Implementation of a System-level Tobacco Treatment Intervention in Thoracic Oncology
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 263
- 试验地点
- 2
- 主要终点
- Smoking cessation Rate
研究概览
简要总结
The proposed study plans to adapt and study the implementation and effectiveness of integrating Clinical and Community Effort Against Secondhand smoke Exposure (CEASE) into the thoracic oncology setting using mixed methods.
详细描述
In particular the study aims to see if participants are asked about their smoking status and what services are offered if someone indicates being a former or current smoker. Findings from this study will help improve a standard of care at this clinic and allow us to understand what type of tobacco treatment services are preferred by patients.
- Adaption of CEASE will entail exit interviews with patients and individual interviews with clinical staff to identify and address facilitators and barriers to the implementation process.
- Effectiveness of CEASE will be measured through questionnaires & biochemical verification of smoking status using a pre-test/post-test study design before (usual care)and after implementation (CEASE)
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have an actual or potential diagnosis of thoracic malignancy
- •Able to read and write in English.
- •Current or recent former smoker (defined as having smoked within past 6 months)
- •Must have an active telephone number.
排除标准
- •Former smoker greater than 6 months.
- •Have any of the below conditions needing immediate medical intervention
- •Hypercalcemia causing lethargy and confusion,
- •Acute respiratory distress
- •Dehydration
- •Hypotension
研究组 & 干预措施
Cease-Aim 1
-
Cease Implementation
-
100 Patients after CEASE Implementation
-
Exit Interview and Tobacco Use Survey
干预措施: CEASE (Other)
Pre Cease Implementation Aim 2
50 Current or former smokers (3 months +/-2 month) patients in usual care (before CEASE implementation)
- Tobacco Use Survey (Baseline,1- 6 Months)
- Biochemical verification
干预措施: Usual Care Tobacco Treatment Services (Other)
After Cease Implementation Aim 2
50 Current or former smokers (3 months +/-2 month)
- Tobacco Use Survey (Baseline,1- 6 Months)
- Biochemical verification
干预措施: CEASE (Other)
Usual Care-Aim 1
Usual Care Tobacco Treatment Services
- 100 patients in usual care
- Exit Interview and Tobacco Use Survey
干预措施: Usual Care Tobacco Treatment Services (Other)
Clinician and Staff Survey
- Interview clinicians and support staff (40)
结局指标
主要结局
Smoking cessation Rate
时间窗: 6 Months
Biochemical verification of smoking cessation
次要结局
- Documentation of tobacco treatment(2 months after CEASE)
研究者
Mary E. Cooley, Phd
Mary E. Cooley MD
Dana-Farber Cancer Institute