通过互联网向患者提供的戒烟转诊干预项目QUIT-PRIMO：一项随机抽样疗效比较研究：研究方案
2010/12/29
摘要
背景：虽然通过电子健康记录和标准方案进行吸烟筛查的比例不断增加，但有关烟草控制的其他方式（如将患者转诊到戒烟资源）较少。在QUIT-PRIMO研究中，提供者可以通过在线转诊门户将吸烟者的邮件地址输入至系统。吸烟者回家后可接受到自动电子邮件，这些邮件可以向吸烟者提供有关戒烟的教育，鼓励吸烟者使用患者戒烟网站（采用交互式工具、教育资源、动机邮件信息、来自烟草治疗专家的安全讯息和在线支持团队）。
方法：在160个基于社区的初级医疗机构参与的有效性对比试验中，对信息系统进行评价，并在医疗实践水平进行随机抽样研究。在QUIT-PRIMO干预项目中，向患者提供书面转诊单，然后将患者“电子转诊”到咨询系统。在对照组中，患者仅接受含网站地址的书面转诊单。一旦患者进入网站，则将其随机分入标准患者戒烟网站或增强版本，后者能够在线联系烟草治疗专家、收到动机邮件并得到在线支持团队的服务。我们比较干预和对照实践参与情况（转诊率）和患者参与情况（转诊患者进入网站的比例）。然后比较标准和增强版患者网站的有效性。
讨论：我们的目标是评价整合的信息解决方案，以增加通过网站提供的戒烟支持。我们基于过程（提供者电子转诊和患者登录）和患者结局（6个月戒烟）分析该整合系统的影响。试验注册：通过网络提供的烟草控制干预措施（QUIT-PRIMO）－随机对照试验：NCT00797628
(林江涛 审校)
Implement Sci. 2010 Nov 17;5(1):87. [Epub ahead of print]
The QUIT-PRIMO provider-patient Internet-delivered smoking cessation referral intervention: a cluster-randomized comparative effectiveness trial: study protocol.
Houston TK, Sadasivam RS, Ford DE, Richman J, Ray MN, Allison JJ.
Abstract
BACKGROUND: Although screening for tobacco use is increasing with electronic health records and standard protocols, other tobacco-control activities, such as referral of patients to cessation resources, is quite low. In the QUIT-PRIMO study, an online referral portal will allow providers to enter smokers’ email addresses into the system. Upon returning home, the smokers will receive automated emails providing education about tobacco cessation and encouragement to use the patient smoking cessation website (with interactive tools, educational resources, motivational email messages, secure messaging with a tobacco treatment specialist, and online support group).
METHODS: The informatics system will be evaluated in a comparative effectiveness trial of 160 community-based primary care practices, cluster-randomized at the practice level. In the QUIT-PRIMO intervention, patients will be provided a paper information-prescription referral and then "e-referred" to the system. In the comparison group, patients will receive only the paper-based information-prescription referral with the website address. Once patients go to the website, they are subsequently randomized within practices to either a standard patient smoking cessation website or an augmented version with access to a tobacco treatment specialist online, motivational emails, and an online support group. We will compare intervention and control practice participation (referral rates) and patient participation (proportion referred who go to the website). We will then compare the effectiveness of the standard and augmented patient websites.
DISCUSSION: Our goal is to evaluate an integrated informatics solution to increase access to web-delivered smoking cessation support. We will analyze the impact of this integrated system in terms of process (provider e-referral and patient login) and patient outcomes (six-month smoking cessation). Trial Registration Web-delivered Provider Intervention for Tobacco Control (QUIT-PRIMO) - a randomized controlled trial: NCT00797628.
Implement Sci. 2010 Nov 17;5(1):87. [Epub ahead of print]
背景：虽然通过电子健康记录和标准方案进行吸烟筛查的比例不断增加，但有关烟草控制的其他方式（如将患者转诊到戒烟资源）较少。在QUIT-PRIMO研究中，提供者可以通过在线转诊门户将吸烟者的邮件地址输入至系统。吸烟者回家后可接受到自动电子邮件，这些邮件可以向吸烟者提供有关戒烟的教育，鼓励吸烟者使用患者戒烟网站（采用交互式工具、教育资源、动机邮件信息、来自烟草治疗专家的安全讯息和在线支持团队）。
方法：在160个基于社区的初级医疗机构参与的有效性对比试验中，对信息系统进行评价，并在医疗实践水平进行随机抽样研究。在QUIT-PRIMO干预项目中，向患者提供书面转诊单，然后将患者“电子转诊”到咨询系统。在对照组中，患者仅接受含网站地址的书面转诊单。一旦患者进入网站，则将其随机分入标准患者戒烟网站或增强版本，后者能够在线联系烟草治疗专家、收到动机邮件并得到在线支持团队的服务。我们比较干预和对照实践参与情况（转诊率）和患者参与情况（转诊患者进入网站的比例）。然后比较标准和增强版患者网站的有效性。
讨论：我们的目标是评价整合的信息解决方案，以增加通过网站提供的戒烟支持。我们基于过程（提供者电子转诊和患者登录）和患者结局（6个月戒烟）分析该整合系统的影响。试验注册：通过网络提供的烟草控制干预措施（QUIT-PRIMO）－随机对照试验：NCT00797628
(林江涛 审校)
Implement Sci. 2010 Nov 17;5(1):87. [Epub ahead of print]
The QUIT-PRIMO provider-patient Internet-delivered smoking cessation referral intervention: a cluster-randomized comparative effectiveness trial: study protocol.
Houston TK, Sadasivam RS, Ford DE, Richman J, Ray MN, Allison JJ.
Abstract
BACKGROUND: Although screening for tobacco use is increasing with electronic health records and standard protocols, other tobacco-control activities, such as referral of patients to cessation resources, is quite low. In the QUIT-PRIMO study, an online referral portal will allow providers to enter smokers’ email addresses into the system. Upon returning home, the smokers will receive automated emails providing education about tobacco cessation and encouragement to use the patient smoking cessation website (with interactive tools, educational resources, motivational email messages, secure messaging with a tobacco treatment specialist, and online support group).
METHODS: The informatics system will be evaluated in a comparative effectiveness trial of 160 community-based primary care practices, cluster-randomized at the practice level. In the QUIT-PRIMO intervention, patients will be provided a paper information-prescription referral and then "e-referred" to the system. In the comparison group, patients will receive only the paper-based information-prescription referral with the website address. Once patients go to the website, they are subsequently randomized within practices to either a standard patient smoking cessation website or an augmented version with access to a tobacco treatment specialist online, motivational emails, and an online support group. We will compare intervention and control practice participation (referral rates) and patient participation (proportion referred who go to the website). We will then compare the effectiveness of the standard and augmented patient websites.
DISCUSSION: Our goal is to evaluate an integrated informatics solution to increase access to web-delivered smoking cessation support. We will analyze the impact of this integrated system in terms of process (provider e-referral and patient login) and patient outcomes (six-month smoking cessation). Trial Registration Web-delivered Provider Intervention for Tobacco Control (QUIT-PRIMO) - a randomized controlled trial: NCT00797628.
Implement Sci. 2010 Nov 17;5(1):87. [Epub ahead of print]
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在俄罗斯癌症患者中，持续吸烟和戒烟动机的关系
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针对美国年轻成人的戒烟干预：系统性综述
