Enhancing Teachable Moment Communication for Smoking Cessation and Weight Management

NCT01575886 | Completed

• 2 other identifiers: R01CA105292_ETMR01CA105292
• Study Type: interventional
• Target: 840
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to test an intervention that teaches clinicians to integrate the use of 'teachable moments' with the key skills of motivational interviewing tailored to address smoking and weight management in the primary care outpatient visit setting.

Conditions

Clinician Patient Communication; Smoking Cessation; Weight Management

Keywords

clinician patient communication; smoking cessation; weight management; primary care; health behavior change advice

Outcome Measures

Primary Outcomes (2)

• performance of the elements of the teachable moment communication process

  Analysis of the audio recorded visit is used to assess the performance of each of the key elements of the teachable moment communication process.

  evaluated at time of observed/audio recorded visit; visits are evaluated between 2 weeks and 3 months after clinician exposure to the educational intervention

• incremental behavior change for smoking

  A 15-item self report measure of small behavior changes antecedent to smoking cessation. The measure is assessed prior to the visit and then 6-weeks after the observed visit and a change score is computed.

  6 weeks

Secondary Outcomes (1)

• duration of the visit

  immediate

Study Arms (2)

Smoking cessation intervention

EXPERIMENTAL

This group receives the teachable moment communication process intervention focused on smoking cessation and contributes data at baseline (Time 1) and post intervention (Time 2).

Other: Teachable Moment Communication Process

Delayed intervention group

OTHER

This group serves as the comparison group for the evaluation of the smoking cessation intervention at Time 1 and Time 2 data collection to complete the group randomized trial. This group of clinicians then has Time 3 data collection focused on weight management receives a revised intervention focused on teachable moment communication for weight management and has Time 4 data collected to evaluate the teachable moment for weight management training as a pre-post design.

Other: Teachable Moment Communication Process

Interventions

Teachable Moment Communication Process OTHER

The Teachable Moment Communication Process intervention is designed to teach clinicians: (1) the skills necessary to recognize and foster teachable moments in clinical encounters, (2) strategies to effectively elicit the patients' perspective on health behavior change, and express their alignment with that perspective, and (3) the ability to respond to the patient in a non-confrontational manner while providing brief advice appropriate to the patient's expressed level of readiness to change. The Teachable Moment Communication Process intervention consists of two, 3-hour educational training sessions including didactic presentation, skill demonstration through video examples, skills practices with standardized patients, and feedback from peers and the trainers.

Delayed intervention group; Smoking cessation intervention

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients visiting a clinician participating in the study on data collection days.
• For data collection Time 1 and 2, patients who report smoking at least 1 cigarette per day.
• For data collect times 3 and 4, patients who have a BMI \> 30 or patients who have a BMI \>25 and self-reporting any one of the following chronic conditions: high blood pressure, high cholesterol, heart disease or diabetes.

You may not qualify if:

• Inability to comprehend the invitation to participate in the study in English or Spanish
• No access to a telephone and no mailing address to complete follow up surveys.

Sponsors & Collaborators

• Case Western Reserve University: lead

Study Sites (1)

Case Western Reserve University

Cleveland, Ohio, 44106, United States

Location

Related Publications (1)

• Flocke SA, Antognoli E, Step MM, Marsh S, Parran T, Mason MJ. A Teachable Moment Communication Process for smoking cessation talk: description of a group randomized clinician-focused intervention. BMC Health Serv Res. 2012 May 3;12:109. doi: 10.1186/1472-6963-12-109.

  PMID: 22554310 DERIVED

MeSH Terms

Conditions

Smoking Cessation

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Officials

• Susan A Flocke, PhD

  Case Western Reserve University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Family Medicine and Community Health

Study Record Dates

• First Submitted: April 6, 2012
• First Posted: April 12, 2012
• Study Start: July 1, 2010
• Primary Completion: December 1, 2011
• Study Completion: February 1, 2013
• Last Updated: January 12, 2022

Record last verified: 2021-12

Locations

US (1)