Pediatric Emergency Department Decision Support System to Reduce Secondhand Smoke

Asthma Clinical Trial

Official title:

Pediatric Emergency Department Decision Support System to Reduce Secondhand Smoke

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02489708
• Other study ID #: CINC 2014-5592
• Secondary ID: 1R21CA184337-01A
• Status: Completed
• Phase: N/A
• Start date: November 2014
• Est. completion date: December 2021

Study information

• Verified date: December 2021
• Source: Children's Hospital Medical Center, Cincinnati
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This two phase study will develop and evaluate a Pediatric Emergency Department (PED) Decision Support System (DSS)-Electronic Medical Records (EMR) System to facilitate the identification of smokers and the delivery of a Second Hand Smoke (SHSe) exposure intervention to caregivers who bring their child to the PED.

Description:

The study will be the first to develop and evaluate a Pediatric Emergency Department (PED) Decision Support System (DSS)-Electronic Medical Records (EMR) System to facilitate the identification of smokers and the delivery of a Second Hand Smoke (SHSe) exposure intervention to caregivers who bring their child to the PED. The investigators will conduct a two-phased project to develop, refine, and integrate a Decision Support System into the current electronic medical record system. In Phase I, the investigators will develop a three-part DSS with prompts to: 1) ASK about child SHSe and caregiver smoking 2) Use a software program (REDCap) to ADVISE caregivers to reduce their child's SHSe via total smoking home and car bans and quitting smoking, and 3) ASSIST caregivers to quit by directly connecting them to their choice of free cessation resources (e.g., Quitline, txt2quit, smokefree.gov) during the PED visit. If the investigators discover that a teen participant is a smoker, the investigators will provide them with resources for the Quitline, tx2quit, and teen.smokefree.gov. The investigators will create reports to provide feedback to nurses on their SHSe counseling behaviors. Nurses will provide input on program content, functions, and design. In Phase II, the investigators will conduct a 3-month feasibility trial to test the results of implementing the DSS on changes in nurse SHSe-related behaviors, and child and caregiver outcomes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 150
• Est. completion date: December 2021
• Est. primary completion date: December 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Nurses who work at least 2 shifts per week

• Current smokers accompanying their 0-18 year old child to the Emergency Department or Urgent Care

Exclusion Criteria:

• Non English speaking families

Related Conditions & MeSH terms

• Asthma
• Emergencies
• Smoking Cessation

Intervention

Behavioral:
• Cessation Counseling
Nurses will be trained to use Electronic Medical Record system to counsel families about second hand smoke exposure. Saliva samples will be obtained from 15 children at baseline and at follow-up to explore the effects of the nurse intervention.

Locations

Country	Name	City	State
United States	Cincinnati Children's Hospital Medical Center	Cincinnati	Ohio

Sponsors (2)

Lead Sponsor	Collaborator
Children's Hospital Medical Center, Cincinnati	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

References & Publications (2)

Mahabee-Gittens EM, Dexheimer JW, Gordon JS. Development of a Tobacco Cessation Clinical Decision Support System for Pediatric Emergency Nurses. Comput Inform Nurs. 2016 Dec;34(12):560-569. — View Citation

Mahabee-Gittens EM, Dexheimer JW, Khoury JC, Miller JA, Gordon JS. Development and Testing of a Computerized Decision Support System to Facilitate Brief Tobacco Cessation Treatment in the Pediatric Emergency Department: Proposal and Protocol. JMIR Res Pro — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Rate of Use of Decision Support System by Nurses		3 months
Primary	Change in Amount of Second Hand Smoke Exposure in Children		3 months