Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial
Background: Smoking remains the leading cause of preventable death, yet physicians inconsistently provide best-practices cessation advice to smokers. Point-of-care digital health tools can prompt and assist physicians to provide improved smoking cessation counseling. QuitAdvisorMD is a comprehensive...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Contemporary Clinical Trials Communications |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865423001990 |
| _version_ | 1797256356793679872 |
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| author | Scott M. Strayer Austin Barnhardt Lisa K. Rollins Karen Ingersoll Guofen Yan Kurtis S. Elward John B. Schorling |
| author_facet | Scott M. Strayer Austin Barnhardt Lisa K. Rollins Karen Ingersoll Guofen Yan Kurtis S. Elward John B. Schorling |
| author_sort | Scott M. Strayer |
| collection | DOAJ |
| description | Background: Smoking remains the leading cause of preventable death, yet physicians inconsistently provide best-practices cessation advice to smokers. Point-of-care digital health tools can prompt and assist physicians to provide improved smoking cessation counseling. QuitAdvisorMD is a comprehensive web-based counseling and management digital health tool designed to guide smoking cessation counseling at the point-of-care. The tool enables clinicians to assess patient readiness to change and then deliver stage-appropriate interventions, while also incorporating Motivational Interviewing techniques. We present the research protocol to assess the efficacy of QuitAdvisorMD to change frequency and quality of smoking cessation counseling and its effect on patient quit rates. Methods: A practice-based, clustered, randomized controlled trial will be used to evaluate QuitAdvisorMD. Cluster design will be used where patients are clustered within primary care practices and practices will be randomized to either the intervention (QuitAdvisorMD) or control group. The primary outcome is frequency and quality of clinician initiated smoking cessation counseling. Secondary outcomes include, 1) changes in physician knowledge, skills and perceived self-efficacy in providing appropriate stage-based smoking cessation counseling and 2) patient quit attempts. Analyses will be conducted to determine pre- and post-test individual clinician outcomes and between intervention and control group practices for patient outcomes. Conclusion: Results from this study will provide important insights regarding the ability of an integrated, web-based counseling and management tool (QuitAdvisorMD) to impact both the quality and efficacy of smoking cessation counseling in primary care settings. |
| first_indexed | 2024-04-24T22:20:27Z |
| format | Article |
| id | doaj.art-8f2862f19d154b5aa5f36769f162bc98 |
| institution | Directory Open Access Journal |
| issn | 2451-8654 |
| language | English |
| last_indexed | 2024-04-24T22:20:27Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Contemporary Clinical Trials Communications |
| spelling | doaj.art-8f2862f19d154b5aa5f36769f162bc982024-03-20T06:10:47ZengElsevierContemporary Clinical Trials Communications2451-86542024-04-0138101253Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trialScott M. Strayer0Austin Barnhardt1Lisa K. Rollins2Karen Ingersoll3Guofen Yan4Kurtis S. Elward5John B. Schorling6Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA, USA; Corresponding author.Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Family Medicine, University of Virginia School of Medicine, Charlottesville, VA, USADepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, USAPublic Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USADepartment of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USABackground: Smoking remains the leading cause of preventable death, yet physicians inconsistently provide best-practices cessation advice to smokers. Point-of-care digital health tools can prompt and assist physicians to provide improved smoking cessation counseling. QuitAdvisorMD is a comprehensive web-based counseling and management digital health tool designed to guide smoking cessation counseling at the point-of-care. The tool enables clinicians to assess patient readiness to change and then deliver stage-appropriate interventions, while also incorporating Motivational Interviewing techniques. We present the research protocol to assess the efficacy of QuitAdvisorMD to change frequency and quality of smoking cessation counseling and its effect on patient quit rates. Methods: A practice-based, clustered, randomized controlled trial will be used to evaluate QuitAdvisorMD. Cluster design will be used where patients are clustered within primary care practices and practices will be randomized to either the intervention (QuitAdvisorMD) or control group. The primary outcome is frequency and quality of clinician initiated smoking cessation counseling. Secondary outcomes include, 1) changes in physician knowledge, skills and perceived self-efficacy in providing appropriate stage-based smoking cessation counseling and 2) patient quit attempts. Analyses will be conducted to determine pre- and post-test individual clinician outcomes and between intervention and control group practices for patient outcomes. Conclusion: Results from this study will provide important insights regarding the ability of an integrated, web-based counseling and management tool (QuitAdvisorMD) to impact both the quality and efficacy of smoking cessation counseling in primary care settings.http://www.sciencedirect.com/science/article/pii/S2451865423001990Smoking cessationRandomized controlled trialPoint-of-care technologyStudy designProtocolPrimary care |
| spellingShingle | Scott M. Strayer Austin Barnhardt Lisa K. Rollins Karen Ingersoll Guofen Yan Kurtis S. Elward John B. Schorling Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial Contemporary Clinical Trials Communications Smoking cessation Randomized controlled trial Point-of-care technology Study design Protocol Primary care |
| title | Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial |
| title_full | Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial |
| title_fullStr | Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial |
| title_full_unstemmed | Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial |
| title_short | Assessing efficacy of a web-based smoking cessation tool - QuitAdvisorMD: Protocol for a practice-based, clustered, randomized control trial |
| title_sort | assessing efficacy of a web based smoking cessation tool quitadvisormd protocol for a practice based clustered randomized control trial |
| topic | Smoking cessation Randomized controlled trial Point-of-care technology Study design Protocol Primary care |
| url | http://www.sciencedirect.com/science/article/pii/S2451865423001990 |
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