Parent eReferral to Tobacco Quitline: A Pragmatic Randomized Trial in Pediatric Primary Care
Parent eReferral to Tobacco Quitline: A Pragmatic Randomized Trial in Pediatric Primary Care
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DOI：
10.1016/j.amepre.2019.03.005
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发表时间：
2019-07-01
影响因子：
5.5
通讯作者：
Fiks, Alexander G.
中科院分区：
文献类型：
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作者：
Jenssen, Brian P.;Muthu, Naveen;Fiks, Alexander G.
简介：戒烟热线可以有效帮助吸烟者戒烟，但儿科医生戒烟热线转诊率较低，而且很少有吸烟父母使用该服务。这项研究比较了使用电子转诊和使用手动转诊在戒烟热线吸烟的父母的登记情况。 研究设计：该研究被设计为一项务实的随机对照试验。 背景/参与者：参与者是从宾夕法尼亚州费城的一个大型城市儿科初级保健中心招募的，该中心低收入家庭的比例很高。参与者包括吸烟并参加孩子医疗保健就诊的成年父母。干预：儿科医生对吸烟情况进行筛查；吸烟者会得到简短的戒烟建议，如果有兴趣戒烟，会被转至戒烟热线。 eReferral（“温暖交接”）涉及以电子方式向戒烟热线发送家长信息（家长在 24-48 小时内接到电话）。对照组程序与 eReferral 相同，只是向家长提供了戒烟热线号码。数据收集于 2017 年 3 月至 2018 年 2 月期间，并于 2018 年进行分析。主要结果指标：主要结果是参加戒烟热线治疗的父母比例。次要结果包括父母因素（例如，还探讨了与成功登记相关的戒烟热线联系人数量。结果：在研究期间，在电子转介组中，10.3%（233 人中的 24 人）吸烟并有兴趣戒烟的父母加入了戒烟热线，而对照组中只有 2.0%（251 人中的 5 人）加入了戒烟热线，差异为 8.3%（95%） CI=4.0, 12.6）。年龄 >= 50 岁的父母更频繁地拨打戒烟热线，尽管电子转诊组中连接戒烟热线的家长较多，但在至少接触过一次戒烟热线的父母中，电子转诊组和对照组之间的戒烟热线联系平均数量没有显着差异（平均值为 2.04 次与 2.40 次；差异为 0.36 [95% CI=0.35， 1.06]).结论：儿科初级保健的吸烟家长电子转诊可能会增加戒烟热线的注册人数，并且可以被有兴趣提高家长治疗率的诊所采用 (C) 2019 年美国预防医学杂志，由爱思唯尔公司出版。保留所有权利。
Introduction: Quitlines are effective in helping smokers quit, but pediatrician quitline referral rates are low, and few parents who smoke use the service. This study compared enrollment of parents who smoke in the quitline using electronic referral with that using manual referral.Study design: The study was designed as a pragmatic RCT.Setting/participants: Participants were recruited from one large, urban pediatric primary care site in Philadelphia, Pennsylvania with a high percentage of low-income families. Participants included adult parents who smoked and were present at their child's healthcare visit.Intervention: Pediatricians screened for tobacco use; smokers were given brief advice to quit and, if interested in quitting, were referred to the quitline. The eReferral ("warm handoff ') involved electronically sending parent information to the quitline (parent received a call within 24-48 hours). Control group procedures were identical to eReferral, except the quitline number was provided to the parent. Data were collected between March 2017 and February 2018 and analyzed in 2018.Main outcome measures: The primary outcome was the proportion of parents enrolled in quitline treatment. Secondary outcomes included parent factors (e.g., demographics, nicotine dependence, and quitting motivation) associated with successful enrollment. Number of quitline contacts was also explored.Results: During the study period, in the eReferral group, 10.3% (24 of 233) of parents who smoked and were interested in quitting enrolled in the quitline, whereas only 2.0% (5 of 251) of them in the control group enrolled in the quitline-a difference of 8.3% (95% CI=4.0, 12.6). Parents aged >= 50 years enrolled in the quitline more frequently. Although more parents in the eReferral group connected to the quitline, among parents who had at least one quitline contact, there was no significant difference in the mean number of quitline contacts between eReferral and control groups (mean, 2.04 vs 2.40 calls; difference, 0.36 [95% CI=0.35, 1.06]).Conclusions: Smoking parent eReferral from pediatric primary care may increase quitline enrollment and could be adopted by practices interested in increasing rates of parent treatment. (C) 2019 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.