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Table 4 Effect of AAC + TMCP on provision of tobacco cessation support

From: A cluster randomized trial evaluating a teachable moment communication process for tobacco cessation support

 

AAC only

AAC + TMCP

AAC + TMCP—among clinicians who used the Document FlowSheet

N

%

N

%

OR (95% CI)a

N

% OR (95% CI)b

Total VISITS

77,500

 

41,774

  

661

  

Asked

38,687

49.9%

26,452

63.3%

1.73 (1.70, 1.77)

492

74.4%

1.89 (1.62, 2.20)

Visits by smokers

13,342

 

8198

  

466

  

Advised

11,323

84.9%

7466

91.1%

1.97 (1.81, 2.14)

443

95.1%

3.21 (2.19, 4.72)

Assessed Readiness

8848

66.3%

4684

57.1%

0.66 (0.62, 0.69)

347

74.5%

1.24 (1.00, 1.54)

Ready to quit

2690

1073

93

  

Accepted Any Referral

1176

43.7%

369

34.4%

0.66 (0.57, 0.77)

43

46.2%

1.00 (0.66, 1.51)

 Accepted QL Referral

827

30.7%

252

23.5%

0.68 (0.58, 0.80)

22

23.7%

0.71 (0.45, 1.14)

 Accepted FFS Referral

349

13.0%

117

10.9%

0.79 (0.64, 0.98)

21

22.6%

1.45 (0.85, 2.49)

PATIENTS

Ready to quit

2239

1001

93

  

Accepted Referral

1089

48.6%

357

35.7%

0.59 (0.47, 0.74)

43

46.2%

0.80 (0.50, 1.29)

Accepted QL Referral

765

34.2%

247

24.7%

0.64 (0.50, 0.82)

22

23.7%

0.58 (0.38, 0.90)

QL Referrals Received

649

 

200

  

15

  

 QL Contact

211

32.5%

44

22.0%

0.58 (0.36, 0.95)

3

20.0%

0.53 (0.18, 1.55)

 QL Enrollment

158

74.9%

29

65.9%

0.65 (0.35, 1.23)

 

33.3%

0.15 (0.01, 1.96)

Accepted FFS Referral

328

14.7%

112

11.2%

0.74 (0.58, 0.95)

21

22.6%

1.42 (0.86, 2.34)

FFS Referrals Received

276

 

106

  

21

  

 FFS Contact

75

27.2%

23

21.7%

0.82 (0.53, 1.26)

5

23.8%

1.00 (0.46, 2.18)

 FFS Enrollment

50

66.7%

18

78.3%

1.74 (0.47, 6.40)

3

60.0%

0.79 (0.12, 5.18)

Medications

1126

14.9%

718

12.4%

0.81 (0.74, 0.88)

139

3.7%

2.61 (1.92, 3.55)

Smokers with two or more visits in period

2132

 

1996

  

216

Quit attempts c

44

2.1%

45

2.3%

1.09 (0.72, 1.67)

8

3.7%

1.95 (0.86, 4.45)

  1. a Comparison is post-TMCP to post-AAC period among clinicians who received training
  2. b Comparison is post-TMCP for visits in which a document flowsheet was used compared to visits during the post-AAC period to clinicians that ever used the doc flowsheet
  3. c Quit attempts are defined based on 2 or more visits in the time-period, a change in smoking status from current smoker to former smoker and documentation of a quit date