Pediatric Residency Training On Tobacco

Pediatric Residency Training on Tobacco

The purpose of this study is to determine whether a specialized, technology-based training program in tobacco prevention is more effective than standard training for pediatric residents who counsel youth and their parents.

Study Overview

• Status: Unknown
• Conditions: Tobacco Use Disorder
• Intervention / Treatment: Behavioral: Pediatric residency training on tobacco

Detailed Description

The American Academy of Pediatrics and other leading health agencies call upon pediatricians to address environmental tobacco smoke (ETS), prevent smoking onset in youths, and encourage cessation of tobacco use by adolescents and their parents. Systematic intervention on tobacco by pediatricians would protect infants and young children from the harmful effects of ETS and save adolescents from a lifetime of addiction and tobacco-related disease. Despite this, few pediatricians address tobacco use, and pediatric residency training programs are not preparing residents to play a leadership role in the anti-tobacco arena.

The Pediatric Residency Training on Tobacco project is a four-year randomized controlled study of the efficacy of a specialized tobacco intervention program for pediatric residents. Eight participating pediatric training sites were randomly assigned to a Special Training condition featuring "Solutions for Smoking", a hybrid CD-ROM/Website training program. Six sites were randomly assigned to a control condition that provided standard print literature. Key features of "Solutions for Smoking" include a website containing background material on tobacco, interviewing, behavioral and pharmacological aspects of intervention, and a series of CD-ROMs containing audio-visual vignettes that model state-of-the-art interviewing and tobacco intervention skills. Residents are expected to practice the interventions with patients in their Continuity Clinics, and all sites are provided with brochures and other intervention materials for this purpose. Study investigators meet with residents at all sites three times per year to discuss the program and the residents' efforts to intervene on tobacco with their patients. Annually, second and third-year residents participate in Objective Structured Clinical Examinations (OSCEs) and a Resident Tobacco Survey. Patients and parents attending each of the Continuity Clinics complete Patient and Parent Tobacco Surveys at baseline and end of study.

Primary endpoints include changes over time in pediatric residents' tobacco intervention knowledge, skills, and activities as reported on the Tobacco Surveys and measured by performance on the OSCEs at baseline and follow-up. Secondary endpoints include changes in smoking, other tobacco use, and control of ETS by patients and parents. The study hypothesizes that pediatric residents in both arms of the study will be similar in knowledge and skills at baseline; that residents in the specialized training program will acquire more knowledge and greater skills for tobacco intervention during the course of the study compared to residents in the control condition; and residents in each condition will increase the frequency in which they address tobacco in patients and parents.

• Study Type: Interventional
• Enrollment: 4000
• Phase: Phase 2

Contacts and Locations

Study Locations

• United States
  • New Jersey
    • Camden, New Jersey, United States, 08103-1489
      • Recruiting
      • UMDNJ-Robert Wood Johnson Medical School
      • Contact: William Graessle, MD; Phone Number: 856-342-2472; Email: Graessle-Bill@cooperhealth.edu
    • Jersey City, New Jersey, United States, 07304
      • Recruiting
      • Mount Sinai School of Medicine (Jersey City Program)
      • Contact: Richard Bonforte, MD; Phone Number: 201-915-2455; Email: rbonforte@libertyhcs.org
    • Neptune, New Jersey, United States, 07754
      • Recruiting
      • Jersey Shore Medical Center
      • Contact: Alan Cabasso, MD; Phone Number: 732-776-4269; Email: jsmcped@aol.com
    • Newark, New Jersey, United States, 07112
      • Recruiting
      • Newark Beth Israel Medical Center
      • Contact: Joshua S Rosenblatt, MD; Phone Number: 973-926-7040; Email: josh@bethi.com
    • Paterson, New Jersey, United States, 07503
      • Recruiting
      • St. Joseph's Hospital and Medical Center
      • Contact: Thomas Daley, MD; Phone Number: 973-754-2619; Email: daleyt@sjhmc.org
  • New York
    • Bronx, New York, United States, 10451
      • Recruiting
      • Lincoln Medical Center
      • Contact: Hermann Mendez, MD; Phone Number: 718-780-1025
    • Bronx, New York, United States, 10457
      • Recruiting
      • Bronx/Lebanon Hospital
      • Contact: Ronald Bainbridge, MD; Phone Number: 718-518-5760
    • Brooklyn, New York, United States, 11201
      • Recruiting
      • Long Island College Hospital
      • Contact: Umit Emre, MD; Phone Number: 718-780-1025
    • Brooklyn, New York, United States, 11206-5317
      • Recruiting
      • Woodhull Medical and Mental Health Center
      • Contact: John Moohr, MD; Phone Number: 718-963-8778
    • Brooklyn, New York, United States, 11212
      • Recruiting
      • Brooklyn Hospital Center Program
      • Contact: Theodoros Raptis, MD; Phone Number: 718-250-6209; Email: mjs9005@nyp.org
    • East Meadow, New York, United States, 11554
      • Recruiting
      • Nassau County Medical Center
      • Contact: Stephen P Katz, MD; Phone Number: 516-572-6177
    • Flushing, New York, United States, 11355
      • Recruiting
      • New York Flushing Hospital Medical Center
      • Contact: Fatema Meah, MD; Phone Number: 718-670-3145
    • Mineola, New York, United States, 516-663-2288
      • Recruiting
      • Winthrop-University Hospital Program
      • Contact: Stephen Marino, DO; Phone Number: 516-663-4423
    • New York City, New York, United States, 10021
      • Recruiting
      • New York and Presbyterian Hospital (Cornell Campus) Program
      • Contact: Susan Bostwick, MD; Phone Number: 212-746-3522

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 second and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

The training program will include all residents enrolled in the 14 participating residency training programs.

The Baseline and Follow-up Resident Tobacco Surveys and OSCEs will include all second and third year residents enrolled in the residency training programs at baseline and years 1, 2, and 3 of follow-up.

The Baseline and Follow-up Patient Tobacco Survey will include 30 patients, ages 12-21, who were present in the waiting areas of the Continuity Clinic when the surveys were administered. All patients present in the clinic will be approached and invited to participate. Partcipants must be able to read English or Spanish, and patients who are attending the clinic for the very first time will not be eligible to participate in the survey.

The Baseline and Follow-up Parent Tobacco Surveys will be administered to 100 parents (one per family) who are present in the clinic when the surveys are administered. Parents who cannot read English or Spanish and who are bringing their child to the clinic for the very first time will not be able to participate.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Educational/Counseling/Training
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Collaborators and Investigators

• Sponsor: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
• Investigators: Principal Investigator: Joseph Schwab, M.D., New Jersey Medical School

Study record dates

Study Major Dates

• Study Start: March 1, 2001
• Study Completion: February 1, 2006

Study Registration Dates

• First Submitted: December 3, 2004
• First Submitted That Met QC Criteria: December 3, 2004
• First Posted (Estimate): December 6, 2004

Study Record Updates

• Last Update Posted (Estimate): November 10, 2005
• Last Update Submitted That Met QC Criteria: November 9, 2005
• Last Verified: December 1, 2004

More Information

Terms related to this study

• Keywords: Residency training
• Additional Relevant MeSH Terms: Mental Disorders; Chemically-Induced Disorders; Substance-Related Disorders; Tobacco Use Disorder
• Other Study ID Numbers: 1R01HD40683-1