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    Implementing point of care "e-referrals" in 137 clinics to increase access to a quit smoking internet system: the Quit-Primo and National Dental PBRN HI-QUIT Studies

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    Authors
    Sadasivam, Rajani S.
    Hogan, Timothy P.
    Volkman, Julie E.
    Smith, Bridget M.
    Coley, Heather L.
    Williams, Jessica H.
    Delaughter, Kathryn
    Ray, Midge N.
    Gilbert, Gregg H.
    Ford, Daniel E.
    Allison, Jeroan J.
    Houston, Thomas K.
    National Dental PBRN and QUITPRIMO Collaborative Groups
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    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2013-12-01
    Keywords
    UMCCTS funding
    Smoking cessation
    Online behavior changesystems
    General practice
    Family practice
    Dentalpractice public health informatics
    Randomizedcontrolled trial
    Health services research
    Behavior and Behavior Mechanisms
    Dental Public Health and Education
    Health Information Technology
    Health Services Administration
    Health Services Research
    Substance Abuse and Addiction
    Translational Medical Research
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830021/
    Abstract
    Integrating electronic referral systems into clinical practices may increase use of web-accessible tobacco interventions. We report on our feasibility evaluation of using theory-driven implementation science techniques to translate an e-referral system (ReferASmoker.org) into the workflow of 137 community-based medical and dental practices, including system use, patient registration, implementation costs, and lessons learned. After 6 months, 2,376 smokers were e-referred (medical, 1,625; dental, 751). Eighty-six percent of the medical practices [75/87, mean referral = 18.7 (SD = 17.9), range 0-105] and dental practices [43/50, mean referral = 15.0 (SD = 10.5), range 0-38] had e-referred. Of those smokers e-referred, 25.3 registered [mean smoker registration rate-medical 4.9 (SD = 7.6, range 0-59), dental 3.6 (SD = 3.0, range 0-10)]. Estimated mean implementation costs are medical practices, US$429.00 (SD = 85.3); and dental practices, US$238.75 (SD = 13.6). High performing practices reported specific strategies to integrate ReferASmoker.org; low performers reported lack of smokers and patient disinterest in the study. Thus, a majority of practices e-referred and 25.3 % of referred smokers registered demonstrating e-referral feasibility. However, further examination of the identified implementation barriers is important as of the estimated 90,000 to 140,000 smokers seen in the 87 medical practices in 6 months, only 1,625 were e-referred.
    Source

    Sadasivam RS, Hogan TP, Volkman JE, Smith BM, Coley HL, Williams JH, Delaughter K, Ray MN, Gilbert GH, Ford DE, Allison JJ, Houston TK; National Dental PBRN and QUITPRIMO Collaborative Groups. Implementing point of care "e-referrals" in 137 clinics to increase access to a quit smoking internet system: the Quit-Primo and National Dental PBRN HI-QUIT Studies. Transl Behav Med. 2013 Dec;3(4):370-8. doi: 10.1007/s13142-013-0230-3. Link to article on publisher's site

    DOI
    10.1007/s13142-013-0230-3
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30126
    PubMed ID
    24294325
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    ae974a485f413a2113503eed53cd6c53
    10.1007/s13142-013-0230-3
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