Tobacco Cessation Via Doctors of Chiropractic

Not Applicable

Completed

• Conditions: Tobacco Use Cessation
• Interventions: Behavioral: Brief counseling (Ask, Advise, Arrange)

• Registration Number: NCT00386945
• Lead Sponsor: Oregon Research Institute

Brief Summary

The purpose of the study is to develop an office-based tobacco intervention for chiropractic patients.

Detailed Description

Medical doctors, nurses, dentists, and dental hygienists have been shown to be effective in helping their patients quit tobacco. However, Doctors of Chiropractic (DCs) have not been utilized in this role. DCs can provide a unique channel for the conduct of tobacco interventions, but they currently receive little to no training in these techniques (Hawk \& Evans, 2005). Doctors of Chiropractic are increasingly concerned with patients' use of cigarettes and smokeless tobacco. The chiropractic team provides educational and preventive services to patients, and the office visit can provide an extended opportunity to talk to patients about their tobacco use (Hawk, Long, Perillo, \& Boulanger, 2004; Rupert, 2000). Given the health effects associated with chronic tobacco use, the chiropractic visit provides a "teachable moment" during which the DC can relate current health problems to tobacco use and provide brief counseling to patients who use tobacco (Gordon \& Severson, 2001; Vogt, Lichtenstein, Ary, et al., 1989).

In the proposed developmental study, eight chiropractic clinics will participate in the design, implementation, and evaluation of an office-based tobacco cessation intervention. Adapted from previous office-based intervention protocols, the intervention will be based on Cognitive Learning Theory (Bandura, 1997) and the Clinical Practice Guidelines (Fiore, Bailey, Cohen, et al., 2000) and will also incorporate Motivational Interviewing techniques (Miller \& Rollnick, 1991). Finally, using the RE-AIM framework (Glasgow, Vogt \& Boles, 1999), we will assess individual-, clinic-, and organization-level variables that may affect the delivery of treatment for tobacco dependence, the implementation and maintenance of the intervention.

Study Timeline

• Study Start: 2006-05
• Study First Submitted: 2006-09-19
• Study First Submitted QC: 2006-10-10
• Study First Posted: 2006-10-12
• Primary Completion: 2008-05
• Study Completion: 2008-05
• Status Verified: 2011-10
• Last Update Submitted: 2011-10-24
• Last Update Posted: 2011-10-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 201

Inclusion Criteria

• Doctors of Chiropractic currently licensed by the Oregon Board of Chiropractic Examiners and actively engaging in patient care, their Chiropractic Assistants, and their Chiropractic patients who use tobacco

Exclusion Criteria

• Chiropractic patients under the age of 18

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
1	Brief counseling (Ask, Advise, Arrange)	Non-Experiment Intervention consisting of an intervention based on the Clinical Practice Guideline: Treating Tobacco Use and Dependence and modified for use in chiropractic settings.

Primary Outcome Measures

Name	Time	Method
To design and refine our brief office-based tobacco intervention to use within chiropractic settings.	12 months
To develop and refine study implementation protocols, DC and patient recruitment procedures, data collection strategies, and follow-up procedures.	12 months
Prepare a working Manual of Procedures for a future randomized clinical trial.	24 months

Secondary Outcome Measures

Name	Time	Method
Evaluate the reach of the intervention through an evaluation of the proportion of tobacco users of consenting age who give consent, the proportion who complete the baseline survey, and the reasons for not participating of those who decline.	12 months
Evaluate the adoption of the intervention by interviewing clinic staff to identify the organizational-level factors that are related to participation.	12 months
Assess the implementation of the intervention through an examination of patient report of receipt of the intervention components and change in providers' behavior and attitudes as a function of training.	12 months
Explore the short-term maintenance of the intervention through an examination of change in provider behavior from baseline to 12 months after training and through an examination of change in clinic-level procedures.	12 months

Trial Locations

Locations (1)

Oregon Research Institute; 🇺🇸 Eugene, Oregon, United States