Integrating Tobacco Cessation Coaching Sessions Into Radiation Medicine Treatment: A Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2
- 试验地点
- 2
- 主要终点
- Change in frequency of tobacco counsel
研究概览
简要总结
This pilot clinical trial studies how well provider training works in increasing patient tobacco cessation counseling and referrals for patients with cancer undergoing radiation therapy. Health care provider training in motivational interviewing techniques and utilizing tobacco cessation resources may help doctors understand how health care providers can effectively increase their confidence in talking to patients about tobacco cessation counseling.
详细描述
PRIMARY OBJECTIVES:
I. To determine if training providers on tobacco cessation resources increases the frequency of counseling and referrals at initial and follow-up consultations for cancer patients who use tobacco and are scheduled to receive radiation at Oregon Health and Science University (OHSU).
SECONDARY OBJECTIVES:
I. Increase provider frequency of tobacco use quantification and type. II. Increase frequency of provider assessment of tobacco cessation readiness in current users.
III. Increase frequency and types of tobacco cessation resources and medicines offered and utilized.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •MEDICAL CHART REVIEW
- •Pre-intervention: 200 patient records between January 1, 2016 and December 31, 2016 are subject to review; the first 50 records with a diagnoses of each cancer type: head and neck, lung, prostate, or breast will be utilized for the review
- •Post-intervention: 200 patient records receiving care beginning six months post training are subject to review; the first 50 records with a diagnoses of head and neck, lung, prostate, or breast will be utilized
- •PROVIDER TRAINING
- •OHSU Radiation Medicine department has agreed to participate as pilot department for this project; all active Radiation Medicine providers are requested to participate in the training; providers have the option to not participate
- •TOBACCO CESSATION COACHING
- •Patients who are at least 18 years of age
- •Speak English
- •Report tobacco use within the past 7 days
- •Willing to consider quitting smoking
- •Patients must be willing to meet four times in person or on the phone to discuss tobacco use
- •Patients must be willing to be audio recorded during the sessions
- •Patients who meet this criteria will be referred to OHSU Health Promotion Sports Medicine researcher, Carol DeFrancesco, to complete assessment using stages of change tobacco use readiness ruler and question set
- •Patient smoking status will be documented in their electronic health record, per routine care
排除标准
- •Vulnerable Populations
- •The following groups will be excluded from participation:
- •Decisionally impaired adults
- •Prisoners
- •Pregnant women
结局指标
主要结局
Change in frequency of tobacco counsel
时间窗: Baseline up to 24 months
Will be compared between the cohort of pre and post intervention. Will be summarized using descriptive statistics and compared using chi-square test by tumor type.
次要结局
- Change in frequency and type of follow-up planned if referred to cessation resource assessed by medical chart review(Baseline up to 24 months)
- Change in frequency and types of tobacco cessation resources and medicines offered and utilized assessed by medical chart review(Baseline up to 24 months)
- Change in frequency of provider assessment of tobacco cessation readiness in current users assessed by medical chart review(Baseline up to 24 months)
- Change in provider frequency of tobacco use quantification and type assessed by medical chart review(Baseline up to 24 months)
研究者
John Holland
Associate Professor
OHSU Knight Cancer Institute