Skip to main content

Table 2 Operationalization of treatment components of the study interventions

From: Comparative effectiveness of post-discharge strategies for hospitalized smokers: Study protocol for the Helping HAND 4 randomized controlled trial

Treatment component eReferral to Quitline model Personalized Tobacco Care Management model
Post-discharge outreach
 Modality Phone call from state QL Automated phone call or text message from IVR vendor
 Frequency 1 call initiated after discharge to offer QL services 7 calls made over 3 months after discharge (3 days; 2, 4, 6, 8, 10, 12 weeks)
Free counseling
 Services offered 5-call QL protocol (for 3 months) if participant enrolls in QL services Up to 7 calls (over 3 months)
 When offered At initial call from QL On demand at each of 7 IVR calls
 Provider QL-based tobacco coach Hospital-based tobacco coach
Free medication
 Type Nicotine replacement: patch ± gum ± lozenge (varies by statea) Nicotine replacement: patch, gum, lozenge, inhaler or combination
 Duration of treatment 4–8 weeks (varies by stateb) 8 weeks
 When provided Mailed by QL after discharge if participant enrolls in QL services Provided in hand at discharge
Care coordination NA Tobacco coach interfaces with PCP via EHR notes at start and end of 3-month treatment and as needed for medication prescriptions in between
EHR integration Outbound: EHR referral link to QL; Inbound: varies by statec Tobacco Coach notes and medication prescriptions are in EHR
Patient choice NA Patient chooses mode of contact (IVR, text, email) & treatment (phone, text)
  1. QL quitline, NJH National Jewish Health quitline, EHR electronic health record, IVR interactive voice response, PCP primary care provider, SmokefreeTXT free NCI text messaging program
  2. a NJH serving participants in Massachusetts, Pennsylvania, and Kentucky offers patch and gum or lozenge. IQH serving Tennessee participants offers only patch
  3. b Pennsylvania increased free NRT provision to 8 weeks in July 2019. Massachusetts increased free NRT provision to 8 weeks in October 2019. Tennessee increased free NRT provision to 8 weeks for women aged 14–49 years in January 2019
  4. c VUMC site: bidirectional eReferral (results of outreach attempt sent from quitline to EHR, displayed as a note from outside provider. MGH site: outbound eReferral only (inbound result of outreach sent by fax to referring provider but not put into EHR). UPMC site: outbound only (inbound result sent electronically to EHR but does not generate EHR note)