Translational Behavioral Medicine

, Volume 3, Issue 3, pp 253–263 | Cite as

Recruiting and engaging smokers in treatment in a primary care setting: developing a chronic care model implemented through a modified electronic health record

  • Megan E PiperEmail author
  • Timothy B Baker
  • Robin Mermelstein
  • Linda M Collins
  • David L Fraser
  • Douglas E Jorenby
  • Stevens S Smith
  • Bruce A Christiansen
  • Tanya R Schlam
  • Jessica W Cook
  • Madeline Oguss
  • Michael C Fiore
Original Research


Almost 35 million U.S. smokers visit primary care clinics annually, creating a need and opportunity to identify such smokers and engage them in evidence-based smoking treatment. The purpose of this study is to examine the feasibility and effectiveness of a chronic care model of treating tobacco dependence when it is integrated into primary care systems using electronic health records (EHRs). The EHR prompted primary care clinic staff to invite patients who smoked to participate in a tobacco treatment program. Patients who accepted and were eligible were offered smoking reduction or cessation treatment. More than 65 % of smokers were invited to participate, and 12.4 % of all smokers enrolled in treatment—30 % in smoking reduction and 70 % in cessation treatment. The chronic care model developed for treating tobacco dependence, integrated into the primary care system through the EHR, has the potential to engage up to 4.3 million smokers in treatment a year.


Chronic care smoking treatment Translational research Smoking cessation Primary care Recruitment Electronic health record 


Acknowledgements and funding

We would like to acknowledge the staff at Aurora Health Care and Dean Health System for their collaboration in this research. This research was supported by grant 9P50CA143188-12 from the National Cancer Institute and by the Wisconsin Partnership Program. Dr. Baker was supported via NCI 1K05CA139871. Dr. Cook was supported by K08DA021311.


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Copyright information

© Society of Behavioral Medicine 2012

Authors and Affiliations

  • Megan E Piper
    • 1
    Email author
  • Timothy B Baker
    • 1
  • Robin Mermelstein
    • 2
  • Linda M Collins
    • 3
  • David L Fraser
    • 1
  • Douglas E Jorenby
    • 1
  • Stevens S Smith
    • 1
  • Bruce A Christiansen
    • 1
  • Tanya R Schlam
    • 1
  • Jessica W Cook
    • 1
  • Madeline Oguss
    • 1
  • Michael C Fiore
    • 1
  1. 1.Center for Tobacco Research and InterventionUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Institute for Health Research and PolicyUniversity of Illinois at ChicagoChicagoUSA
  3. 3.The Methodology CenterPennsylvania State UniversityState CollegeUSA

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