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Sponsors and Collaborators: |
University of Waterloo University of Ottawa Heart Institute Canadian Tobacco Control Research Initiative |
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Information provided by: | University of Waterloo |
ClinicalTrials.gov Identifier: | NCT00799279 |
The aim of this study is to determine if providing smokers identified in family doctors offices with follow-up counselling enhances their success with quitting and the number of health professionals helping patients with quitting. Six to eight family medicine clinics will be involved in the study. We will compare the frequency of addressing smoking with patients and the proportion of smokers who are successful with quitting 16-weeks following the clinic appointment between practices. It is hypothesized that the addition of follow-up counseling to a multi-component smoking cessation intervention will improve smoking outcomes.
Condition | Intervention |
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Smoking Cessation |
Behavioral: Smoking cessation training, support, and telephone follow-up Behavioral: smoking cessation intervention |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Comparative Evaluation of the Efficacy and Cost-Effectiveness of Two Interventions for Integrating Smoking Cessation Into Routine Primary Care Practice: A Cluster-Randomized Trial |
Estimated Enrollment: | 600 |
Study Start Date: | December 2008 |
Estimated Study Completion Date: | December 2009 |
Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Follow-up Counseling Arm: Experimental
smoking cessation training for providers,practice tools for providers, patient quit plan, and follow-up telephone counselling for smokers
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Behavioral: Smoking cessation training, support, and telephone follow-up
The CF group will receive the same smoking cessation training and practice support tools delivered to the PS group. In addition, patients in the FC group who are smokers and are willing to set a quit date within the next 30 days and who have set a quit date will be enrolled in an interactive voice response (IVR)-mediated telephone follow-up and counselling system. The IVR system will automatically contact patients via telephone 7 days before their TQD, and 5, 14, 30, and 60 days after their TQD to check the patients' smoking status, potential concerns, and their risk of relapse.
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Practice Support Arm: Active Comparator
smoking cessation training for providers,practice tools for providers, patient quit plan for smokers.
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Behavioral: smoking cessation intervention
Intervention practices will be provided with training in smoking cessation, and will be supported with integrating a waiting room screener for smoking and smoking consult form and patient quit plan into their practice routines.
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A family doctor's advice to quit has been shown to increase a smoker's motivation to quit. Despite the evidence supporting the importance of smoking cessation, there is a well-documented practice gap in the rates at which smoking cessation is being addressed by practitioners. The primary objectives of this research study are to determine whether adjunct telephone-based smoking cessation follow-up counselling when delivered as part of a multi-component intervention:
A two-arm before-after matched-pair cluster randomized trial, will test the effectiveness of two strategies for integrating smoking cessation treatments into primary care practice routines and enhancing cessation. Six to eight family doctors offices will be randomized to either a practice support (PS) group, or a follow-up counseling (FC) group. From each of the intervention practices a cross-sectional sample of 50 eligible smokers will be recruited pre- and post-intervention to assess 5A's delivery and smoking abstinence.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Practices will be eligible for participation in the present study if they meet the following criteria:
Patients will be eligible to participate in the study if they meet the following criteria:
Exclusion Criteria:
Responsible Party: | University of Waterloo ( Paul McDonald ) |
Study ID Numbers: | 15053, CTCRI 019826, CTCRI 19813 |
Study First Received: | November 17, 2008 |
Last Updated: | November 26, 2008 |
ClinicalTrials.gov Identifier: | NCT00799279 History of Changes |
Health Authority: | Canada: Ethics Review Committee |
smoking cessation family medicine |
evidence-based knowledge translation smoking cessation, primary care |
Smoking |
Habits Smoking |