Evaluating Online Clinical Office-Systems Training to Address SHS Exposure of Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 647
- 试验地点
- 2
- 主要终点
- Rate of home and car no smoking rules.
研究概览
简要总结
The study involves the testing of a Pedialink module through parent exit interviews in one intervention practice and one control practice. Pedialink is the American Academy of Pediatrics' online home for continuous professional development. The intervention site will complete the Pedialink module and the control site will be given routine tobacco control materials.
We will measure changes in practice patterns in the two pediatric practices following the implementation of the online training. At each of these practices, the parents or guardians of children seen by the practice will be surveyed for a one week period before, and a one week period six weeks after either using the online training module (intervention) or being given routine tobacco materials (control).
A follow-up telephone survey will be given to some parents at 3-months. Those given the telephone survey are parents or guardians who smoke or parents or guardians who live with a smoker and are surveyed at the second time-point.
We hypothesize that intervention practices will have higher rates of screening for home and car no-smoking rules and higher rates of advising for home and car no-smoking rules.
详细描述
This study will involve developing an online training and dissemination system to train pediatricians to address the secondhand smoke exposure of children. We will gather pediatric staff responses to the specific components of the online training and refine this training for a range of outpatient pediatric office settings. We will test the feasibility and efficacy of implementing the online training and dissemination system within the pediatric office setting. We will also gather parental responses to specific components of the pediatric visit, which will be impacted by the online training for pediatric offices.
The following hypotheses will be tested:
Primary Hypothesis
H1. The following measures of physician behavior, as assessed by exit interviews, 3 month follow up telephone interviews of parents or guardians who smoke or parents or guardians who live with a smoker and chart review of 20 charts, will increase more in the intervention practice than in the control practice:
- Screening for home no-smoking rule
- Screening for car no-smoking rule
- Advising parents about the need for a strictly enforced no-smoking in the home rule
- Advising parents about the need for a strictly enforced no-smoking in the car rule.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parent or guardian of child seen by the practice.
- •Smoke or live with a smoker.
- •Speak English or Spanish.
排除标准
- •Cannot be reached by telephone
结局指标
主要结局
Rate of home and car no smoking rules.
时间窗: Three months
次要结局
未报告次要终点
研究者
Jonathan P. Winickoff, MD, MPH
Associate Professor in Pediatrics
Massachusetts General Hospital