Assessment of a Teachable Moment for Smoking Cessation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 234
- 试验地点
- 1
- 主要终点
- Accrual Rate (Eligibility Visit)
研究概览
简要总结
A teachable moment (TM) refers to life events or transitions, such as physician visits, early detection screening feedback, pregnancy, and hospitalization for, and diagnosis of, disease, that inspire health behavior change. Despite strong intuitive appeal of the TM concept and over 150 studies of interventions implemented in a TM, there has been little investigation of the influence of TMs for smoking, particularly for promoting smoking cessation among those indirectly affected by a TM (e.g., relatives of cancer patients). This prospective observational study using a matched-group design will assess whether a lung cancer diagnosis increases enrollment in a smoking cessation program and cessation, and reduces smoking, among the patient's relatives/spouse who smoke. We will compare enrollment in a cessation program and cessation and smoking rates in 2 groups of smokers: 1) relatives/spouses of newly-diagnosed lung cancer patients, and 2) relatives/spouses of patients with an orthopedic condition. We will also explore mediators and moderators of a lung cancer diagnosis as a TM. This study could clarify the TM concept for smoking cessation, shed light on the underlying mechanisms of TMs, and guide future development and implementation of TM-based smoking cessation interventions.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
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
- •A relative (i.e., sibling, parent, child, grandparent, aunt, uncle, cousin) or spouse of a newly-diagnosed lung or head and neck cancer patient or orthopedic patient (e.g., arthritis, bone and joint infection, foot and ankle conditions, hand, wrist, and elbow conditions such as carpal tunnel syndrome, shoulder and elbow conditions, such as rotator cuff injury, and knee conditions, such as ligament damage repair);
- •A regular smoker (i.e., smoke 10 cigarettes/day on average);
- •Able to use NRT (see contraindications under Key Exclusion Criteria);
- •Age 18 or older (to use NRT); and
- •Living within ~50 miles of PENN (to allow for meetings at PENN).
排除标准
- •Cannot communicate in English;
- •Have current alcohol abuse/dependence;
- •Are or have been diagnosed with cancer, asthma, HIV, emphysema, or COPD;
- •Have a current medical problem for which NRT is contraindicated such as uncontrolled hypertension (> 150 over 90), unstable angina, heart attack or stroke within the past 6 months, and liver and/or kidney failure in the last 6-months;
- •Currently use monoamine oxidase inhibitors or benzodiazepines, anti-psychotics, and antidepressants, including bupropion;
- •Are allergic to adhesive tape or latex, and
- •Are a female who is pregnant or nursing.
研究组 & 干预措施
2
Relatives of Orthopedic Patients
干预措施: Transdermal nicotine patch (Drug)
1
Relatives of Cancer Patients
干预措施: Transdermal nicotine patch (Drug)
结局指标
主要结局
Accrual Rate (Eligibility Visit)
时间窗: week zero
Show rate to eligibility visit
次要结局
- Show Rate at First Treatment Session(week one)
- Smoking Cessation Rate(week nine)
研究者
Robert Schnoll
Associate Professor
University of Pennsylvania