This research project is in progress. PCORI will post the research findings on this page within 90 days after the results are final.
What is the research about?
Cigarette smoking kills more than 480,000 Americans each year. Tobacco is the leading cause of preventable death in the United States. Research has shown that people who are poor or come from disadvantaged backgrounds are more likely to smoke than people from wealthier communities. They are also less likely to use services to help them quit.
The research team is studying ways to make smoking cessation services available to people who might not otherwise use them. The team is comparing two ways to give advice about quitting smoking to patients during primary care office visits.
One way, called Ask-Advise-Connect, or AAC, uses the electronic health record to remind nurses and medical assistants to ask patients if they smoke and advise them to quit. If a patient is interested in quitting, the staff connects them to quitline counseling services. Quitlines are free phone services with counselors who can help people stop smoking. A quitline counselor calls the patient to enroll them in a treatment program to stop smoking.
The second intervention, the Teachable Moments Communication Process, or TMCP, trains doctors to ask patients during office visits whether they want to quit smoking. Together, the doctor and patient talk about the patient’s health concerns and whether quitting smoking could help. This study compares AAC alone with AAC and TMCP combined.
Who can this research help?
Doctors can use results from this study to find ways to connect patients who smoke with services to help them quit. Insurance providers and health system directors can use the results from this study to help them decide what types of services to offer patients who smoke.
What is the research team doing?
The research team is recruiting 20,000 patients at eight health clinics in the area around Cleveland, Ohio. The team is assigning clinics, by chance, to offer either AAC or a combination of AAC and TMCP to patients who smoke. The research team is using medical records and interviews with patients to find out how many patients get a referral to a quitline.
Former smokers, healthcare providers, state health officials, and quitline providers helped plan the study and are helping to track its progress.
Research Methods at a Glance
Other Clinical Interventions
Other Health Services Interventions
Training and Education Interventions
^This project was originally affiliated with Case Western Reserve University