Indiana, United States

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About this study

This project aims to reduce smoking-associated morbidity and mortality by increasing the number of patients who are referred for tobacco cessation counseling. The study team will evaluate the effectiveness of clinical decision support (CDS) to improve dental provider delivery of brief tobacco interventions and referrals to tobacco quitlines for further tobacco counseling. The CDS will generate personalized, evidence-based recommendations for dentists and dental hygienists to actively engage their smoking patients in the course of usual dental care. Subsequently, the study team will assess the tobacco cessation actions of smokers using patient-centered outcomes.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

DENTAL STUDENTS AND DENTAL HYGIENE STUDENTS

Inclusion criteria

  • 3rd and 4th year predoctoral students or dental hygiene students enrolled at selected dental schools

PRIVATE PRACTICE DENTISTS & HYGIENISTS

Inclusion criteria

  • General practice dentists or dental hygienists practicing at selected private practice clinics

Exclusion criteria

  • Providers not able or willing to record current tobacco use status in their electronic health record
  • Providers affiliated with selected dental schools who hold a current teaching or clinical position

PATIENTS

Inclusion criteria

  • Current cigarette smokers

Exclusion criteria

  • patients requesting to opt out of research

Treatment and study plan

Clinical Decision Support

Other

The clinical decision support will provide clinical practice guideline-supported, evidence-based, and personalized scripts that are tailored based on patients' self-reported smoking attributes to deliver interventions consistent with the standard of care

Primary outcomes

  1. Percentage of Smokers With Delivery of Brief Interventions and/or Referral to Treatment

    Time frame: within a week of the index dental encounter

    Composite of provider actions reported by patient regarding delivery of brief interventions and/or referral to treatment. These actions included that the provider 1) delivered a brief smoking intervention by discussing, a)developing a quit plan or b)setting a quit date or c)using medications to help patients quit or d)discussed strategies for quitting. The provider made a 2) referral to a quitline; a)provided information about how to contact a tobacco quitline or b) arranged for the patient to be contacted by the tobacco quit line for smoking cessation. The composite is satisfied if the patient reports that any of the intervention activities or referral was delivered by the provider.

Secondary outcomes

  1. Percentage of Smokers With Initial Actions Related to Cessation

    Time frame: within a week of index dental encounter

    Composite of patient-reported actions of smokers with initial actions related to cessation. This composite is met if the patient reported that they contacted a smoking cessation quitline, set a quit date, developed a plan to quit, or is starting nicotine replacement or other medication to help quit within 1-7 days of their index dental visit.

  2. Percentage of Smokers With Long-term Actions Related to Cessation

    Time frame: within six-months of index dental encounter

    Composite of patient-reported actions of smokers with long-term actions related to cessation. This composite includes whether the patient reported that they quit smoking (stopped smoking for more than one day because they were trying to stop smoking), or reduced their smoking use (50% reduction in amount smoked at 6 months compared to baseline). This composite is satisfied if the patient reports that they have done any of these actions within the 6 months +/- 1 week period between the index dental visit and the date of the second patient survey.

Sponsors and collaborators

Lead sponsor

HealthPartners Institute

Other

Collaborators

  • Indiana University
  • National Institute of Dental and Craniofacial Research (NIDCR)
  • University of Pittsburgh
  • University of Sydney

Registry information

Official study title

A Clinic-randomized Trial of a Clinical Decision Support System to Improve Dental Provider Delivery of Brief Tobacco Interventions and Quitline Referrals

Acronym: ENGAGE

Important dates

Study start
2019
Primary completion
2020
Study completion
2021
First posted
Sep 4, 2018
Registry last updated
Jun 28, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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