Medical University of South Carolina
The purpose of this research study is to evaluate an electronic visit (e-visit) for smoking cessation across rural primary care settings. Participants will be randomly assigned to receive either the smoking cessation e-visit or not. The e-visit will look similar to an online questionnaire asking about smoking history, motivation to quit, and preferences for medications for quitting smoking. Participants may receive a prescription for a smoking cessation medication as an outcome of the e-visit, if randomized to the e-visit group, but there is no requirement to take any medication. This study consists of questionnaires and breath samples provided at 4 separate time points throughout the study. Participation in this study will take about 24 weeks.
We will conduct a stepped-wedge, cluster-randomized clinical trial to comprehensively evaluate effectiveness of the smoking cessation e-visit within rural South Carolina primary care clinics. Consistent with a Type I Hybrid effectiveness-implementation design, we will assess implementation concurrently with effectiveness. Adult smokers will be recruited proactively across rural MUSC RHN clinics and assigned based on their clinic division's current step to either e-visit or TAU. Implementation will be assessed consistent with an adaptation of Proctor's framework proposed by Hermes et al. for di…
Inclusion Criteria: * Current cigarette smoking, defined as smoking 1+ cigarettes per day, for 20+ days out of the last 30, for the last 6+ months * Age 18+ * Enrolled in Epic's MyChart program or willing to enroll * Possess a valid e-mail address that is checked daily to access study assessments and MyChart messages * Owner of an iOS or Android compatible smartphone to provide remote CO readings * Have a valid address at which mail can be received (for mailing iCO™) * English fluency Exclusion Criteria: \- Current engagement in cessation treatment, defined as use of an FDA-approved cessati…
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.
Arctuva estimate
Participants will be compensated $20 in electronic gift codes for completion of each, $20 for submission of CO at each follow-up timepoint, and will receive a $100 bonus if all follow-up assessments are completed.
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