Medical Student INtervention to Promote Effective Nicotine Dependence and Tobacco HEalthcare: GrAduate Entry Programme (MIND-THE-GAP) Feasibility Randomised Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Smoking
- Sponsor
- Royal College of Surgeons, Ireland
- Enrollment
- 67
- Locations
- 1
- Primary Endpoint
- Change in Motivation to Stop Smoking Scale (MTSS)
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All identified inpatient smokers at Connolly Hospital.
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Change in Motivation to Stop Smoking Scale (MTSS)
Time Frame: 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
Time Frame: 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 Outcomes
- proportion of patients who report any use of a prescribed or over-the-counter cessation medication(at 3- 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)
- proportion of attending physicians who prescribe cessation medication during the hospitalisation(During hospitalisation (baseline))
- 7-day point prevalent abstinence rates(3- and 6-months)