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NCT00756704 · ClinicalTrials.gov registry record · NA

The Effectiveness of Smoking Cessation Guidelines in the Emergency Department

A NA study of Cigarette Smoking, sponsored by University of Iowa.

Completed
Registry status
NA
Development phase
789
Enrollment target
2
Study locations

NCT00756704 is a NA study of Cigarette Smoking that has completed, run by University of Iowa. The registered enrollment target is 789 participants, above the 159-participant average among 45 other Cigarette Smoking trials with a reported enrollment target (396% higher). The trial reports 2 study locations across 1 state.

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The verdict

NCT00756704, a NA study of Cigarette Smoking, has completed, sponsored by University of Iowa.

COMPLETED
Registry status
NA
Development phase
789 participants
Enrollment target
2
Study locations

Study Summary

Although 78% of smokers report that a health professional has previously advised them to quit smoking, most smokers are not advised to stop smoking or offered assistance with smoking cessation during a given ED visit. There are multiple barriers to routine implementation of smoking cessation guidelines by emergency clinicians, however, and rigorously performed clinical trials are needed to demonstrate that routine screening and counseling of ED patients results in increased quit rates. To determine the feasibility of implementing the Agency for Healthcare Research and Quality (AHRQ) Smoking Cessation Guideline in the ED, we will conduct a clinical trial in 974 ambulatory adult smokers who present to 2 emergency departments, using a pre-post design. During the 3-month baseline period, clinicians will perform their usual duties but will not receive training in use of the AHRQ Guideline. Based on the Chronic Care Model, the 3-month intervention period will include: 1) a tutorial on brief cessation counseling for ED nurses and physicians, 2) use of an ED algorithm that includes recommended tobacco counseling items, 3) fax referral of motivated smokers to Quitline Iowa for proactive telephone counseling plus free nicotine replacement therapy, and 4) group and individual feedback to ED staff. We will conduct exit interviews of ED patients to assess performance of guideline-recommended actions by ED staff and 3- and 6-month telephone follow-up to determine 7-day point-prevalence abstinence (with biochemical confirmation of self-reported quitters at 6 months). Our main analyses will examine the contrast between the intervention and control periods in the performance of guideline-recommended actions and in 6-month quit rates, using hierarchical logistic regression to adjust for baseline differences in potentially confounding patient variables. In secondary analyses, we will assess the change in attitudes of ED nurses and physicians toward smoking cessation counseling. This f

Conditions Studied

Interventions

  • BEHAVIORAL Smoking cessation guideline implementation

Study Locations (2)

Iowa

  • Iowa Methodist Medical Center - Des Moines
  • The University of Iowa Hospitals and Clinics Emergency Treatment Center - Iowa City

Trial Details

FieldValue
Enrollment Target 789 participants
Start Date 2008-09
Est. Completion 2011-06
Phase NA

Sponsor

University of Iowa

228 total trials

What the Registry Record Tells You About NCT00756704

The ClinicalTrials.gov registry entry for NCT00756704 describes a study currently listed as completed, categorized as NA. The registered enrollment target is 789 participants, a figure that helps gauge the scale of data the investigators plan to collect, above the 159-participant average among 45 other Cigarette Smoking trials with a reported enrollment target (396% higher). The listed sponsor is University of Iowa, which has 228 total studies on file at ClinicalTrials.gov.

The record links to 1 condition, with Cigarette Smoking appearing as the primary indexed condition, and to 1 intervention - of which Smoking cessation guideline implementation is the first listed.

NCT00756704 reports 2 study locations spanning 1 distinct geographic area - top geographies include Iowa.

Frequently Asked Questions

What is clinical trial NCT00756704 about?

NCT00756704 is a clinical study titled "The Effectiveness of Smoking Cessation Guidelines in the Emergency Department". Although 78% of smokers report that a health professional has previously advised them to quit smoking, most smokers are not advised to stop smoking or offered assistance with smoking cessation during a given ED visit. There are multiple barriers to routine implementation of smoking cessation guideli...

What is the current status of trial NCT00756704?

This trial is currently completed. It is a NA study. The enrollment target is 789 participants. The study started on 2008-09. Estimated completion is 2011-06.

What conditions does trial NCT00756704 study?

This clinical trial studies the following conditions: Cigarette Smoking.

What interventions are being tested in trial NCT00756704?

The interventions under investigation include: Smoking cessation guideline implementation (BEHAVIORAL).

Who is sponsoring clinical trial NCT00756704?

This trial is sponsored by University of Iowa, which has 228 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT00756704 being conducted?

This trial has 2 study locations across Iowa. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

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