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CDC COMMUNITY GUIDE: Increasing Tobacco Use Cessation: Provider Reminders When Used Alone

CDC

An Evidence-Based Practice

Description

Provider reminder systems for tobacco cessation include efforts to identify clients who use tobacco products and to prompt providers to discuss and/or to advise clients about quitting. Providers may receive these reminders through chart stickers, vital sign stamps, medical record flow sheets, and checklists. Provider reminders are often combined with other approaches.

The Community Preventive Services Task Force recommends provider reminder systems based on sufficient evidence of effectiveness in increasing provider delivery of advice to quit.

Provider reminder systems are recommended:
1. Whether used alone or as part of a multicomponent intervention (Provider Reminder Systems with Provider Education)
2. Across a range of intervention characteristics (chart stickers, checklists, and flowcharts)
3. In a variety of clinical settings and populations

Results / Accomplishments

Results from the Systematic Reviews:
Seven studies qualified for the review.

• Four studies found a median of 32.5 percentage points in determining which clients use tobacco (during periods that extended from 8 to 24 months after beginning the programs).
• The evaluated techniques for prompting providers included chart prompts or stickers, "expanded vital signs" that include status of tobacco use, and flow sheets.
• These approaches have been shown to be effective in a variety of settings, including primary care and family practice clinics.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Alcohol & Drug Use
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
https://www.thecommunityguide.org/inactive/reducin...
Target Audience
Adults

Related Promising Practices

  1. CDC COMMUNITY GUIDE: Decreasing Tobacco Use Among Workers: Smoke-Free Policies to Reduce Tobacco Use
  2. CDC COMMUNITY GUIDE: Decreasing Tobacco Use Among Workers: Incentives & Competitions to Increase Smoking Cessation
  3. CDC COMMUNITY GUIDE: Tobacco Use and Secondhand Smoke Exposure: Reducing Out-of-Pocket Costs for Evidence-Based Cessation Treatments
  4. Sonoma County Tobacco Use Prevention

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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