Measures | Data source | Timing | Aim |
---|---|---|---|
Primary outcomes | |||
Proportion of smokers prescribed cessation medication | EHR | 6 months pre/post-implementation | 1 |
Proportion of smokers referred for counseling | EHR | 6 months pre/post-implementation | 1 |
Secondary outcomes | |||
Patient use of cessation treatment | Patient post-visit survey and follow-up survey | 6 months pre/post-visit | 3 |
Patient self-reported 7-day abstinence | Patient follow-up survey | 6 months post-visit | 3 |
Provider perceptions | |||
Provider perceptions of the intervention | Training observations Provider interviews | Training period 6 months post-implementation | 2 |
Provider attitudes toward treatment, self-efficacy toward treatment, treatment norms, motivation and intention to treat | Provider survey | Baseline and 6 months post-implementation | 2 |
Implementation barriers and facilitators | |||
Barriers/facilitators toward implementation of the intervention components | Provider interviews Observation logs | 6 months post-implementation Intervention period | 2 |
Implementation fidelity | |||
Provider training and detailing fidelity Provider delivery of 3As | Training logs Patient post-visit surveys | Training period Monthly during the intervention period | 2 |
Other measures | |||
Patient characteristics: psychiatric diagnosis, utilization, sociodemographics, smoking history, quitting self-efficacy, attitudes toward treatment, motivation to quit | Patient post-visit survey | Post-visit | 3 |