The eReferral & Teachable Moment research project was a collaborative effort between Case Western Reserve University and MetroHealth that focused on tobacco cessation assistance for primary care patients. The project was funded by the Patient-Centered Outcomes Research Institute (PCORI) and tested the combined effect of a systems change initiative and a communication strategy for providing smoking cessation assistance in the primary health care setting. This work was led by previous PRCHN faculty, Sue Flocke and Eileen Seeholzer at MetroHealth.
The Teachable Moment Communication Process (TMCP) is a communication strategy for brief tobacco advice that builds on the established clinician – patient relationship and works with the natural flow of the primary care visit. The approach has been developed and refined by this study team and for this project we are modifying and adapting the skill-based curriculum. The curriculum is designed for primary care clinicians and consists of two parts: a web-based module and in person coaching sessions.
Overall, our project will test the effect of adding this clinician approach to the systems focused Ask-Advise-Connect on patient report, Quitline referrals and smoking outcomes. Our work is guided by a diverse team of co-investigators and staff and is also guided by a Stakeholder Group including patients, clinicians, medical technical assistants, nurses and others.