Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry

Not Applicable

Completed

• Conditions: Smoking Cessation
• Interventions: Behavioral: Opt-Out Reminder; Behavioral: Opt-In Reminder

• Registration Number: NCT04071795
• Lead Sponsor: NYU Langone Health

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).

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-08-23
• Study First Submitted QC: 2019-08-26
• Study First Posted: 2019-08-28
• Study Start: 2020-01-06
• Primary Completion: 2021-02-24
• Study Completion: 2021-02-24
• Results First Submitted: 2023-02-10
• Status Verified: 2023-04
• Results First Submitted QC: 2023-04-06
• Last Update Submitted: 2023-04-06
• Results First Posted: 2023-04-28
• Last Update Posted: 2023-04-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 140

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

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Exclusion Criteria

• Outpatient Psychiatrists:
• None
• Patient Post-Visit Survey Population:
• Non-English speaking

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Opt Out	Opt-Out Reminder	Training and Academic Detailing
Opt In	Opt-In Reminder	Training and Academic Detailing

Primary Outcome Measures

Name	Time	Method
Number of Smokers Referred to Counseling	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	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	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.

Trial Locations

Locations (1)

NYU Langone Health; 🇺🇸 New York, New York, United States