Integrating Smoking Cessation Into Routine Primary Care Practice

NCT00799279 | Completed

• 3 other identifiers: 15053CTCRI 019826CTCRI 19813
• Study Type: interventional
• Target: 835
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Smoking Cessation

Keywords

smoking; cessation; family medicine; evidence-based; knowledge translation; smoking cessation, primary care

Outcome Measures

Primary Outcomes (1)

• smoking abstinence

  Self-report and biochemically validated point prevelence smoking abstinence

  16-weeks

Secondary Outcomes (2)

• cost-effectiveness

  16-weeks

• Rate of provider delivery of evidence-based smoking treatments

  exit survey on day of clinic visits

Study Arms (2)

Follow-up Counseling Arm

EXPERIMENTAL

smoking cessation training for providers,practice tools for providers, patient quit plan, and follow-up telephone counselling for smokers

Behavioral: Smoking cessation training, support, and telephone follow-up

Practice Support Arm

ACTIVE COMPARATOR

smoking cessation training for providers,practice tools for providers, patient quit plan for smokers.

Behavioral: smoking cessation intervention

Interventions

Smoking cessation training, support, and telephone follow-up BEHAVIORAL

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.

Follow-up Counseling Arm

smoking cessation intervention BEHAVIORAL

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.

Practice Support Arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Practices will be eligible for participation in the present study if they meet the following criteria:
• Practice is a family health team (FHT), family health group (FHG); or family health network (FHN);
• All physicians within the practice are willing to participate in the study;
• Practice will see an average of 50 patients per day and 10% of patients are smokers;
• Practice is willing to provide consent to contact patients in waiting rooms and survey patients during office hours and by telephone.
• Patients will be eligible to participate in the study if they meet the following criteria:
• Patient is seen in clinic for annual exam or non-urgent visit;
• Patient is a current smoker (\>1 cigarette per day on most days of the week);
• Patient is 18 years of age or older;
• Patient is able to read and understand English or French;
• Patient has a home or mobile telephone which can be used to receive follow-up telephone counselling calls

You may not qualify if:

• Patients who do not have the mental capacity to provide informed consent and complete study protocols will be excluded.

Sponsors & Collaborators

• University of Waterloo: lead
• Ottawa Heart Institute Research Corporation: collaborator
• Canadian Tobacco Control Research Initiative: collaborator

MeSH Terms

Conditions

Smoking Cessation; Smoking

Interventions

Palliative Care

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Paul McDonald, PhD

  University of Waterloo

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: November 17, 2008
• First Posted: November 27, 2008
• Study Start: January 1, 2009
• Primary Completion: April 1, 2010
• Study Completion: September 1, 2010
• Last Updated: October 6, 2010

Record last verified: 2010-10