Abstract
Background
Tobacco use remains the leading cause of death and disability in the USA and is disproportionately concentrated among low socioeconomic status (SES) populations. Community Health Centers (CHCs) are a key venue for reaching low SES populations with evidence-based tobacco cessation treatment such as Quitlines. Electronic health record (EHR)-based interventions at the point-of-care, text messaging (TM), and phone counseling have the potential to increase Quitline reach and are feasible to implement within CHCs. However, there is a lack of data to inform how, when, and in what combination these strategies should be implemented. The aims of this cluster-randomized trial are to evaluate multi-level implementation strategies to increase the Reach (i.e., proportion of tobacco-using patients who enroll in the Quitline) and Impact (i.e., Reach × Efficacy [efficacy is defined as the proportion of tobacco-using patients who enroll in Quitline treatment that successfully quit]) and to evaluate characteristics of healthcare system, providers, and patients that may influence tobacco-use outcomes.
Read the full scholarly article here: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-0967-2
- Maria E. Fernandez,
- Chelsey R. Schlechter,
- Guilherme Del Fiol,
- Bryan Gibson,
- Kensaku Kawamoto,
- Tracey Siaperas,
- Alan Pruhs,
- Tom Greene,
- Inbal Nahum-Shani,
- Sandra Schulthies,
- Marci Nelson,
- Claudia Bohner,
- Heidi Kramer,
- Damian Borbolla,
- Sharon Austin,
- Charlene Weir,
- Timothy W. Walker,
- Cho Y. Lam &
- David W. Wetter
Implementation Science volume 15, Article number: 9 (2020) Cite this article
- 631 Accesses
- 3 Altmetric
- Metrics details