Evaluation of the Effectiveness of a Very Brief Smoking Cessation Intervention in Family Health Centers

NCT07030387 | Completed

• 1 other identifier: 2022/217
• Study Type: interventional
• Target: 330
• Locations: 1 country
• Sites: 1

Brief Summary

In Turkey, the prevalence of tobacco use among individuals was 31.4% in 2019. The WHO recommends brief and very brief interventions to increase tobacco cessation rates and medical support. In developing countries, these brief interventions are being integrated into primary care. The aim of this study is to evaluate the effectiveness of very brief interventions at different family health centers in Aydın province. A pragmatic randomized controlled trial was conducted with 170 patients in intervention group and 161 in control group across 14 family health centers in Aydın province from June 2023 to December 2023. Physicians that recurited for intervention received one hour of online training before applying very brief smoking cessation interventions to their patients. Data collection included a baseline assessment of sociodemographic characteristics, smoking status, and medical history. At the three-month follow-up, participants' cessation status and motivations were assessed via phone call interviews. Intention to Treat approach was utilized. Secondary outcomes included the objective and subjective frequency of smoking, as well as treatment and support received.

Conditions

Smoking Cessation; Tobacco Dependence

Keywords

Smoking cessation; Primary health care; Pragmatic clinic trials; Randomized controlled trial; Motivation; Health behavior

Outcome Measures

Primary Outcomes (1)

• Smoking Quit Rates

  Smoking cessation rates between groups at 3 months follow up

  3 months after the 3A-OR very brief intervention

Secondary Outcomes (1)

• Motivational stages of quitting smoking

  3 months after the 3A-OR very brief intervention

Study Arms (2)

3A-OR very brief smoking cessation intervention

EXPERIMENTAL

Patients of family physicians who had begun implementing 3A-OR very brief smoking cessation intervention as their routine clinical practices constituted the intervention group of the trial.

Behavioral: Smoking cessation counselling group

Control group: same-day patients of other family physicians in the same Family Health Centers

EXPERIMENTAL

Patients of the other family physicians in the same family health centers were assigned to the control group.

Behavioral: Control group patients were those who had not received the 3A-OR intervention

Interventions

Smoking cessation counselling group BEHAVIORAL

3A-OR very brief intervention for smoking cessation

3A-OR very brief smoking cessation intervention

Control group patients were those who had not received the 3A-OR intervention BEHAVIORAL

Control Group (Patients of the other family physicians in the same family health centers)

Control group: same-day patients of other family physicians in the same Family Health Centers

Eligibility Criteria

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

You may qualify if:

• All smokers aged 18 and above who visited selected Family Health Centers

You may not qualify if:

• Smokers experiencing cooperation and communication issues
• Smokers who have received support for a smoking cessation attempt within the last month

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Assigned Family Health Centers within Aydin Province

Efeler, Aydın, 09100, Turkey (Türkiye)

Location

Related Publications (16)

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Related Links

• Related Info

MeSH Terms

Conditions

Smoking Cessation; Tobacco Use Disorder; Health Behavior

Condition Hierarchy (Ancestors)

Behavior; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Study Officials

• Okay BAŞAK, MD, PhD

  Aydın Adnan Menderes University, School of Medicine, Department of Family Medicine

  STUDY CHAIR

• Melda DİBEK, MD, PhD

  Aydın Adnan Menderes University, School of Medicine, Department of Family Medicine

  STUDY DIRECTOR

• Yiğit YAĞCI, MD

  Aydın Adnan Menderes University, School of Medicine, Department of Family Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Family Medicine Specialist, MD

Model Details: 3A-OR Model (Ask - Assess - Advise - Offer Assistance - Record) In this brief intervention algorithm, the physician primarily learns every patient's smoking status, assesses the smoker's motivation to quit, advises cessation with different approaches for the pre-contemplation and contemplation/preparation stages, then offers assistance, and finally records the encounter in the patient's file. 1. (A) LEARN! 2. (A) ASSESS! If the smoker is in the PRE-CONTEMPLATION stage: 3. (A) ADVISE! 4. (O) OFFER ASSISTANCE! 5. (R) RECORD! If the smoker is in the CONTEMPLATION or PREPARATION stage: 3\. (A) ADVISE! 4. (O) OFFER ASSISTANCE! 5. (R) RECORD!

Study Record Dates

• First Submitted: June 5, 2025
• First Posted: June 22, 2025
• Study Start: June 1, 2023
• Primary Completion: December 31, 2023
• Study Completion: March 31, 2024
• Last Updated: June 22, 2025

Record last verified: 2025-06

Locations

TU (1)