The Quit and Screen Project
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Weaver et al. 2012 Provider Perceptions about provider barriers to providing smoking cessation interventions to patients
研究概览
简要总结
The Quit and Screen Project seeks to engage healthcare providers in helping adults who smoke to quit tobacco use, including menthol cigarettes and flavored cigars, and screen for lung cancer early as strategies to reduce multiple chronic diseases.
The goal of this clinical trial is to test the feasibility and impact of the Quit and Screen Project alone versus the G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training + the Quit and Screen Project training modules on changes in provider knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition. Participants will complete the training modules and complete pre- and post-tests to assess these outcomes.
详细描述
This clinical trial tests the feasibility and impact of the Quit and Screen Project alone versus the G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training + the Quit and Screen Project training modules on changes in provider knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography among health care providers randomly assigned to each condition.
In partnership with the National Medical Association, investigators will recruit 300 healthcare providers who provide clinical services to individuals who smoke smoke. Interested providers will be screened; if eligible, the will complete informed consent. Providers who complete the online consent and agree to enroll in the training study will be individually randomized to one of 2 conditions: The Quit and Screen Project alone versus the G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training + the Quit and Screen Project training. After randomization, providers will complete a pre-test assessing their knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography. Providers will then complete an online training. Providers will then complete a post-test assessing their 1) knowledge, attitudes, and behavioral intentions related to provider advice to quit smoking and referrals for low dose computed tomography and 2) preferences for the online materials and satisfaction with the training. Feasibility will be assessed using data on provider interest in the training and training reach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Current National Medical Association (NMA) member
- •Serves a patient clientele who smokes
- •At least 20% of time (1 day per week) devoted to clinical care
- •Currently screens clients for tobacco use in the clinic
- •Have the capacity to refer smokers to a patient navigator
- •Willing to provide informed consent
- •Will provide contact email, address and phone.
排除标准
- 未提供
研究组 & 干预措施
Quit and Screen Project training alone
Providers in this arm will only complete the Quit and Screen Project training. This online course will be developed for healthcare providers and will fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by the G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training .
干预措施: Quit and Screen Project training (Other)
Quit and Screen Project training + G02 Lung Cancer Screening training
In this arm, providers will complete the G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training and the Quit and Screen Project training. The Quit and Screen Project training is an online course being developed to fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by the G02 Lung Cancer Screening training.
干预措施: Quit and Screen Project training (Other)
Quit and Screen Project training + G02 Lung Cancer Screening training
In this arm, providers will complete the G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training and the Quit and Screen Project training. The Quit and Screen Project training is an online course being developed to fill gaps in knowledge and attitudes toward lung cancer screening and smoking not covered by the G02 Lung Cancer Screening training.
干预措施: G02 (Global Knowledge Center for Lung Cancer) Lung Cancer Screening training (Other)
结局指标
主要结局
Weaver et al. 2012 Provider Perceptions about provider barriers to providing smoking cessation interventions to patients
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Perceptions about provider barriers to addressing smoking cessation with patient were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.
Familiarity with lung cancer screening guidelines
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Familiarity with treatment guidelines was assessed using an modified question from the Healthcare Provider Survey published by Primary Care Development Corporation in 2008.
Behavioral intentions to screen and advise patients about smoking cessation
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
A set of questions based on the Theory of Planned Behavior assessed provider's intention to screen patients for tobacco use and provide them interventions and referrals for treatment.
Perceptions about shared decision-making for low dose computed tomography for lung cancer screening
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Questions were modified from the questions published by Forcino et al. in 2018.
Behavioral intentions to advise patients to get screened for lung cancer via low dose computed tomography
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
A set of questions based on the Theory of Planned Behavior assessed provider's intention to advise patients who smoke to get screened for lung cancer via low dose computed tomography.
Familiarity with treatment guidelines for tobacco and nicotine treatment
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Familiarity with treatment guidelines was assessed using an modified question from the Healthcare Provider Survey published by Primary Care Development Corporation in 2008.
Provider Perceptions about patient barriers to smoking cessation
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Perceptions about patient barriers to smoking cessation were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.
Weaver et al. 2012 Provider Attitudes and Perceptions about smoking cessation
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
These questions assessed providers perceptions about the benefits of smoking cessation and the benefits of providers advising patients to quit smoking.
Perceptions about provider barriers to referring patients to low dose computed tomography for lung cancer screening
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Questions were modified from questions published by Coughlin et al. 2020.
Provider Perceptions about patient barriers to get screened for lung cancer
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Perceptions about patient barriers to getting screened for lung cancer were assessed using modified questions from a questions published in Weaver et al. 2012, Carter-Harris et al. (2017), and Raz et al. 2019.
Knowledge about low dose computed tomography for lung cancer screening
时间窗: This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.
Familiarity with treatment guidelines was assessed using an modified question from the questions published by Kota et al. 2022, Carter-Bawa et al. 2022, and the National Cancer Institute National Survey of Primary Care Physicians' Recommendations \& Practices for Breast, Cervical, Lung, \& Colorectal Cancer Screening.
次要结局
- Satisfaction with training(This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.)
- Retention: Percent of providers complete the training after enrolling(This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.)
- Adherence to completing training modules: Percent of modules completed(This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.)
- Preferences regarding training(This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.)
- Characteristics of enrolled healthcare providers(This is pre-post design. This outcome will be measured during the pre-test immediately before participants complete the 30-60 minute online training.)
- Retention: Percent of providers complete the training after enrolling(This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.)
- Adherence to completing training modules: Percent of modules completed(This is pre-post design where participants will complete a pre-test immediately before completing a 30-60 minute online training and then a post-test immediately after completing training.)
- Preferences regarding training(This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.)
- Satisfaction with training(This is pre-post design. This outcome will be measured during the post-test immediately after they complete the 30-60 minute online training.)