Smoking Cessation Clinical Trial
Official title:
Computer-Facilitated 5A's for Smoking Cessation in Primary Care
Verified date | September 2017 |
Source | University of California, San Francisco |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study tests the use of handheld computer tablets to promote the integration of 5A's (Ask, Advise, Assess, Assist, Arrange) for smoking cessation in academic and community primary care clinics. Although most patients receive the "ask" and "advise" steps, only slightly more than half are "assessed" for readiness to change, less than half receive "assistance" in changing, and only 9% have an "arranged" follow-up. While the large majority of primary care providers support the 5A's model, negative attitudes and the lack of time, knowledge, and cessation skills are common obstacles. Alternate service delivery systems that address these obstacles and evidence-based strategies to promote their implementation are needed to improve provider adherence and 5A's fidelity.
Status | Completed |
Enrollment | 961 |
Est. completion date | September 2015 |
Est. primary completion date | September 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 100 Years |
Eligibility |
Inclusion Criteria: All primary care providers and clinic staff are eligible to
participate. Patients must have - a primary care appointment - smoked a cigarette in past 7 days - smoked at least 100 cigarettes in lifetime - speak English or Spanish - be cognitively able to use computer tablet Exclusion Criteria: - Moderate to severe cognitive impairment - Does not speak English or Spanish - acute intoxication on alcohol or illicit drugs |
Country | Name | City | State |
---|---|---|---|
United States | San Francisco General Hospital | San Francisco | California |
United States | UCSF Adult Primary Care Mt. Zion Clinic | San Francisco | California |
Lead Sponsor | Collaborator |
---|---|
University of California, San Francisco |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Implementation Factors | Qualitative interview data to assess the utility of the "Technology Acceptance Model" in explaining tablet and 5A's usage. Variables assessed include perceived usefulness, social norms and influence, and facilitating conditions. | July 2013-2015 | |
Primary | 5A's Fidelity | Baseline and post-tablet intervention assessments of primary care provider adherence to 5A's protocol for smoking cessation. Patients are called after their primary care appointment and asked a series of questions to determine if (and which of) the 5A's were used during that visit. | Baseline assessment 2013-14; Intervention 2014-2015 | |
Secondary | Tablet Usage | Intervention includes system strategies to improve usage of computer tablets in primary care waiting rooms. Outcome = tablet saturation or proportion of patients given a tablet. | 7/2014-7/2015 |
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