Electronic health records as a tool for recruitment of participants' clinical effectiveness research: lessons learned from tobacco cessation
- 138 Downloads
Translating tobacco dependence treatments that are effective in research settings into real-world clinical settings remains challenging. Electronic health record (EHR) technology can facilitate this process. This paper describes the accomplishments and lessons learned from a translational team science (clinic/research) approach to the development of an EHR tool for participant recruitment and clinic engagement in tobacco cessation research. All team stakeholders—research, clinical, and IT—were engaged in the design and planning of the project. Results over the first 17 months of the study showed that over one half of all smokers, coming in for any type of clinic appointment, were offered participation in the study, a very high level of adherent use of the EHR. Study recruitment over this period was 1,071 individuals, over 12 % of smokers in the participating clinics.
KEYWORDSElectronic health records Recruitment Tobacco cessation
This research was supported by the National Cancer Institute (5P50CA143188-13 and 5K05CA139871-04) and the Wisconsin Partnership Program. The clinical trials are registered as NCT01122238, NCT01116986, and NCT01120704.
- 5.Lenfant C. Shattuck lecture—clinical research to clinical practice—lost in translation? The NEMJ. 2003;349:868-874.Google Scholar
- 12.Helgason AR, Lund KE. General practitioners' perceived barriers to smoking cessation—results from four Nordic countries. Scan J Public Health. 2002;30:141-147.Google Scholar
- 15.Stoves J, Connolly J, Cheung CK, et al. Electronic consultation as an alternative to hospital referral for patients with chronic kidney disease: a novel application for networked electronic health records to improve the accessibility and efficiency of healthcare. Qual Saf Health Care. 2010;19:e54.PubMedGoogle Scholar
- 20.Lindholm C, Adsit R, Bain P, et al. A demonstration project for using the electronic health record to identify and treat tobacco users. Wis Med J. 2010;109:335-340.Google Scholar
- 21.Boyle R, Solberg L, Fiore M. Use of electronic health records to support smoking cessation. Cochrane Database Syst Rev. 2011.Google Scholar
- 22.Hsiao C-J, Hing E, Socey TC, Cai B. Electronic medical record/electronic health record systems of office-based physicians: United States, 2009 and preliminary 2010 estimates. http://www.cdc.gov/nchs/data/hestat/emr_ehr_09/emr_ehr_09.htm. Accessed 15 March 2012.Google Scholar
- 26.Wilcox A, Natarajan K, Weng C. Using personal health records for automated clinical trials recruitment: the ePaIRing Model. Summit on Translational Bioinformatics 2009, 136-140. http://www.ncbi.nlm.nih.gov/pubmed/21347187. Accessed 15 March 2012.Google Scholar
- 35.Stone VE, Mauch MY, Steger K, Janas SF, Craven DE. Race, gender, drug use, and participation in AIDS clinical trials. Lessons from a municipal hospital cohort. J Gen Intern Med. 1997;123:150-157.Google Scholar
- 45.Fiore MC, Jaen CR, Baker TB, et al. Treating tobacco use and dependence: 2008 update, U.S. Department of Health and Human Services, U.S. Public Health Service, Rockville, MD. 2008.Google Scholar