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Pediatric Residency Training On Tobacco

9. november 2005 opdateret af: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

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.

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

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.

Undersøgelsestype

Interventionel

Tilmelding

4000

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • New Jersey
      • Camden, New Jersey, Forenede Stater, 08103-1489
        • Rekruttering
        • UMDNJ-Robert Wood Johnson Medical School
        • Kontakt:
      • Jersey City, New Jersey, Forenede Stater, 07304
        • Rekruttering
        • Mount Sinai School of Medicine (Jersey City Program)
        • Kontakt:
      • Neptune, New Jersey, Forenede Stater, 07754
        • Rekruttering
        • Jersey Shore Medical Center
        • Kontakt:
      • Newark, New Jersey, Forenede Stater, 07112
        • Rekruttering
        • Newark Beth Israel Medical Center
        • Kontakt:
          • Joshua S Rosenblatt, MD
          • Telefonnummer: 973-926-7040
          • E-mail: josh@bethi.com
      • Paterson, New Jersey, Forenede Stater, 07503
        • Rekruttering
        • St. Joseph's Hospital and Medical Center
        • Kontakt:
    • New York
      • Bronx, New York, Forenede Stater, 10451
        • Rekruttering
        • Lincoln Medical Center
        • Kontakt:
          • Hermann Mendez, MD
          • Telefonnummer: 718-780-1025
      • Bronx, New York, Forenede Stater, 10457
        • Rekruttering
        • Bronx/Lebanon Hospital
        • Kontakt:
          • Ronald Bainbridge, MD
          • Telefonnummer: 718-518-5760
      • Brooklyn, New York, Forenede Stater, 11201
        • Rekruttering
        • Long Island College Hospital
        • Kontakt:
          • Umit Emre, MD
          • Telefonnummer: 718-780-1025
      • Brooklyn, New York, Forenede Stater, 11206-5317
        • Rekruttering
        • Woodhull Medical and Mental Health Center
        • Kontakt:
          • John Moohr, MD
          • Telefonnummer: 718-963-8778
      • Brooklyn, New York, Forenede Stater, 11212
        • Rekruttering
        • Brooklyn Hospital Center Program
        • Kontakt:
      • East Meadow, New York, Forenede Stater, 11554
        • Rekruttering
        • Nassau County Medical Center
        • Kontakt:
          • Stephen P Katz, MD
          • Telefonnummer: 516-572-6177
      • Flushing, New York, Forenede Stater, 11355
        • Rekruttering
        • New York Flushing Hospital Medical Center
        • Kontakt:
          • Fatema Meah, MD
          • Telefonnummer: 718-670-3145
      • Mineola, New York, Forenede Stater, 516-663-2288
        • Rekruttering
        • Winthrop-University Hospital Program
        • Kontakt:
          • Stephen Marino, DO
          • Telefonnummer: 516-663-4423
      • New York City, New York, Forenede Stater, 10021
        • Rekruttering
        • New York and Presbyterian Hospital (Cornell Campus) Program
        • Kontakt:
          • Susan Bostwick, MD
          • Telefonnummer: 212-746-3522

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

1 sekund og ældre (Barn, Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

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.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Uddannelse/Rådgivning/Træning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Efterforskere

  • Ledende efterforsker: Joseph Schwab, M.D., New Jersey Medical School

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2001

Studieafslutning

1. februar 2006

Datoer for studieregistrering

Først indsendt

3. december 2004

Først indsendt, der opfyldte QC-kriterier

3. december 2004

Først opslået (Skøn)

6. december 2004

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

10. november 2005

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. november 2005

Sidst verificeret

1. december 2004

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 1R01HD40683-1

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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