Nicotine Replacement Provided at a Tertiary Care Hospital

NCT01614054 | Completed

• 1 other identifier: H12-01080
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to show that a patient-centered survey asking about smoking habits, with the option for nicotine replacement therapy (NRT) will increase the prescription rates among health care providers (HCP). The investigators also believe that this intervention can also lead to increased referrals to smoking cessation clinics and ultimately increase rates of smoking cessation.

Conditions

Smoking Cessation

Keywords

Smoking cessation; Nicotine replacement therapy; NRT; Inpatient; General Medicine

Outcome Measures

Primary Outcomes (1)

• Number of prescriptions for NRT (as a percentage of the number of active smokers)

  By eliciting patient attitudes toward smoking cessation, we aim to increase the rate of prescription of nicotine replacement by 15% on the medical wards at St. Paul's Hospital by 15% over a 1month period. We will measure the number of prescriptions for NRT of any kind by referencing pharmacy databases. This will be calculated as a percentage of active smokers.

  1 month

Secondary Outcomes (1)

• Number of referrals to a smoking cessation clinic (as a percentage of the number of active smokers)

  1 month

Study Arms (2)

Survey Group

EXPERIMENTAL

Patients will receive a survey along with their meal tray, provided by Food and Nutrition Services. The survey will consist of questions related to smoking habits, desire for NRT and desire for assistance with smoking cessation. The results of these surveys will be collected by allied health professionals and forwarded to the CTU team. The CTU team will then be encouraged to use that information to engage in a discussion with the patient regarding prescription of NRT. It will then be left to the discretion of the HCP whether or not to prescribe NRT taking into account patient preference, absence of contraindications and clinical benefit. All those participating in the survey will be offered referral to a smoking cessation clinic upon discharge.

Other: Survey of patient's smoking habits

Standard of Care

NO INTERVENTION

In the control arm, surveys will also be given out to all patients along with their meal trays. However, these surveys will include only questions related to smoking habits in order to get a baseline number of smokers. The surveys will then be collected by the allied health and nursing staff and forwarded only to the research team. The HCP taking care of the patients will still provide standard of care treatment with NRT and smoking cessation referral as clinically indicated.

Interventions

Survey of patient's smoking habits OTHER

Nicotine replacement therapy (inhalers, patches, gum, lozenges) at the discretion of the health care provider

Survey Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients admitted to the general medicine ward
• Currently smoking (or quit within the last two weeks)
• years and over
• Able to read in the English language or have a translator present

You may not qualify if:

• Non-smokers
• Pregnant or actively trying to conceive
• Recent acute coronary syndrome (within 1 month)
• Active temporo-mandibular joint disease
• Currently on NRT
• Allergy to nicotine
• Acute delirium/chronic dementia
• Inability to complete survey secondary to language/educational issues (if no translator present)

Sponsors & Collaborators

• University of British Columbia: lead
• Providence Health & Services: collaborator
• St. Paul's Hospital, Canada: collaborator

Study Sites (1)

St Paul's Hospital

Vancouver, British Columbia, V6Z 1Y6, Canada

Location

MeSH Terms

Conditions

Smoking Cessation

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Officials

• Mark Fitzgerald, MD

  The Lung Centre, University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 28, 2012
• First Posted: June 7, 2012
• Study Start: June 1, 2012
• Primary Completion: December 1, 2012
• Study Completion: December 1, 2012
• Last Updated: March 17, 2014

Record last verified: 2014-03

Locations

CA (1)