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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