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- Klinische proef NCT00098215
Pediatric Residency Training On Tobacco
Pediatric Residency Training on Tobacco
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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New Jersey
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Camden, New Jersey, Verenigde Staten, 08103-1489
- Werving
- UMDNJ-Robert Wood Johnson Medical School
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Contact:
- William Graessle, MD
- Telefoonnummer: 856-342-2472
- E-mail: Graessle-Bill@cooperhealth.edu
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Jersey City, New Jersey, Verenigde Staten, 07304
- Werving
- Mount Sinai School of Medicine (Jersey City Program)
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Contact:
- Richard Bonforte, MD
- Telefoonnummer: 201-915-2455
- E-mail: rbonforte@libertyhcs.org
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Neptune, New Jersey, Verenigde Staten, 07754
- Werving
- Jersey Shore Medical Center
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Contact:
- Alan Cabasso, MD
- Telefoonnummer: 732-776-4269
- E-mail: jsmcped@aol.com
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Newark, New Jersey, Verenigde Staten, 07112
- Werving
- Newark Beth Israel Medical Center
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Contact:
- Joshua S Rosenblatt, MD
- Telefoonnummer: 973-926-7040
- E-mail: josh@bethi.com
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Paterson, New Jersey, Verenigde Staten, 07503
- Werving
- St. Joseph's Hospital and Medical Center
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Contact:
- Thomas Daley, MD
- Telefoonnummer: 973-754-2619
- E-mail: daleyt@sjhmc.org
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New York
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Bronx, New York, Verenigde Staten, 10451
- Werving
- Lincoln Medical Center
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Contact:
- Hermann Mendez, MD
- Telefoonnummer: 718-780-1025
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Bronx, New York, Verenigde Staten, 10457
- Werving
- Bronx/Lebanon Hospital
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Contact:
- Ronald Bainbridge, MD
- Telefoonnummer: 718-518-5760
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Brooklyn, New York, Verenigde Staten, 11201
- Werving
- Long Island College Hospital
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Contact:
- Umit Emre, MD
- Telefoonnummer: 718-780-1025
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Brooklyn, New York, Verenigde Staten, 11206-5317
- Werving
- Woodhull Medical and Mental Health Center
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Contact:
- John Moohr, MD
- Telefoonnummer: 718-963-8778
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Brooklyn, New York, Verenigde Staten, 11212
- Werving
- Brooklyn Hospital Center Program
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Contact:
- Theodoros Raptis, MD
- Telefoonnummer: 718-250-6209
- E-mail: mjs9005@nyp.org
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East Meadow, New York, Verenigde Staten, 11554
- Werving
- Nassau County Medical Center
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Contact:
- Stephen P Katz, MD
- Telefoonnummer: 516-572-6177
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Flushing, New York, Verenigde Staten, 11355
- Werving
- New York Flushing Hospital Medical Center
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Contact:
- Fatema Meah, MD
- Telefoonnummer: 718-670-3145
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Mineola, New York, Verenigde Staten, 516-663-2288
- Werving
- Winthrop-University Hospital Program
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Contact:
- Stephen Marino, DO
- Telefoonnummer: 516-663-4423
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New York City, New York, Verenigde Staten, 10021
- Werving
- New York and Presbyterian Hospital (Cornell Campus) Program
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Contact:
- Susan Bostwick, MD
- Telefoonnummer: 212-746-3522
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Educatief/Counseling/Training
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Joseph Schwab, M.D., New Jersey Medical School
Studie record data
Bestudeer belangrijke data
Studie start
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 1R01HD40683-1
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
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