Evidence map›Paper›PMID 37000697›Full record

ArticleTranslational behavioral medicine2023

The implementation of ask-advise-connect in a federally qualified health center: a mixed methods evaluation using the re-aim framework.

Bethany Shorey Fennell, Cherell Cottrell-Daniels, Diana Stewart Hoover, Claire A Spears, Nga Nguyen, Bárbara Piñeiro, Lorna H McNeill, David W Wetter, Damon J Vidrine, Jennifer I Vidrine

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bethany Shorey FennellDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0003-2188-6544
Cherell Cottrell-DanielsDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Diana Stewart HooverHoover Editing, Asheville, NC, USA.
Claire A SpearsDivision of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA, USA.
Nga NguyenDepartment of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Bárbara PiñeiroCentre d'Estudis Demogràfics, Universitat Autònoma de Barcelona, 08193 Bellaterra, Catalonia, Spain.
Lorna H McNeillDepartment of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
David W WetterDepartment of Population Health Sciences, Center for Health Outcomes and Population Equity, Huntsman Cancer Institute and the University of Utah, Salt Lake City, UT, USA.
Damon J VidrineDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
Jennifer I VidrineDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Behavioral Oncology Education & Career DevelopmentT32CA090314 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI Vani N Simmons, SUSAN T VADAPARAMPIL · 2019 to 2026
$2.9M
Cocaine and Mesolimbic Dopamine ElectrophysiologyR37DA004093 · NIDA · ROSALIND FRANKLIN UNIV OF MEDICINE &SCI · PI WHITE, FRANCIS · 2002 to 2005
$1.4M
Using Mobile Technology to Understand and Encourage Mindfulness for Smoking CessaK23AT008442 · NCCIH · GEORGIA STATE UNIVERSITY · PI SPEARS, CLAIRE ADAMS · 2014 to 2018
$623k
COCAINE &MESOLIMBIC DOPAMINE ELECTROPHYSIOLOGYR01DA004093 · NIDA · WAYNE STATE UNIVERSITY · PI TSENG, KUEI-YUAN · 1986 to 2006
$547k
Health Literacy and Smoking Cessation in Low-SES, Diverse SmokersK23DA040933 · NIDA · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HOOVER, DIANA STEWART · 2016 to 2018
$500k
NCCIH NIH HHS K23 AT008442NCCIH NIH HHS K23AT008442NCCIH NIH HHS K23AT008442; PI: CASNCI NIH HHS P30 CA076292NCI NIH HHS P30CA076292NCI NIH HHS T32 CA090314NIDA NIH HHS K23 DA040933NIDA NIH HHS K23 DA040933; PI: DSHNIH HHS T32CA090314-18
6 · The paper itself

Abstract

Ask-Advise-Connect (AAC) efficiently links smokers in healthcare settings with evidence-based Quitline-delivered tobacco treatment through training clinic staff to systematically ask patients about smoking status, advise smokers to quit, and connect patients with state Quitlines using the electronic health record. This study utilized a mixed-methods approach, guided by the RE-AIM framework, to evaluate the implementation of AAC in a Federally Qualified Health Center (FQHC). AAC was implemented for 18 months at a FQHC serving primarily low-socioeconomic status (SES) Latinos and Latinas. Results are presented within the RE-AIM conceptual framework which includes dimensions of reach, effectiveness, adoption, implementation, and maintenance. Quantitative patient-level outcomes of reach, effectiveness, and Impact were calculated. Post-implementation, in-depth interviews were conducted with clinic leadership and staff (N = 9) to gather perceptions and inform future implementation efforts. During the implementation period, 12.0% of GNHC patients who reported current smoking both agreed to have their information sent to the Quitline and were successfully contacted by the Quitline (Reach), 94.8% of patients who spoke with the Quitline enrolled in treatment (Effectiveness), and 11.4% of all identified smokers enrolled in Quitline treatment (Impact). In post-implementation interviews assessing RE-AIM dimensions, clinic staff and leadership identified facilitators and advantages of AAC and reported that AAC was easy to learn and implement, streamlined existing procedures, and had a positive impact on patients. Staff and leadership reported enthusiasm about AAC implementation and believed AAC fit well in the clinic. Staff were interested in AAC becoming the standard of care and made suggestions for future implementation. Clinic staff at a FQHC serving primarily low-SES Latinos and Latinas viewed the ACC implementation process positively. Findings have implications for streamlining clinical smoking cessation procedures and the potential to reduce tobacco-related disparities.

Indexed as

SmokersSmoking CessationDelivery of Health CareHumansQualitative ResearchSmokingImplementationLatinas: low-SESLatinosQualitativeQuitlineSmoking cessation

Identifiers

PMID37000697
PMCPMC10415728

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.