Cancer Prevention by Reducing Tobacco With Informatics and Chronic Care Approaches Trial (CONNECT)
Summary
The purpose of this study is to evaluate the comparative effectiveness of two different informatics-enabled implementation strategies on increasing tobacco treatment and improving smoking cessation rates for cancer control and prevention. This will be done via a two-arm pragmatic cluster randomized trial (CRT) to test the effectiveness of nudges to change (ELEVATE-S) vs. quit-focused usual care (ELEVATE) in increasing tobacco treatment (use of medication, brief advice, or referral to external counseling) and smoking cessation.
Arms & interventions
- BehavioralELEVATE
ELEVATE uses implementation strategies to support clinicians (support clinicians by revising professional roles to enable point of care tobacco treatment with a team are approach and support clinicians by providing clinical decision support tools).
- BehavioralELEVATE-S
ELEVATE-S uses implementation strategies to support clinicians (support clinicians by revising professional roles to enable point of care tobacco treatment with a team are approach and support clinicians by providing clinical decision support tools) and implementation strategies to support patients with chronic care model-informed self-management support (patient centered flexible goals and patient-generated health data).
Outcome measures
Primary
Patient receipt of tobacco use treatment, i.e. Tobacco use treatment (TUT) Reach
This will be quantified by the proportion of enrolled patients who receive tobacco use treatment (either medication or behavioral intervention (brief advice or referral to counseling)).
Time frame: Up to 6 months post-enrollment
Secondary
Patient receipt of tobacco use treatment - behavioral intervention.
Time frame: Up to 6 months post-enrollment
Patient receipt of tobacco use treatment - medication.
Time frame: Up to 6 months post-enrollment
Patient smoking abstinence
Time frame: Up to 6 months post-enrollment
Eligibility criteria
Study locations (1)
Washington University School of Medicine
St Louis, Missouri, 63110