Languages of the U.S.S.R
In: American Slavic and East European Review, Band 12, Heft 2, S. 279
51 Ergebnisse
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In: American Slavic and East European Review, Band 12, Heft 2, S. 279
In: American Slavic and East European Review, Band 6, Heft 1/2, S. 98
In: Cultural diversity and ethnic minority psychology, Band 7, Heft 1, S. 75-87
ISSN: 1939-0106
In: American Slavic and East European Review, Band 13, Heft 2, S. 264
In: Journal of lesbian studies, Band 14, Heft 1, S. 80-92
ISSN: 1540-3548
In: Cultural diversity and ethnic minority psychology, Band 10, Heft 3, S. 241-254
ISSN: 1939-0106
In: Journal of lesbian studies, Band 7, Heft 1, S. 101-114
ISSN: 1540-3548
In: Substance use & misuse: an international interdisciplinary forum, Band 43, Heft 8-9, S. 1218-1239
ISSN: 1532-2491
In: World health forum: an intern. journal of health development, Band 16, Heft 4
ISSN: 0251-2432
In: American Slavic and East European Review, Band 11, Heft 2, S. 164
In: Journal of lesbian studies, Band 7, Heft 1, S. 51-68
ISSN: 1540-3548
In: American Slavic and East European Review, Band 19, Heft 1, S. 137
In: Ethnicity & disease: an international journal on population differences in health and disease patterns, Band DECIPHeR, Heft Special Issue, S. 44-51
ISSN: 1945-0826
Purpose
To conduct a randomized controlled trial to compare 3 implementation strategies and the impact of facilitated referrals on linkage of Federally Qualified Health Center patients to the Illinois Tobacco Quitline (ITQL).
Methods
This study will be a hybrid type 3 implementation-effectiveness trial guided by 2 implementation science frameworks: reach, effectiveness, adoption, implementation, and maintenance and exploration preparation implementation sustainment. We will evaluate whether sending provider messages through the patient electronic health portal increases patient linkage to the ITQL. We will (1) randomly assign all eligible patients to receive 1 of 3 messages (information about quitting, advice to quit, and advice to quit or cut down), and (2) we will offer a facilitated linkage to the ITQL. For patients who opt into a facilitated referral, we will share their contact information with the ITQL, who will contact them. Four weeks after the initial message, patients who expressed interest in services but were not reached by the ITQL will be rerandomized to 1 of 2 arms, an offer to reconnect to the ITQL or an offer to engage a peer navigator who can help them reconnect to the ITQL. We will assess the implementation strategies' reach, adoption, linkage, and sustainability with the ITQL.
Discussion
This study will provide a new cost-effective and efficient model to link low-income smokers to state tobacco quitlines. Message delivery via patient health portals has important implications for addressing other tobacco-related morbidities.
Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUIT Community-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline. Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE. Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a ...
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