Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- NYU Langone Health
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- Number of Smokers Referred to Counseling
Study Overview
Brief Summary
This study will use a scientifically robust, mixed-methods, two-arm cluster-randomized study design. Investigators will implement a tobacco use clinical reminder for outpatient psychiatrists practicing at the VA New York Harbor Healthcare System (N = 20). Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting (Opt-In Reminder). The other half will receive a clinical reminder that includes a standing nicotine replacement therapy (NRT) order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out (Opt-Out Reminder). Prior to implementation of the reminders, psychiatrists in both arms will receive a one-hour training on tobacco treatment and individual education outreach to demonstrate the clinical reminder and answer questions (academic detailing).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 99 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Psychiatrists
- •Works in outpatient psychiatry at Manhattan or Brooklyn VA campus and has no plans to leave in the next 6 months
- •Patient Post-Visit Survey Population
- •Had a visit with a psychiatrist included in the study Current smoker
Exclusion Criteria
- •Outpatient Psychiatrists:
- •Patient Post-Visit Survey Population:
- •Non-English speaking
Outcomes
Primary Outcomes
Number of Smokers Referred to Counseling
Time Frame: Up to Month 6
Number of people with documented current smoking in the medical record for whom counseling referrals were ordered.
Number of Smokers Prescribed a Cessation Medication
Time Frame: Up to Month 6
Number of people with documented current smoking in the medical record who were prescribed cessation medication.
Number of Patients Screened for Smoking
Time Frame: Up to Month 6
Number of patients with documented current smoking in the medical record who were screened for tobacco use during their psychiatry visit. Data derived from medial records.
Secondary Outcomes
No secondary outcomes reported