- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00098215
Pediatric Residency Training On Tobacco
Pediatric Residency Training on Tobacco
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning
Fas
- Fas 2
Kontakter och platser
Studieorter
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New Jersey
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Camden, New Jersey, Förenta staterna, 08103-1489
- Rekrytering
- UMDNJ-Robert Wood Johnson Medical School
-
Kontakt:
- William Graessle, MD
- Telefonnummer: 856-342-2472
- E-post: Graessle-Bill@cooperhealth.edu
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Jersey City, New Jersey, Förenta staterna, 07304
- Rekrytering
- Mount Sinai School of Medicine (Jersey City Program)
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Kontakt:
- Richard Bonforte, MD
- Telefonnummer: 201-915-2455
- E-post: rbonforte@libertyhcs.org
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Neptune, New Jersey, Förenta staterna, 07754
- Rekrytering
- Jersey Shore Medical Center
-
Kontakt:
- Alan Cabasso, MD
- Telefonnummer: 732-776-4269
- E-post: jsmcped@aol.com
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Newark, New Jersey, Förenta staterna, 07112
- Rekrytering
- Newark Beth Israel Medical Center
-
Kontakt:
- Joshua S Rosenblatt, MD
- Telefonnummer: 973-926-7040
- E-post: josh@bethi.com
-
Paterson, New Jersey, Förenta staterna, 07503
- Rekrytering
- St. Joseph's Hospital and Medical Center
-
Kontakt:
- Thomas Daley, MD
- Telefonnummer: 973-754-2619
- E-post: daleyt@sjhmc.org
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-
New York
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Bronx, New York, Förenta staterna, 10451
- Rekrytering
- Lincoln Medical Center
-
Kontakt:
- Hermann Mendez, MD
- Telefonnummer: 718-780-1025
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Bronx, New York, Förenta staterna, 10457
- Rekrytering
- Bronx/Lebanon Hospital
-
Kontakt:
- Ronald Bainbridge, MD
- Telefonnummer: 718-518-5760
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Brooklyn, New York, Förenta staterna, 11201
- Rekrytering
- Long Island College Hospital
-
Kontakt:
- Umit Emre, MD
- Telefonnummer: 718-780-1025
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Brooklyn, New York, Förenta staterna, 11206-5317
- Rekrytering
- Woodhull Medical and Mental Health Center
-
Kontakt:
- John Moohr, MD
- Telefonnummer: 718-963-8778
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Brooklyn, New York, Förenta staterna, 11212
- Rekrytering
- Brooklyn Hospital Center Program
-
Kontakt:
- Theodoros Raptis, MD
- Telefonnummer: 718-250-6209
- E-post: mjs9005@nyp.org
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East Meadow, New York, Förenta staterna, 11554
- Rekrytering
- Nassau County Medical Center
-
Kontakt:
- Stephen P Katz, MD
- Telefonnummer: 516-572-6177
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Flushing, New York, Förenta staterna, 11355
- Rekrytering
- New York Flushing Hospital Medical Center
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Kontakt:
- Fatema Meah, MD
- Telefonnummer: 718-670-3145
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Mineola, New York, Förenta staterna, 516-663-2288
- Rekrytering
- Winthrop-University Hospital Program
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Kontakt:
- Stephen Marino, DO
- Telefonnummer: 516-663-4423
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New York City, New York, Förenta staterna, 10021
- Rekrytering
- New York and Presbyterian Hospital (Cornell Campus) Program
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Kontakt:
- Susan Bostwick, MD
- Telefonnummer: 212-746-3522
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Utbildning/Rådgivning/Träning
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Samarbetspartners och utredare
Utredare
- Huvudutredare: Joseph Schwab, M.D., New Jersey Medical School
Studieavstämningsdatum
Studera stora datum
Studiestart
Avslutad studie
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 1R01HD40683-1
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