COPD Clinical Trial
Official title:
Effectiveness of Regular Reporting of Spirometric Results Combined With a Smoking Cessation Advice by a Primary Care Physician on Smoking Quit Rate in Adult Smokers: a Randomized Controlled Trial.
The purpose of this study is to evaluate the effectiveness of regular reporting of
spirometric results combined with smoking cessation advice on smoking quit rate in adult
smokers in primary care.
Hypothesis: In adult smokers, regular reporting of spirometric test results in addition with
smoking cessation advice will increase smoking quit rate.
Expected outcome: increase of smoking cessation rate .
Design: Intervention study with two randomized arms in 5 primary care centers of two health
areas.
Study population: 466 smokers over the age of 18 consulting their primary care physician for
any reason and who do not fulfil the exclusion criteria.
Measurements and interventions: The study data will be collected using a structured
questionnaire and data collection sheets specifically designed for the study The structured
questionnaire will include the following data: sociodemographics, clinical history, smoking
habit, respiratory symptomatology, smoking dependence test and smoking cessation motivation
test.
The data collection sheets will include information related to the spirometric results, peak
expiratory flow rate and the carbon monoxide test when performed.
On visit 0, the primary care physician will give a brief structured smoking cessation advice
to all patients combined with a detailed and structured discussion of the spirometric
results. After this visit the patients will be randomised in two arms (control and
intervention groups).
Randomisation will be performed using a computer programme.
Randomisation will be carried out by the Coordinating Centre.
Both groups will be followed up by telephone at three (visit 1) and six months (visit 2) and
at one-year (visit 3) and two-year(visit 4).
During the follow up visits brief structured smoking cessation advice will be reinforced in
the control group but the spirometric results will not be discussed. In the intervention
group brief structured smoking cessation advice will be reinforced with a detailed
structured reminder discussion of the results obtained from the spyrometry of visit 0.
Follow up visits 1 and 2 will be undertaken by telephone and the patients will be asked
about their smoking habit and will be given a brief questionnaire.
One month before visits 3 and 4 both groups will undergo the same series of tests performed
prior to visit 0 with the exception of the peak expiratory flow rate. Spirometry will be
done only in the intervention group.
On visits 3 and 4, the same intervention will be done. On both visits 3 and 4 all the
participants who report smoking withdrawal will undergo the carbon monoxide test.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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