Rindal, Donald BradKottke, Thomas E.Jurkovich, Mark W.Asche, Stephen E.Enstad , Chris J.Truitt, Anjali R.Ziegenfuss, Jeanette Y.Romito, Laura M.Thyvalikakath, Thankam P.O'Donnell, JeanSpallek, Heiko2024-06-112024-06-112022-09Rindal, D. B., Kottke, T. E., Jurkovich, M. W., Asche, S. E., Enstad, C. J., Truitt, A. R., Ziegenfuss, J. Y., Romito, L. M., Thyvalikakath, T. P., O’Donnell, J., & Spallek, H. (2022). Findings and Future Directions from a Smoking Cessation Trial Utilizing a Clinical Decision Support Tool. The Journal of Evidence-Based Dental Practice, 22(3), 101747. https://doi.org/10.1016/j.jebdp.2022.101747https://hdl.handle.net/1805/41423Background Tobacco smoking is the leading cause of disease, death, and disability in the United States. Dental practitioners are advised to provide evidence-based smoking cessation interventions to their patients, yet dental practitioners frequently fail to deliver brief smoking cessation advice. Objectives To test whether giving dental practitioners a clinical decisions support (CDS) system embedded in their electronic dental record would increase the rate at which patients who smoke (1) report receiving a brief intervention or referral to treatment during a recent dental visit, (2) taking action related to smoking cessation within 7 days of visit, and (3) stop smoking for 1 day or more or reduce the amount smoked by 50% within 6 months. Methods Two-group, parallel arm, cluster-randomized trial. From March through December 2019, 15 nonacademic primary care dental clinics were randomized via covariate adaptive randomization to either a usual care arm or the CDS arm. Adult smokers completed an initial telephone survey within 7 days of their visit and another survey after 6 months. Results Forty-three patients from 5 CDS and 13 patients from 2 usual care clinics completed the 7-day survey. While the proportion of patients who reported receipt of a brief intervention or referral to treatment was significantly greater in the CDS arm than the usual care arm (84.3% vs 58.6%; P = .005), the differences in percentage of patients who took any action related to smoking cessation within 7 days (44.4% vs 22.3%; P = .077), or stopped smoking for one day or more and/or reduced amount smoked by 50% within 6 months (63.1% vs 46.2%; P = .405) were large but not statistically significant. Conclusions Despite interruption by COVID-19, these results demonstrate a promising approach to assist dental practitioners in providing their patients with smoking cessation screening, brief intervention and referral to treatment.en-USPublisher PolicyDecision support systems, clinicalDental hygienistsDentistsRandomized controlled trialsSmoking cessationArticle