Effect of Showing Stroke Neuroimaging to Patients in Setting of Smoking Cessation Education on Smoking Cessation Rates in Patients With New Stroke.
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 20
- 主要终点
- cessation of smoking measured by self-report collected during follow-up phone interviews.
研究概览
简要总结
The investigators aim to examine the effect on smoking cessation rate by showing stroke patients who are active smokers images of their strokes.
详细描述
The investigators hypothesize that showing actual images of a patient's stroke to the participant on either brain CT or MRI will be a similarly easy to understand quantification of damage done to the participant's body. Given the link between smoking and stroke risk, the investigators believe that providing this imaging in addition to standard smoking cessation education may improve rates of smoking cessation after stroke. If this proves true, addition of a patient's neuroimaging to standard post-stroke smoking cessation education would be an easy method to improve smoking cessation rates in stroke patients, at minimal cost.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Active smoker, as defined: at least 100 cigarettes in their entire life, must have smoked cigarette at least once in 4 days prior to onset of stroke
- •Primary ischemic or hemorrhagic stroke identified on neuroimaging (MRI DWI/ADC or CT of brain)
- •Onset of stroke symptoms within 30 days to time of recruitment
- •Capacity to comprehend counseling data: Each participant will be given a cognitive screening test to assess the ability to comprehend and accurately answer the medical history questionnaire (MMSE). If the participant fails this test (score < 23), they will be excluded.
- •Patients discharged home or short term rehab with expectation of returning home within the study period
排除标准
- •Patients whose stroke deficits clinically prevent them from reasonably being physically able to continue to smoke, such as bilateral upper extremity paresis, tracheostomy, GCS ≥9
- •Patients with sensory aphasia that impairs comprehension
- •Subarachnoid hemorrhage
- •Transient ischemic attack
- •Other cause of cerebral ischemia or hemorrhage not defined as primary ischemic or hemorrhagic stroke (i.e. hemorrhagic metastases)
- •Patients whose stroke symptoms started >30 days from time of enrollment
- •Patients discharged to acute rehab, long term acute care hospital or hospice who are unlikely to have access to cigarettes
- •Patients unable to complete cognitive screening test for whom an appropriate proxy does not exist
- •Patients who do not speak fluent English (given that the study largely revolves around oral education on smoking cessation, clear communication between participant and coordinator must be possible)
结局指标
主要结局
cessation of smoking measured by self-report collected during follow-up phone interviews.
时间窗: 90 day follow-up visit
30 day and 90 day post-stroke phone interviews will be by a blinded APRN. During these interviews, patients will be asked their smoking status. If they are still smoking, they will be asked how much they are still smoking,
次要结局
- number of cigarettes smoked per day measured by self-report collected during follow-up phone interviews.(90 day follow-up visit)