Adolescent Smoking Cessation in Pediatric Primary Care
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 4,100
- 试验地点
- 2
- 主要终点
- smoking cessation rates
研究概览
简要总结
This is a pilot study addressing office systems and clinician behavior change surrounding smoking cessation interventions for teens. The investigators' long-term goal is to improve the quality of clinical preventive services in practice-based research network settings. Their specific aims are to:
- a) pilot procedures for recruitment and randomization of PROS practices; and b) field trial/pilot PROS practitioner cessation counseling and practices' enrollment of adolescent patients; and
- assess the feasibility of pediatric clinician referral of adolescent patients to internet-based adjuncts for smoking cessation.
The investigators will evaluate a pilot round of recruitment and randomization, and smoking cessation training and delivery in 10 PROS practice sites; and assess the acceptability of study procedures and on-line internet counseling adjunct referral feasibility within PROS practice sites. Up to 1000 adolescents presenting for well visits will complete a short baseline survey prior to their well-visit. A sample of them will be surveyed by phone at 4-6 weeks to provide preliminary estimates of cessation counseling effectiveness for future studies. The investigators will field test measures, describe the patterns of smoking among youth, and explore how much receiving interventions affects motivation, quitting, abstinence/relapse attitudes, attitudes towards internet-based outreach strategies, and behaviors for 100 smokers.
**we have completed recruitment of providers; we are recruiting teens ONLY at this point**
详细描述
This is a pilot study addressing office systems and clinician behavior change surrounding smoking cessation interventions for teens. The investigators' long-term goal is to improve the quality of clinical preventive services in practice-based research network settings. Their specific aims are to:
- a) pilot procedures for recruitment and randomization of PROS practices; and b) field trial/pilot PROS practitioner cessation counseling and practices' enrollment of adolescent patients; and
- assess the feasibility of pediatric clinician referral of adolescent patients to internet-based adjuncts for smoking cessation.
The investigators will evaluate a pilot round of recruitment and randomization, and smoking cessation training and delivery in 10 PROS practice sites; and assess the acceptability of study procedures and on-line internet counseling adjunct referral feasibility within PROS practice sites. Up to 1000 adolescents presenting for well visits will complete a short baseline survey prior to their well-visit. A sample of them will be surveyed by phone at 4-6 weeks to provide preliminary estimates of cessation counseling for future studies. The investigators will field test measures, describe the patterns of smoking among youth, and explore how much receiving interventions affects motivation, quitting, abstinence/relapse attitudes, attitudes towards internet-based outreach strategies, and behaviors for 100 smokers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- Double (Care Provider, Investigator)
入排标准
- 年龄范围
- 14 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Practitioner recruitment criteria:
- •Has a patient flow of several adolescents per week.
- •Reads and speaks English.
- •Able and willing to provide informed consent
- •Patient recruitment criteria:
- •14 years or older
- •Lives in a home or apartment with access to a phone or mail address
- •Speaks English
- •Cognitively able to respond to survey questions
- •Cognitively able to give assent and obtain parent/guardian permission or consent
排除标准
- •Providers: already participating in a PROS study
结局指标
主要结局
smoking cessation rates
时间窗: 4-6 weeks
quit attempts
时间窗: 4-6 weeks
provider practice change
时间窗: 6 months
次要结局
未报告次要终点