Evaluating Effective Methods for Referral for Smoking Cessation Counseling and High Blood Pressure Follow-up

Not Applicable

Completed

• Conditions: Smoking Cessation; Hypertension
• Interventions: Behavioral: Referral to primary care physician for hypertension control; Behavioral: Referral to smoking quit line

• Registration Number: NCT03020836
• Lead Sponsor: Johns Hopkins University

Brief Summary

Investigators conducted a clinic-based study to determine the magnitude of uncontrolled hypertension and current smoking in eye doctor's offices and sought to determine if referral to care results in actions taken by the patient.

Detailed Description

Smoking and hypertension are two modifiable risk factors that are linked to highly prevalent chronic diseases such as diabetes and cardiovascular disease. The ophthalmology waiting room has the potential to be an effective point of intervention to provide referral to primary care in addition to health education on preventive health topics.

The investigators therefore, conducted a clinic-based study to determine the magnitude of uncontrolled hypertension and current smoking in eye doctor's offices and to determine if referral to care results in actions taken by the patient.

The investigators determined the proportion of patients who have elevated blood pressure. Patients were referred appropriately and the proportion of participants who followed the recommendation to meet with their primary care doctor for elevated blood pressure at 4-6 weeks and 8-10 weeks was determined. In addition, those who consented to be in the study and admitted to smoking cigarettes were offered smoking cessation assistance through a quit line. Investigators also followed up on cigarette smoking at 4-6 weeks and 8-10 weeks.

Study Timeline

• Study Start: 2015-04
• Primary Completion: 2016-07
• Study Completion: 2016-07
• Status Verified: 2017-01
• Study First Submitted: 2017-01-10
• Study First Submitted QC: 2017-01-12
• Last Update Submitted: 2017-01-12
• Study First Posted: 2017-01-13
• Last Update Posted: 2017-01-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 473

Inclusion Criteria

• Patients >18 years of age presenting to the glaucoma service and general eye service at Wilmer Eye Institute.

Exclusion Criteria

• Non-English speakers
• Unable to provide written informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hypertension patient referral	Referral to primary care physician for hypertension control	Referral to primary care physician for hypertension control: Patients with uncontrolled hypertension were referred to a primary care physician for treatment.
Smoking cessation patient referral	Referral to smoking quit line	Referral to smoking quit line: Patients that were current smokers were referred to the Maryland smoking cessation quit line if they were willing.

Primary Outcome Measures

Name	Time	Method
Proportion of patients with elevated blood pressure	1 day (at study clinic visit)

Secondary Outcome Measures

Name	Time	Method
Proportion of patients that are current smokers	1 day (at study clinic visit)
Proportion of patients that were current smokers that sought referral quit line assistance	From study visit to 10 weeks after
Proportion of patients with elevated blood pressure that sought referral care	From study visit to 10 weeks after