Computer-Facilitated 5A's for Smoking Cessation in Primary Care
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This project develops and tests a computer-facilitated 5A's (CF-5A's) model that administers the 5A's intervention to patients then prompts providers for reinforcing next steps. CF-5A's could efficiently and effectively promote smoking cessation while educating providers about cessation resources and appropriate follow-up. Based on the Technology Acceptance Model, clinically tailored strategies to promote CF-5A's implementation will be developed and tested to ensure the appropriate use and uptake of this new service delivery model. Development of the model, materials, and strategies will occur in years 1 and 2.
Baseline data collection occurs in year 2, followed by a randomized trial of CF- 5A's where the provider is the unit of randomization. Provider use of the 5A's will primarily be assessed with a brief phone call to the patient after the primary care visit has occurred.
Although focused on 5A's for smoking cessation, this study examines the underlying implementation science of computer-aided service delivery models with important implications for the integration of other substance use or behavioral health interventions in primary care. Implementation factors will be assessed using qualitative interviews and brief pre-post surveys.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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California
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San Francisco, California, Forenede Stater, 94110
- San Francisco General Hospital
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San Francisco, California, Forenede Stater, 94115
- UCSF Adult Primary Care Mt. Zion Clinic
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria: All primary care providers and clinic staff are eligible to participate. Patients must have
- a primary care appointment
- smoked a cigarette in past 7 days
- smoked at least 100 cigarettes in lifetime
- speak English or Spanish
- be cognitively able to use computer tablet
Exclusion Criteria:
- Moderate to severe cognitive impairment
- Does not speak English or Spanish
- acute intoxication on alcohol or illicit drugs
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Enkelt gruppeopgave
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Tablet Intervention
Primary care providers will be randomized into intervention or control conditions.
The patients of intervention providers will be given a computer tablet that provides 5A's for smoking cessation counseling.
Patients of control providers will not receive a tablet intervention.
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Ingen indgriben: Control
Primary care providers will be randomized into intervention or control conditions.
The patients of intervention providers will be given a computer tablet that provides 5A's for smoking cessation counseling.
Patients of control providers will not receive a tablet intervention.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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5A's Fidelity
Tidsramme: Baseline assessment 2013-14; Intervention 2014-2015
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Baseline and post-tablet intervention assessments of primary care provider adherence to 5A's protocol for smoking cessation.
Patients are called after their primary care appointment and asked a series of questions to determine if (and which of) the 5A's were used during that visit.
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Baseline assessment 2013-14; Intervention 2014-2015
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Tablet Usage
Tidsramme: 7/2014-7/2015
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Intervention includes system strategies to improve usage of computer tablets in primary care waiting rooms.
Outcome = tablet saturation or proportion of patients given a tablet.
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7/2014-7/2015
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Implementation Factors
Tidsramme: July 2013-2015
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Qualitative interview data to assess the utility of the "Technology Acceptance Model" in explaining tablet and 5A's usage.
Variables assessed include perceived usefulness, social norms and influence, and facilitating conditions.
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July 2013-2015
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Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Jason M Satterfield, PhD, University of California
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 1R01DA034253-01 (U.S. NIH-bevilling/kontrakt)
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Kliniske forsøg med Computer Tablet
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University Hospital, Basel, SwitzerlandSwiss National Science FoundationAfsluttet