Table 1Interventions, Influences, and Outputs

Intervention featuresInfluenceReachOutputs
AAC
  • System-level intervention
  • EHR modification for AAC
  • EHR e-referral functionality
  • New role for MAs and RNs

Increase structural capacity to do the following:

  • Document tobacco use and assistance
  • Prompt tobacco cessation assistance
  • Cue clinician during visit
  • Increase use of evidence-based cessation strategy
  • Increase structural capacity to receive and use QL referral data
  • All visits
  • Best for patients who are either not ready or ready to quit
  • Documentation
  • Meaningful use
  • Feedback to health care team
  • Increase patient motivation to change
TMCP
  • Clinician-level intervention
  • TMCP skills for clinician
  • Development of EHR document flow sheet
  • Increase knowledge, self-efficacy, and behavioral capabilities
  • Increase use of the TMCP approach for tobacco cessation
  • Not intended for use at all visits; context specific at the clinician's judgment
  • Best for patients who are ambivalent about quitting
  • Increased patient motivation to change
  • Preserved continuity of relationship through communication quality
  • Maintained patient centeredness by respecting patient values

Abbreviations: AAC, Ask-Advise-Connect; EHR, electronic health record; MA, medical assistant; QL, quitline; RN, registered nurse; TMCP, Teachable Moment Communication Process.

From: Adding a Teachable Moment Approach to a Team-Based Primary Care Ask-Advise-Connect Approach for Tobacco Cessation

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Adding a Teachable Moment Approach to a Team-Based Primary Care Ask-Advise-Connect Approach for Tobacco Cessation [Internet].
Flocke S, Seeholzer E, Love T, et al.
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