Smoking Cessation Clinical Trial
Official title:
Development and Implementation of a Peri Operative Smoking Cessation Program With Computer Based Patient Education.
Implementation of a perioperative smoking cessation program with computer based patient education increases the rate of short term (1 month) and long term (6 month) reduces the incidence of perioperative complications in elective surgical patients.
Patients will be enrolled in the quit smoking before surgery program. Before participating
in the education program, the investigators will ask patients questions about their smoking
habits, and patient will complete pre-education questionnaires that should take about 5
minutes. Patients will participate in a computer-based education program about quitting
smoking for about 15 minutes. It will explain the importance of quitting smoking before
their surgery, how to quit and coping with quitting. If they are not familiar with using a
computer, we will provide an assistant for them to complete the education program. After
completing the education program, they will complete a post-education questionnaire.
patients will also receive an information pamphlet.
All participants will receive the computer-based education program, brief counselling,
pamphlet, Smokers' Helpline referral, and telephone follow-up.
Altogether you will be spending about 30 minutes to complete the assessment, education
program and counselling.
patients will be asked for their permission to inform their family physician about their
participation in this study. Their smoking status, date of surgery, quit date, and
recommended medication (when appropriate) will be faxed to your family physician to assist
them quitting process. If they are willing to accept the assistance from Smokers' Helpline,
their name and phone number will be faxed to the Smokers' Helpline, and someone from
Smokers' Helpline will call you in the next 48 hours to follow-up.
The investigators will monitor patient's smoking behavior by measuring expired carbon
monoxide, a gas in the air they breathe out, during their pre-surgery visit and on the day
of surgery. We also will measure urine cotinine (a by-product of nicotine) by taking urine
samples and check their smoking status by asking questions about their smoking habits on the
day of surgery, 1 month, 3 months and 6 months after their surgery. During the telephone
interview follow-up, we will remind them to do the urine cotinine and mail it to us.
(Prepaid mail with urine cotinine strip will be provided at the time of the 2nd visit on the
day of surgery.) Each follow-up phone call will take about 6 -10 minutes.
A one-month,3 month and 6 month follow up will be done by the research coordinator to assess
the smoking status. Brief counseling (< 5 mins) will be provided.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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