Medical Student INtervention to Promote Effective Nicotine Dependence and Tobacco HEalthcare
- Conditions
- Smoking
- Interventions
- Behavioral: Motivational interviewing
- Registration Number
- NCT02601599
- Lead Sponsor
- Royal College of Surgeons, Ireland
- Brief Summary
Background: Smoking counselling during hospitalisation with post-discharge follow-up increases quitting. However, provision of cessation care for hospitalised patients is suboptimal. Students are potentially an untapped resource for providing cessation advice, but no studies have investigated this.
Aim: To determine if medical students can encourage motivation to stop smoking (MTSS; primary outcome) in hospitalised smokers .
Design: 2-arm RCT Setting: RCSI (www.rcsi.ie) and Connolly Hospital (www.hse.ie/eng/services/list/3/hospitals/Connolly/).
Participants: Inpatient smokers. Intervention and procedures: 60 graduate medical students will receive standardised motivational interviewing training in the provision of cessation advice. Each student will be randomly assigned to counsel \~1-3 smokers each, including an individual in-hospital, face-to-face session and post-discharge phone counselling. Training and implementation will cover Sept-2015-May-2016. Smokers will be randomised to 'usual care' (n\~90), or intervention (n\~90, student-delivered motivational interviewing). A researcher will enable recruitment and follow-up, and conduct a qualitative evaluation of programme participants.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 67
- All identified inpatient smokers at Connolly Hospital.
- Advised by ward manager that patient is too unwell or cognitively impaired, or otherwise unsuitable;
- Death during hospitalisation;
- Receiving palliative care;
- Under 18 years of age;
- To be transferred to another hospital;
- Not English speaking;
- Refusal to participate;
- Inpatient in psychiatric ward
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Motivational interviewing Motivational interviewing The medical student will deliver a 15 minute consultation with the patient. The goals of this consultation will be to enhance the patient's motivation and self-efficacy regarding quitting, educate the patient about effective behavioral and pharmacological cessation strategies, and collaboratively elicit a plan to stay quit after discharge. Patients will be offered the opportunity to receive a consultation from the attending physician to determine eligibility for pharmacotherapy. Patients who elect to receive this consult with have a coloured sticker placed by the medical student on the medical chart requesting a consultation.
- Primary Outcome Measures
Name Time Method Change in Motivation to Stop Smoking Scale (MTSS) Repeated measures: MTSS scores at baseline, 1-week, 3- and 6-month follow-up. Repeated measures: MTSS scores at baseline, 1-week, 3- and 6-month follow-up.
Change in motivation to quit Repeated measures: single item scores at baseline, 1-week, 3- and 6-month follow-up. If, on a scale of 1 to 10, 1 is not at all motivated to give up smoking and 10 is 100% motivated to give up, what number would you give yourself at the moment?
- Secondary Outcome Measures
Name Time Method proportion of patients who report any use of a prescribed or over-the-counter cessation medication at 3- and 6-months discharge the proportion of patients who report any use of a prescribed or over-the-counter cessation medication, of an approved cessation pharmacotherapy, including nicotine patch, gum, lozenge, inhaler, mouth spray, Champix, or Zyban at 1- and 6-months discharge
Proportion of patients who receive a prescription for a cessation medication at the time of discharge By discharge, an average of 5-10 days post-admission The proportion of patients who receive a prescription for a cessation medication at the time of discharge, assessed via medical chart audit;
proportion of attending physicians who prescribe cessation medication during the hospitalisation During hospitalisation (baseline) the proportion of attending physicians who prescribe cessation medication during the hospitalisation (to be obtained by medical chart audit);
7-day point prevalent abstinence rates 3- and 6-months 7-day point prevalent abstinence rates assessed at both 3- and 6-months by self-report
Trial Locations
- Locations (1)
Connolly Hospital Blanchardstown
🇮🇪Dublin, Ireland