wow-inequalities/02-data/intermediate/wos_sample/d0aa002c480d349e120eadf6cd47154e-shorey-fennell-beth/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Lay Summary Ask-Advise-Connect (AAC) simplifies and streamlines the
process of asking patients about their smoking status, advising smokers
to quit, and connecting patients through the electronic health record
with free, evidence-based tobacco cessation treatment offered by state
Quitlines. This study is the first to evaluate perceptions of AAC among
clinic leadership and staff. After an 18-month implementation of AAC at
a clinic serving mostly low-income Latinos and Latinas, clinic staff
(e.g., medical assistants) and leaders were interviewed. Respondents
reported that AAC streamlined their efforts to get patients to quit
smoking, was easy to carry out, and fit well into the clinic flow. Staff
wanted to keep AAC as the standard of care and made suggestions to
improve how AAC works. They reported positive feedback from patients. In
addition, a similar proportion of smokers enrolled in Quitline treatment
as in other AAC trials. Thus, AAC worked well for patients and clinic
staff. Having AAC in other clinics could improve enrollment in
evidence-based smoking cessation treatment, facilitate successful
smoking cessation among low-income primary care patients, and reduce
burden on healthcare providers.
This study is the first to evaluate clinic staff and leadership
perceptions of Ask-Advise-Connect (AAC), which seamlessly connects
smokers in healthcare settings with evidence-based tobacco treatment
using the EHR. Clinic staff and leadership reported enthusiasm for AAC
implementation, as the procedure streamlined the clinic''s smoking
cessation efforts, fit well into clinic flow, and was beneficial to
patients.
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.'
affiliation: 'Fennell, BS (Corresponding Author), H Lee Moffitt Canc Ctr \& Res Inst,
Dept Hlth Outcomes \& Behav, Tampa, FL 33612 USA.
Shorey Fennell, Bethany; Cottrell-Daniels, Cherell; Vidrine, Damon J.; Vidrine,
Jennifer, I, H Lee Moffitt Canc Ctr \& Res Inst, Dept Hlth Outcomes \& Behav, Tampa,
FL 33612 USA.
Hoover, Diana Stewart, Hoover Editing, Asheville, NC USA.
Spears, Claire A., Georgia State Univ, Sch Publ Hlth, Div Hlth Promot \& Behav,
Atlanta, GA USA.
Nguyen, Nga, Univ Texas MD Anderson Canc Ctr, Dept Biostat, Houston, TX USA.
Pineiro, Barbara, Univ Autonoma Barcelona, Ctr Estudis Demograf, Catalonia 08193,
Spain.
McNeill, Lorna H., Univ Texas MD Anderson Canc Ctr, Dept Hlth Dispar Res, Houston,
TX USA.
Wetter, David W., Univ Utah, Huntsman Canc Inst, Ctr Hlth Outcomes \& Populat Equ,
Dept Populat Hlth Sci, Salt Lake City, UT USA.'
author: Shorey Fennell, Bethany and Cottrell-Daniels, Cherell and Hoover, Diana Stewart
and Spears, Claire A. and Nguyen, Nga and Pineiro, Barbara and McNeill, Lorna H.
and Wetter, David W. and Vidrine, Damon J. and Vidrine I, Jennifer
author-email: Bethany.ShoreyFennell@moffitt.org
author_list:
- family: Shorey Fennell
given: Bethany
- family: Cottrell-Daniels
given: Cherell
- family: Hoover
given: Diana Stewart
- family: Spears
given: Claire A.
- family: Nguyen
given: Nga
- family: Pineiro
given: Barbara
- family: McNeill
given: Lorna H.
- family: Wetter
given: David W.
- family: Vidrine
given: Damon J.
- family: Vidrine I
given: Jennifer
da: '2023-09-28'
doi: 10.1093/tbm/ibad007
earlyaccessdate: MAR 2023
eissn: 1613-9860
files: []
issn: 1869-6716
journal: TRANSLATIONAL BEHAVIORAL MEDICINE
keywords: 'Implementation; Qualitative; Smoking cessation; Quitline; Latinos;
Latinas; low-SES'
keywords-plus: 'SMOKING-CESSATION; CIGARETTE-SMOKING; UNITED-STATES; PRIMARY-CARE;
TOBACCO; INTERVENTION; SMOKERS; IMPACT; DISPARITIES; QUITLINES'
language: English
month: AUG 11
number: '8'
number-of-cited-references: '56'
orcid-numbers: Shorey Fennell, Bethany/0000-0003-2188-6544
pages: 551-560
papis_id: 2c39f272764b307cfa51e9640e92a9f1
ref: Shoreyfennell2023implementationaskadv
times-cited: '0'
title: 'The implementation of ask-advise-connect in a federally qualified health center:
a mixed methods evaluation using the re-aim framework'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000961071600001
usage-count-last-180-days: '3'
usage-count-since-2013: '3'
volume: '13'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2023'