eCEASE to Support Treatment for Parental Tobacco Use

Massachusetts General Hospital817 enrolled

Overview

The proposed project aims to develop an innovative and disseminable electronic health record (iEHR)-based approach that supports optimal primary care workflows to routinely screen families for tobacco and e-cigarette use, address household smoking behavior and promote smoke-free and e-cigarette free home and car rules in a routine and effective manner in the pediatric setting. Additionally, parents enrolled in the study will be offered assistance by a community health navigator (CHN). This study aims to examine how effective the iEHR + Navigator strategy is compared to usual care control.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

817

Conditions

Tobacco Smoking Second Hand Tobacco Smoke Smoking Cessation

Interventions

The iEHR + Navigator intervention consists of an iEHR part of the intervention in the pediatric primary care setting which will include routine screening of families for tobacco use and treatment delivery to parents who smoke and will be linked to the child's electronic health record. The enrolled parents will also be offered support from Community Health Navigators, who will work with offices to provide customized cessation support to tobacco users, ensuring access to medications and services.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Parents or legal guardians who smoke, are present at the visit, and whose child is seen by a child healthcare clinician in a participating practice. "Smoker" will be defined as answering "yes" to either of the screening questions: "Have you smoked a cigarette, even a puff, in the past 7 days?" and "Have you smoked any other tobacco product (cigars like black and mild, hookah), even a puff, in the past 7 days?" Exclusion Criteria: 1. Parent/legal guardian does not speak English; 2. No telephone; and 3. Prior enrollment in the study during a previous visit.

Outcomes

Primary Outcomes

Parental Combusted Tobacco Quit Rate at 12 Months

Parental 7-day combusted tobacco quit rates, as assessed by validated surveys, biochemically confirmed at 12 months between the intervention \& usual care arms

Time frame: 12-months

Secondary Outcomes

Rates of Parental Quit Attempts

Rates of parents' self-reported quit attempts between the intervention \& usual care control arms, assessed by validated surveys of parents

Time frame: 12-months

Rates of Parental Use of Pharmacotherapy or Services

Rates of parental use of pharmacotherapy and Quitlines between the intervention \& usual care arms, assessed by validated surveys of parents

Time frame: 12-months

Rates of Parental Institution of Smoking and Vaping Bans in Their Homes and Cars

Rates of parental institution of smoking and vaping bans in their homes and cars between the intervention \& usual care arms, assessed by validated surveys of parents

Time frame: 12-months

Incremental Cost Per Quit of the Intervention

Establish the incremental cost per quit of the iEHR + Navigator vs. usual care arms

Time frame: 12-months

Rates of Tobacco Use Treatment Delivery

Assess the rates of tobacco treatment delivery (NRT prescription and quitline referrals) in the iEHR + Navigator arm vs. usual care, assessed by validated surveys of parents and EHR documentation

Time frame: 36 months

eCEASE to Support Treatment for Parental Tobacco Use

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes