Trial Outcomes & Findings for Parent eReferral to Tobacco Quitline (NCT NCT02997735)

NCT ID: NCT02997735

Last Updated: 2019-10-28

Results Overview

Proportion of parent smokers identified in clinic that enroll in quitline treatment compared across the intervention (electronic referral) and control (standard of practice) approaches. Primary analysis wibased on an intent to treat approach and includes all subjects randomized at their referral visit.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

484 participants

Primary outcome timeframe

Through study completion, up to 1 year

Results posted on

2019-10-28

Participant Flow

Participant milestones

Participant milestones
Measure
eReferral
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
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.
Overall Study
STARTED
233
251
Overall Study
COMPLETED
233
251
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Parent eReferral to Tobacco Quitline

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
eReferral
n=233 Participants
Pediatricians screened for tobacco use; parent 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
n=251 Participants
Pediatricians screened for tobacco use; parent 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.
Total
n=484 Participants
Total of all reporting groups
Sex: Female, Male
Female
103 Participants
n=99 Participants
118 Participants
n=107 Participants
221 Participants
n=206 Participants
Sex: Female, Male
Male
130 Participants
n=99 Participants
133 Participants
n=107 Participants
263 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
20 Participants
n=99 Participants
8 Participants
n=107 Participants
28 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
213 Participants
n=99 Participants
240 Participants
n=107 Participants
453 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
213 Participants
n=99 Participants
225 Participants
n=107 Participants
438 Participants
n=206 Participants
Race (NIH/OMB)
White
5 Participants
n=99 Participants
4 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=99 Participants
2 Participants
n=107 Participants
6 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=99 Participants
16 Participants
n=107 Participants
25 Participants
n=206 Participants
Child age
<1
43 Participants
n=99 Participants
42 Participants
n=107 Participants
85 Participants
n=206 Participants
Child age
1-5
89 Participants
n=99 Participants
82 Participants
n=107 Participants
171 Participants
n=206 Participants
Child age
6-12
78 Participants
n=99 Participants
96 Participants
n=107 Participants
174 Participants
n=206 Participants
Age, Customized
18-24
20 Participants
n=99 Participants
23 Participants
n=107 Participants
43 Participants
n=206 Participants
Age, Customized
25-34
107 Participants
n=99 Participants
122 Participants
n=107 Participants
229 Participants
n=206 Participants
Age, Customized
35-49
87 Participants
n=99 Participants
82 Participants
n=107 Participants
169 Participants
n=206 Participants
Age, Customized
50 or greater
18 Participants
n=99 Participants
21 Participants
n=107 Participants
39 Participants
n=206 Participants
Age, Customized
Not available
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Child age
13 or older
23 Participants
n=99 Participants
29 Participants
n=107 Participants
52 Participants
n=206 Participants
Child age
Not available
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Insurance status (child)
Private
33 Participants
n=99 Participants
27 Participants
n=107 Participants
60 Participants
n=206 Participants
Insurance status (child)
Medicaid
197 Participants
n=99 Participants
219 Participants
n=107 Participants
416 Participants
n=206 Participants
Insurance status (child)
Self-pay
3 Participants
n=99 Participants
4 Participants
n=107 Participants
7 Participants
n=206 Participants
Insurance status (child)
Not available
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Asthma diagnosis (child)
No asthma
168 Participants
n=99 Participants
176 Participants
n=107 Participants
344 Participants
n=206 Participants
Asthma diagnosis (child)
Asthma
65 Participants
n=99 Participants
75 Participants
n=107 Participants
140 Participants
n=206 Participants
Cigarettes smoked per day (Parent)
< 10
138 Participants
n=99 Participants
165 Participants
n=107 Participants
303 Participants
n=206 Participants
Cigarettes smoked per day (Parent)
10 or greater
93 Participants
n=99 Participants
82 Participants
n=107 Participants
175 Participants
n=206 Participants
Cigarettes smoked per day (Parent)
Not available
2 Participants
n=99 Participants
4 Participants
n=107 Participants
6 Participants
n=206 Participants
Quit stage (Parent)
30 days
124 Participants
n=99 Participants
133 Participants
n=107 Participants
257 Participants
n=206 Participants
Quit stage (Parent)
6 months
76 Participants
n=99 Participants
71 Participants
n=107 Participants
147 Participants
n=206 Participants
Quit stage (Parent)
Over 6 months
30 Participants
n=99 Participants
41 Participants
n=107 Participants
71 Participants
n=206 Participants
Quit stage (Parent)
Not Available
3 Participants
n=99 Participants
6 Participants
n=107 Participants
9 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Through study completion, up to 1 year

Proportion of parent smokers identified in clinic that enroll in quitline treatment compared across the intervention (electronic referral) and control (standard of practice) approaches. Primary analysis wibased on an intent to treat approach and includes all subjects randomized at their referral visit.

Outcome measures

Outcome measures
Measure
eReferral
n=233 Participants
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
n=251 Participants
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.
Number of Parent Smokers Who Enrolled in Quitline
Not Enrolled
209 Participants
245 Participants
Number of Parent Smokers Who Enrolled in Quitline
Enrolled
24 Participants
5 Participants
Number of Parent Smokers Who Enrolled in Quitline
Missing
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Through study completion, up to 1 year

Total number of parent contacts with the quitline post-enrollment, compared between intervention and control and reported by the PA Quitline

Outcome measures

Outcome measures
Measure
eReferral
n=233 Participants
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
n=251 Participants
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.
Number of Calls With the Quitline
No calls
209 Participants
245 Participants
Number of Calls With the Quitline
One call (enrollment only)
7 Participants
0 Participants
Number of Calls With the Quitline
Two calls
12 Participants
3 Participants
Number of Calls With the Quitline
Three or more calls
5 Participants
2 Participants
Number of Calls With the Quitline
Missing
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Through study completion, up to 1 year

Self-reported parent quit rates post-enrollment, compared between the intervention and control and reported by the PA Quitline

Outcome measures

Outcome measures
Measure
eReferral
n=233 Participants
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
n=251 Participants
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.
Number of Parents Who Quit Smoking
1 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Through study completion, up to 1 year

Multivariable logistic regression was used to assess demographic and behavioral factors which independently associated with successful enrollment. The Odds Ratios (ORs) from multivariable logistic regression model of characteristics associated with successful quitline enrollment.

Outcome measures

Outcome measures
Measure
eReferral
n=233 Participants
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
n=251 Participants
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.
Characteristics Associated With Successful Quitline Enrollment, Study Arm
24 Participants
5 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Through study completion, up to 1 year

Multivariable logistic regression was used to assess demographic and behavioral factors which independently associated with successful enrollment.

Outcome measures

Outcome measures
Measure
eReferral
n=233 Participants
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
n=249 Participants
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.
Characteristics Associated With Successful Quitline Enrollment, Patient Age
<1
43 Participants
42 Participants
Characteristics Associated With Successful Quitline Enrollment, Patient Age
1-5
89 Participants
82 Participants
Characteristics Associated With Successful Quitline Enrollment, Patient Age
6-12
78 Participants
96 Participants
Characteristics Associated With Successful Quitline Enrollment, Patient Age
13 or older
23 Participants
29 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Through study completion, up to 1 year

Multivariable logistic regression was used to assess demographic and behavioral factors which independently associated with successful enrollment.

Outcome measures

Outcome measures
Measure
eReferral
n=232 Participants
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
n=248 Participants
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.
Characteristics Associated With Successful Quitline Enrollment, Parent Age
18-34
127 Participants
145 Participants
Characteristics Associated With Successful Quitline Enrollment, Parent Age
35-49
87 Participants
82 Participants
Characteristics Associated With Successful Quitline Enrollment, Parent Age
50 or older
18 Participants
21 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Through study completion, up to 1 year

Multivariable logistic regression was used to assess demographic and behavioral factors which independently associated with successful enrollment.

Outcome measures

Outcome measures
Measure
eReferral
n=233 Participants
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
n=250 Participants
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.
Characteristics Associated With Successful Quitline Enrollment, Asthma Diagnosis (Child)
No asthma
168 Participants
176 Participants
Characteristics Associated With Successful Quitline Enrollment, Asthma Diagnosis (Child)
Asthma
65 Participants
74 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Through study completion, up to 1 year

Multivariable logistic regression was used to assess demographic and behavioral factors which independently associated with successful enrollment.

Outcome measures

Outcome measures
Measure
eReferral
n=231 Participants
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
n=247 Participants
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.
Characteristics Associated With Successful Quitline Enrollment, Cigarettes Smoked Per Day
<10
138 Participants
165 Participants
Characteristics Associated With Successful Quitline Enrollment, Cigarettes Smoked Per Day
10 or more
93 Participants
82 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Through study completion, up to 1 year

Multivariable logistic regression was used to assess demographic and behavioral factors which independently associated with successful enrollment.

Outcome measures

Outcome measures
Measure
eReferral
n=230 Participants
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
n=245 Participants
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.
Characteristics Associated With Successful Quitline Enrollment, Quit Stage
30 days
124 Participants
133 Participants
Characteristics Associated With Successful Quitline Enrollment, Quit Stage
Less than 6 months
76 Participants
71 Participants
Characteristics Associated With Successful Quitline Enrollment, Quit Stage
6 or more months
30 Participants
41 Participants

Adverse Events

eReferral

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Brian Jenssen, MD MSHP

Children's Hospital of Philadelphia

Phone: 215-554-4390

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place