Computer-Assisted Tobacco Interventions in Dental Offices (CATI)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
HealthPartners Institute for Education and Research
ClinicalTrials.gov Identifier:
NCT01584882
First received: April 23, 2012
Last updated: July 15, 2014
Last verified: July 2014
  Purpose

Electronic dental records (EDR) are a potentially powerful tool to incorporate current scientific evidence into clinical practice by providing key information at the point of patient care. The investigators know that disseminating evidence-based guidelines is not sufficient to change clinical practice so innovative approaches need to be tested in dentistry. The composite expertise of the investigators and consultants on this project and a large group practice with multiple clinics utilizing one EDR are essential to address the aims of this study. This project will examine whether dentists and hygienists will assess interest in quitting and deliver a tobacco intervention more frequently when provided with computer assisted guidance compared to a control group. Specifically the investigators will measure the delivery of questions assessing willingness to change and appropriate interventions based on willingness to change by measuring the recording of these activities in the EDR and patient receipt of these recommendations through a phone survey. In addition, the study will do a qualitative assessment of the patient perceived value of the provider-patient encounter to further inform us about patient perception of this interaction. The investigators want to know if dental providers will utilize these tools during the dental encounter. If they are used, the investigators would propose further studies examining smoking cessation rates. The investigators were not able to measure cessation rates due to the short two year timeline of this funding mechanism. This tool has potential application for other clinical topics, which makes this approach very innovative when considering the translation of evidence into the unique clinical practice of dentistry.


Condition Intervention
Smoking
Behavioral: CATI Tool

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Computer-Assisted Guidance for Tobacco Dependence Interventions in Dental Offices

Resource links provided by NLM:


Further study details as provided by HealthPartners Institute for Education and Research:

Primary Outcome Measures:
  • Patient report [ Time Frame: Within 3 days of the dental encounter ] [ Designated as safety issue: No ]

    Patient report of dental providers delivery of:

    1. Screening for tobacco
    2. Discussion of specific strategies to assist the patient with quitting smoking
    3. Referral to a Quitline (toll free number for comprehensive tobacco cessation support)


Enrollment: 548
Study Start Date: October 2009
Study Completion Date: July 2012
Primary Completion Date: April 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Control (Usual care)
Return patients seen within the data collection window in HealthPartners Dental Clinics (new patient exams were excluded) who were documented as using tobacco, specifically cigarettes, at their last dental encounter. Randomization was at the clinic level.
Experimental: Tobacco Cessation Tool (CATI Tool)
Using Screening for drug use, Brief Intervention, Referral to Treatment (SBIRT) as a model, a 'CATI'[Computer Assisted Tobacco Intervention] tool was designed for the Electronic Dental Record which required assessment of 4 variables for patients reporting cigarettes use: 1) number of cigarettes daily, 2) how soon upon waking the first cigarette was smoked, 3) interest in quitting, and 4) previous quit attempts. Level of dependency was calculated and displayed in the health history using the Heavy Smoking Index. Pop-up provider scripts were generated using rule-based algorithms. Links to printable patient education materials on the quit line and on medications to help quit smoking were embedded in the scripts window. The tool automatically recorded tobacco-cessation details.
Behavioral: CATI Tool
Using Screening for drug use, Brief Intervention, Referral to Treatment (SBIRT) as a model, a CATI tool was designed for the Electronic Dental Record which required assessment of 4 variables for patients reporting cigarettes use: 1) number of cigarettes daily, 2) how soon upon waking the first cigarette was smoked, 3) interest in quitting, and 4) previous quit attempts. Level of dependency was calculated and displayed in the health history using the Heavy Smoking Index. Pop-up provider scripts were generated using rule-based algorithms. Links to printable patient education materials on the quit line and on medications to help quit smoking were embedded in the scripts window. The tool automatically recorded tobacco-cessation details.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Adult dental patient presenting for an exam visit whose most recent history reports the patient is a smoker. Patients had to agree to the phone survey.

Exclusion Criteria:

  • Research opt out list
  • Patients who discontinued the survey prior to completion(considered withdrawals)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01584882

Locations
United States, Minnesota
HealthPartners Research Foundation
Bloomington, Minnesota, United States, 55445
Sponsors and Collaborators
HealthPartners Institute for Education and Research
Investigators
Principal Investigator: D. Brad Rindal, DDS HealthPartners Researc Foundation
  More Information

Additional Information:
No publications provided by HealthPartners Institute for Education and Research

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: HealthPartners Institute for Education and Research
ClinicalTrials.gov Identifier: NCT01584882     History of Changes
Other Study ID Numbers: 09-062
Study First Received: April 23, 2012
Last Updated: July 15, 2014
Health Authority: United States: Federal Government

Keywords provided by HealthPartners Institute for Education and Research:
Clinical decision support (CDS)
Tobacco
Behavioral
Dental hygienist
Dentist
Smoking
Electronic health record

ClinicalTrials.gov processed this record on August 20, 2014