The goal of this study is to develop, refine, and complete preliminary feasibility testing of a smoking cessation electronic visit (e-visit) for implementation in primary care/family medicine. The investigators will conduct a feasibility RCT (N=51) of the smoking cessation e-visit as compared to treatment as usual (TAU), delivered via primary care, with primary objective to provide effect size estimates for a larger RCT. Primary outcomes cluster around: 1) treatment feasibility, 2) treatment acceptability, 3) treatment satisfaction, 4) evidence-based cessation treatment utilization, and 5) cessation-related outcomes (quit attempt incidence, abstinence). It is hypothesized that participants randomized to the e-visit condition as compared to those randomized to the TAU condition will have higher rates of cessation treatment utilization (medications, counseling) and superior cessation-related outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
51
electronic visits (e-visits) for smoking cessation
Information about the state quitline and about the importance of quitting smoking and a recommendation to contact one's PCP to schedule a medical visit to discuss quitting smoking
Medical University of South Carolina
Charleston, South Carolina, United States
Number of Participants Who Utilized Smoking Cessation Treatment
Number of participants who utilized smoking cessation treatment since last assessment.
Time frame: Month 1
Number of Participants Who Utilized Smoking Cessation Treatment
Number of participants who utilized smoking cessation treatment since last assessment.
Time frame: Month 3
Cigarettes Smoking
Cigarettes per day reduction greater than 50%
Time frame: Month 1
Cigarettes Smoking
Cigarettes per day reduction greater than 50%
Time frame: Month 3
Quit Attempts
Quit attempts since last contact
Time frame: Month 1
Quit Attempts
Quit attempts since last contact
Time frame: Month 3
24-hour Quit Attempt
Quit attempt lasting 24 hours since last contact
Time frame: Month 1
24-hour Quit Attempt
Quit attempt lasting 24 hours since last contact
Time frame: Month 3
Seven-day Point Prevalence Abstinence
Participant has not had a cigarette in the past 7 days
Time frame: Month 1
Seven-day Point Prevalence Abstinence
Participant has not had a cigarette in the past 7 days
Time frame: Month 3
Floating Abstinence
Participant has gone 7+ days without a cigarette since last contact.
Time frame: Month 1
Floating Abstinence
Participant has gone 7+ days without a cigarette since last contact.
Time frame: Month 3
E-visit Completion
Number of participants that completed the e-visit
Time frame: Month 1
Provider Fidelity
Reviewing within Epic whether the provider administered treatment consistent with e-visit recommendations
Time frame: Month 1
E-visit Ease of Use
Participants reported Agree or Strongly Agree to finding the e-visit easy to use question
Time frame: Month 1
Time to Complete the E-visit
Time (days) to complete the e-visit among participants that completed the e-visit.
Time frame: Month 1
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