Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry

Smoking Cessation Clinical Trial

Official title:

Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04071795
• Other study ID #: 19-00813
• Status: Completed
• Phase: N/A
• Start date: January 6, 2020
• Est. completion date: February 24, 2021

Study information

• Verified date: April 2023
• Source: NYU Langone Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will use a scientifically robust, mixed-methods, two-arm cluster-randomized study design. Investigators will implement a tobacco use clinical reminder for outpatient psychiatrists practicing at the VA New York Harbor Healthcare System (N = 20). Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting (Opt-In Reminder). The other half will receive a clinical reminder that includes a standing nicotine replacement therapy (NRT) order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out (Opt-Out Reminder). Prior to implementation of the reminders, psychiatrists in both arms will receive a one-hour training on tobacco treatment and individual education outreach to demonstrate the clinical reminder and answer questions (academic detailing).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 140
• Est. completion date: February 24, 2021
• Est. primary completion date: February 24, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria:

• Psychiatrists

• Works in outpatient psychiatry at Manhattan or Brooklyn VA campus and has no plans to leave in the next 6 months

• Patient Post-Visit Survey Population

• Had a visit with a psychiatrist included in the study Current smoker

Exclusion Criteria:

• Outpatient Psychiatrists:

• None

• Patient Post-Visit Survey Population:

• Non-English speaking

Related Conditions & MeSH terms

• Smoking Cessation

Intervention

Behavioral:
• Opt-Out Reminder
half will receive a clinical reminder that includes a standing NRT order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out
• Opt-In Reminder
Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting

Locations

Country	Name	City	State
United States	NYU Langone Health	New York	New York

Sponsors (2)

Lead Sponsor	Collaborator
NYU Langone Health	National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Patients Screened for Smoking	Number of patients with documented current smoking in the medical record who were screened for tobacco use during their psychiatry visit. Data derived from medial records.	Up to Month 6
Primary	Number of Smokers Prescribed a Cessation Medication	Number of people with documented current smoking in the medical record who were prescribed cessation medication.	Up to Month 6
Primary	Number of Smokers Referred to Counseling	Number of people with documented current smoking in the medical record for whom counseling referrals were ordered.	Up to Month 6