Impact of Appointment Reminder Strategies on Smoking Cessation Clinic Attendance (NO-SHOW-NCC)
Effect of Reminder Strategies on No-Show Rates in a Nicotine Cessation Clinic: A Randomized Controlled Trial
The goal of this clinical trial is to learn whether different appointment reminder methods can improve attendance at an anti-smoking (smoking cessation) clinic among adult smokers.
The main question it aims to answer is:
"Which reminder method helps participants come to their scheduled smoking cessation clinic appointments most often?" Researchers will compare different appointment reminder methods with standard appointment scheduling to see if they help participants attend their clinic visits more often.
Participants will:
- Receive appointment reminders using different methods
- Come to their scheduled visits at a smoking cessation (anti-nicotine) clinic
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 해당 없음
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Jagoda K Arendt
- 전화번호: +48 509 388 251
- 이메일: jagoda.arendt@gumed.edu.pl
연구 장소
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, 폴란드, 80-952
- University Clinical Centre
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연락하다:
- Łukasz W Balwicki, Assoc. Prof., DSc
- 전화번호: +48 606 369 656
- 이메일: balwicki@gumed.edu.pl
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수석 연구원:
- Jagoda K Arendt
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Age ≥ 18 years. Confirmed diagnosis of nicotine dependence (F17 according to the International Classification of Diseases, 10th Revision [ICD-10]) and active patient status at the Smoking Cessation Clinic.
- Provision of voluntary, written, informed consent to participate in the study and to be contacted by telephone or short text message.
- Ability to independently provide information and operate a mobile phone.
- At the time of study enrollment, attendance at an initial visit at the clinic.
Exclusion Criteria
- Age < 18 years.
- Lack of written, informed consent to participate in the study.
- Inability to independently understand the study procedures or provide responses (e.g., due to dementia or a language barrier).
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
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간섭 없음: Standard of care - Text message
Participants will receive a standard, automated text message reminding them of their scheduled appointment.
The message will be sent 1 day before the scheduled appointment.
The content of the message will be limited to logistical information (date, time, and location) and instructions on how to reschedule or cancel the appointment.
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실험적: Text message and standard phone call
Participants will receive a text message (similar to Arm 1) one day before the appointment and, additionally, a phone call from a trained staff member 1-5 days before the appointment.
The conversation will follow a strictly standardized script limited solely to confirming the appointment date, without any motivational or therapeutic elements.
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Participants will receive a phone call from a trained staff member 1-5 days before the appointment.
The conversation will follow a strictly standardized script limited solely to confirming the appointment date, without any motivational or therapeutic elements.
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실험적: Text message and phone call with MINDSPACE elements
Participants will receive a short text message (similar to Arm 1) and a phone call 1-5 days before their appointment. The conversation will follow a standardized script incorporating behavioral intervention (nudging) elements based on the MINDSPACE (Messenger, Incentives, Norms, Defaults, Salience, Priming, Affect, Commitments, Ego) framework. Key components of the script include:
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Participants will receive a phone call 1-5 days before their appointment. The conversation will follow a standardized script incorporating behavioral intervention (nudging) elements based on the MINDSPACE framework. Key components of the script include:
다른 이름들:
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연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Patient attendance at scheduled follow-up visit
기간: At the second scheduled visit at the Nicotine Cessation Clinic (2-8 weeks after baseline).
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Primary Outcome: The primary outcome measure is a binary assessment of patient attendance (Present/Absent) at the scheduled second visit, which takes place 2-8 weeks after the initial visit, as determined by the physician's individual assessment.
Attendance will be verified on the day of the scheduled visit based on objective data recorded in the "CliniNET" hospital system.
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At the second scheduled visit at the Nicotine Cessation Clinic (2-8 weeks after baseline).
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2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Impact of sociodemographic and clinical factors on patient attendance
기간: at baseline and 2 to 8 weeks after enrollment
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Secondary Outcomes: Secondary analyses will include an assessment of the impact of sociodemographic and clinical factors based on tests routinely performed as part of a medical visit (age, sex, level of dependence according to the Fagerström Test for Nicotine Dependence (FTND)).
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at baseline and 2 to 8 weeks after enrollment
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공동 작업자 및 조사자
간행물 및 유용한 링크
일반 간행물
- West R, Raw M, McNeill A, Stead L, Aveyard P, Bitton J, Stapleton J, McRobbie H, Pokhrel S, Lester-George A, Borland R. Health-care interventions to promote and assist tobacco cessation: a review of efficacy, effectiveness and affordability for use in national guideline development. Addiction. 2015 Sep;110(9):1388-403. doi: 10.1111/add.12998.
- Marcolino MS, Oliveira JAQ, D'Agostino M, Ribeiro AL, Alkmim MBM, Novillo-Ortiz D. The Impact of mHealth Interventions: Systematic Review of Systematic Reviews. JMIR Mhealth Uhealth. 2018 Jan 17;6(1):e23. doi: 10.2196/mhealth.8873.
- Kheirkhah P, Feng Q, Travis LM, Tavakoli-Tabasi S, Sharafkhaneh A. Prevalence, predictors and economic consequences of no-shows. BMC Health Serv Res. 2016 Jan 14;16:13. doi: 10.1186/s12913-015-1243-z.
- Wu Q, Zhang R, Tao L, Cai W, Cao X, Mao Z, Zhang J. Nudge theories and strategies influencing adult health behaviors and outcomes in COPD management: a systematic review. Front Public Health. 2024 Nov 5;12:1404590. doi: 10.3389/fpubh.2024.1404590. eCollection 2024.
- Wills L, Kenny PJ. Addiction-related neuroadaptations following chronic nicotine exposure. J Neurochem. 2021 Jun;157(5):1652-1673. doi: 10.1111/jnc.15356.
- Wang F, Li Y, Zhang C, Arbing R, Chen WT, Huang F. Evaluating digital nudge interventions for the promotion of cancer screening behavior: a systematic review and meta-analysis. BMC Med. 2025 Apr 14;23(1):214. doi: 10.1186/s12916-025-04028-8.
- Tang, B. (2022). Effect of SMS reminders on attendance rates for healthcare appointments: A systematic review & meta-analysis. Journal of Clinical Case Studies Reviews&Reports, 4(5), 1-8. https://doi.org/10.47363/JCCSR/2022(4)217
- Sakthisankaran, S. M., Sakthipriya, D., & Swamivelmanickam, M. (2024). Health risks associated with tobacco consumption in humans: An overview. Journal of Drug Delivery and Therapeutics, 14(5), 163-173. http://dx.doi.org/10.22270/jddt.v14i5.6523
- Rohrig B, du Prel JB, Wachtlin D, Kwiecien R, Blettner M. Sample size calculation in clinical trials: part 13 of a series on evaluation of scientific publications. Dtsch Arztebl Int. 2010 Aug;107(31-32):552-6. doi: 10.3238/arztebl.2010.0552. Epub 2010 Aug 9.
- Pęksa, J. W., & Dembe, K. (2021). Treatment of tobacco addiction - Outline of issues. Medycyna Ogólna i Nauki o Zdrowiu, 27(1), 32-39. https://doi.org/10.26444/monz/132652
- Picciotto MR, Kenny PJ. Mechanisms of Nicotine Addiction. Cold Spring Harb Perspect Med. 2021 May 3;11(5):a039610. doi: 10.1101/cshperspect.a039610.
- Michalek IM, Didkowska J, Koczkodaj P. First tobacco-free generation in Europe - A lost cause? Latest Global Youth Tobacco Survey data from Poland and the CEE region. J Cancer Policy. 2025 Sep;45:100601. doi: 10.1016/j.jcpo.2025.100601. Epub 2025 May 30.
- Jankowski M, Grudziaz-Sekowska J, Kaminska A, Sekowski K, Wrzesniewska-Wal I, Moczeniat G, Gujski M, Kaleta D, Ostrowski J, Pinkas J. A 2024 nationwide cross-sectional survey to assess the prevalence of cigarette smoking, e-cigarette use and heated tobacco use in Poland. Int J Occup Med Environ Health. 2024 Sep 10;37(3):271-286. doi: 10.13075/ijomeh.1896.02402. Epub 2024 Jun 14.
- Hwang AS, Atlas SJ, Cronin P, Ashburner JM, Shah SJ, He W, Hong CS. Appointment "no-shows" are an independent predictor of subsequent quality of care and resource utilization outcomes. J Gen Intern Med. 2015 Oct;30(10):1426-33. doi: 10.1007/s11606-015-3252-3. Epub 2015 Mar 17.
- Hrobjartsson A, Boutron I, Hopewell S, Moher D, Schulz KF, Collins GS, Tunn R, Aggarwal R, Berkwits M, Berlin JA, Bhandari N, Butcher NJ, Campbell MK, Chidebe RCW, Elbourne DR, Farmer AJ, Fergusson DA, Golub RM, Goodman SN, Hoffmann TC, Ioannidis JPA, Kahan BC, Knowles RL, Lamb SE, Lewis S, Loder E, Offringa M, Ravaud P, Richards DP, Rockhold FW, Schriger DL, Siegfried NL, Staniszewska S, Taylor RS, Thabane L, Torgerson DJ, Vohra S, White IR, Chan AW. SPIRIT 2025 explanation and elaboration: updated guideline for protocols of randomised trials. BMJ. 2025 Apr 28;389:e081660. doi: 10.1136/bmj-2024-081660.
- Hoogsteder PH, Kotz D, van Spiegel PI, Viechtbauer W, Brauer R, Kessler PD, Kalnik MW, Fahim RE, van Schayck OC. The efficacy and safety of a nicotine conjugate vaccine (NicVAX(R)) or placebo co-administered with varenicline (Champix(R)) for smoking cessation: study protocol of a phase IIb, double blind, randomized, placebo controlled trial. BMC Public Health. 2012 Dec 6;12:1052. doi: 10.1186/1471-2458-12-1052.
- Hasvold PE, Wootton R. Use of telephone and SMS reminders to improve attendance at hospital appointments: a systematic review. J Telemed Telecare. 2011;17(7):358-64. doi: 10.1258/jtt.2011.110707. Epub 2011 Sep 20.
- Dantas LF, Fleck JL, Cyrino Oliveira FL, Hamacher S. No-shows in appointment scheduling - a systematic literature review. Health Policy. 2018 Apr;122(4):412-421. doi: 10.1016/j.healthpol.2018.02.002. Epub 2018 Feb 15.
- Bauerle WB, Reese V, Stoltzfus J, Benton A, Knipe J, Wilde-Onia R, Castillo R, Thomas P, Cipolla J, Braverman MA. Effect of Standardized Reminder Calls on Trauma Patient No-Show Rate. J Am Coll Surg. 2024 Feb 1;238(2):236-241. doi: 10.1097/XCS.0000000000000898. Epub 2023 Oct 20.
- Bahadir A, Iliaz S, Yurt S, Ortakoylu MG, Bakan ND, Yazar E. Factors affecting dropout in the smoking cessation outpatient clinic. Chron Respir Dis. 2016 May;13(2):155-61. doi: 10.1177/1479972316629953. Epub 2016 Feb 4.
- Alkomos MF, Mendez D, Mazzei-Pifano D, Shafeek F, Rodriguez C, Ali F, Banks C, Melki G, Michael P. Patients' reasons for missing scheduled clinic appointments and their solutions at a major urban-based academic medical center. J Community Hosp Intern Med Perspect. 2020 Sep 3;10(5):426-430. doi: 10.1080/20009666.2020.1796903.
유용한 링크
- Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy, (February 2026), Poradnia Pomocy Palącym
- Telefoniczna poradnia pomocy palącym (TPPP) (2026 Luty), Jak rzucić palenie Telefoniczna poradnia pomocy palącym (TPPP)
- Uniwersyteckie Centrum Kliniczne w Gdańsku (2026 Luty) Uniwersyteckie Centrum Kliniczne Poradnia Antynikotynowa
- WHO. (2025). Tobacco.
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- KB/134/2026
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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