- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT03064724
Practice-based Intervention for Vietnamese and Korean Patients
22. februar 2017 opdateret af: Thu Quach, Asian Health Services
This pilot project examined the feasibility of an multilingual interactive video education intervention "an interactive Mobile Doctor intervention (iMD)" to promote patient-provider discussion on tobacco use for Korean- and Vietnamese-speaking male patients at primary care settings.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
While California has made significant strides in tobacco control and is leading the nation in reducing smoking use, the decline is not observed in all groups.
Select groups still have much higher smoking rates and thus bear an unequal burden of tobacco-related illnesses and deaths.
Of important note, Asian American men as a combined group have a higher smoking rate than non-Hispanic Whites (22% vs. 18%, respectively); in particular, the highest smoking prevalence has been observed in Vietnamese (31%) and Korean (30%) men among major Asian subgroups.
Research also shows that smoking rates are higher for Asian American men with low acculturation (e.g., immigrant status, low English proficiency) than for those who are more acculturated; yet the reverse trend is observed in Asian American women.
These findings underscore the need for more targeted tobacco control efforts.
The scientific literature suggests that provider advice to quit smoking can influence a smoker's decision to quit.
However, research has shown that Asian Americans are less likely to receive such provider advice.
Providers often have very limited face-time with patients during the short clinic visit, which presents a challenge as to whether they can incorporate smoking cessation messages during the visit.
Overall, little research has focused on smoking cessation in the clinic setting, particularly research that focuses on Asian Americans.
The purpose of the pilot study was to develop a more streamlined smoking cessation intervention that can be integrated into the clinic visit, especially to maximize the time when patients are waiting to see their providers.
The research question was whether providing culturally appropriate video education that includes provider advice and was tailored to a patient's readiness for quitting smoking will increase whether a patient receives smoking cessation education according to the recommended Clinical Practice Guideline and whether this results in a decrease in tobacco use in low-income Vietnamese and Korean patients.
Using a community-based participatory research approach, the investigators created the iMD that delivers tailored in-language video messages via a mobile tablet to Korean and Vietnamese male smokers right before their clinic visit with a provider.
iMD delivers the "5 A's" and generates a bilingual tailored printout.
Participants were Korean- and Vietnamese-speaking patients who self-identify as daily smokers and receive primary care at a federally-qualified health center.
This study evaluated the feasibility and acceptability of iMD from the patients' perspectives.
This study examined patient-provider discussion on tobacco use from patients' self-report and electronic health record (EHR), and self-reported quit attempts and smoking abstinence at 3 months post iMD visit.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
47
Fase
- Ikke anvendelig
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
18 år til 75 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Han
Beskrivelse
Inclusion Criteria:
- current smokers identified on electronic health records (EHR)
- have a scheduled primary care visit during the recruitment period
Exclusion Criteria:
- already quit smoking or not smoking daily in the past 7 days
- had already quit smoking or not smoking daily in the past 7 days
- had canceled or rescheduled their primary care visit outside of the study period
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: Smoking Cessation Group
Patients received the interactive mobile doctor (iMD) intervention.
|
iMD delivers tailored interactive video education via a mobile tablet to smoking patients right before their clinic visit with a provider.
iMD delivers the "5 A's" (ask, advise, assess, assist, and arrange) and generates a bilingual tailored printout, which aims to increase patient-provider discussion on tobacco use and to promote smoking cessation.
This version of iMD delivers the intervention in Korean or Vietnamese languages as preferred by the patient.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Participation Rate
Tidsramme: Baseline
|
proportion of eligible participants consent to participate
|
Baseline
|
Acceptability
Tidsramme: through study completion, an average of 1 year
|
proportion of participants who rated the intervention as moderately to extremely satisfied
|
through study completion, an average of 1 year
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Patient-provider discussion
Tidsramme: "through study completion, an average of 1 year
|
self-reported by patient whether discussion on tobacco use took place at the indexed clinical encounter
|
"through study completion, an average of 1 year
|
Physician delivery of 5As
Tidsramme: "through study completion, an average of 1 year
|
EHR-documented physician's delivery of assess, advice, assist, or arrange at the indexed clinical encounter
|
"through study completion, an average of 1 year
|
Quit attempt
Tidsramme: 3-month
|
self-reported at least one or more 24 hour quit attempts
|
3-month
|
Abstinence
Tidsramme: 3-month
|
self-reported 7-day point prevalent smoking abstinence
|
3-month
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Thu Quach, PhD, MPH, Asian Health Services
- Ledende efterforsker: Janice Tsoh, University of California, San Francisco
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. august 2012
Primær færdiggørelse (Faktiske)
1. juli 2015
Studieafslutning (Faktiske)
1. juli 2015
Datoer for studieregistrering
Først indsendt
20. februar 2017
Først indsendt, der opfyldte QC-kriterier
22. februar 2017
Først opslået (Faktiske)
27. februar 2017
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
27. februar 2017
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
22. februar 2017
Sidst verificeret
1. februar 2017
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 21BT-0056
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 .
Kliniske forsøg med Interactive Mobile Doctor ("iMD")
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University of California, San FranciscoTobacco Related Disease Research ProgramRekrutteringKræft | Ophør med tobaksbrug | TobaksafhængighedForenede Stater