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Набор скоро начнётся NCT07735286

Automating Tobacco Cessation in Primary Care

Без фазы С лечением Tobacco Use Tobacco Use Cessation

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Tobacco counseling resources.
Кому может быть актуально
Состояния в реестре: Tobacco Use, Tobacco Use Cessation. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Список центров уточняется — проверьте первичный протокол.
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Automating Tobacco Cessation in Primary Care Via EHR Integration: A Non-Randomized Trial

Обзор

This study focuses on improving how primary care teams identify patients who smoke and offer access to nicotine replacement therapy, or NRT. NRT includes medications such as nicotine patches, gum, or lozenges that can reduce cravings and support people who are interested in cutting back or quitting smoking. Although NRT is an evidence-based treatment option, it is not always discussed or prescribed during routine primary care visits. To better understand how NRT can be offered in primary care, the project will test a workflow at Penn Family Care that identifies patients who currently smoke and provides information about available tobacco treatment options. Edward Cooper Internal Medicine will serve as a comparison site. Patients who smoke and/or are prescribed NRT will also receive a 30-day follow-up survey to learn whether they received, picked up, or used NRT; whether it was useful; and what barriers they experienced.

Вмешательства

  • Поведенческое Tobacco counseling resources
    Participants who are in the intervention arm will receive tobacco counseling resources via the Way to Health platform. Way to Health will send text message links to tobacco cessation counseling resources (PA Quitline and/or SmokeFreeTXT).

Первичные конечные точки

  • Proportion of Active Smokers with a Signed NRT Prescription [Срок оценки: From 3 days before scheduled visit and 30 days after completed visit.]
Вторичные конечные точки (12)
  • Sensitivity of EHR Active Smoker Designation [Срок оценки: At completion of pre-visit tobacco questionnaire (baseline)]
  • Specificity of EHR Active Smoker Designation [Срок оценки: At completion of pre-visit tobacco questionnaire (baseline)]
  • Accuracy of EHR Active Smoker Designation [Срок оценки: At completion of pre-visit tobacco questionnaire (baseline)]
  • Proportion of Tobacco Questionnaire-Identified Smokers Selecting Each Benefit of Quitting [Срок оценки: At completion of the pre-visit tobacco questionnaire (baseline)]
  • Proportion of Tobacco Questionnaire-Identified Smokers Selecting Each of the Three Treatments [Срок оценки: At completion of the pre-visit tobacco questionnaire (baseline)]
  • Proportion of Participants Selecting NRT Whose Clinician Signs the Pended Order [Срок оценки: From completion of the pre-visit tobacco questionnaire through 30-days after the completed visit]
  • Proportion of Participants With Any NRT Prescription Recorded in the EHR [Срок оценки: From study start for first participant to 6 months later]
  • Proportion of Participants Reporting NRT Use at 30-Day Follow-Up [Срок оценки: 30 days after completed visit, at time of follow-up survey completion]
  • Proportion of Participants Reporting Engagement With Tobacco Cessation Counseling Resources at 30-Day Follow-Up [Срок оценки: 30 days after completed visit, at time of follow-up survey completion]
  • Proportion of Participants Reporting Each Smoking Status at 30-Day Follow-Up [Срок оценки: 30 days after completed visit, at time of follow-up survey completion]
  • Proportion of Participants Reporting Changes in Smoking Behavior at 30-Day Follow-Up [Срок оценки: 30 days after completed visit, at time of follow-up survey completion]
  • Proportion of Participants With a New or Refill NRT Prescription Recorded in the EHR [Срок оценки: 30 to 60 days after the completed visit]

Критерии участия

Критерии включения

  • Age 18 years or older
  • Patient at Penn Family Care or Edward Cooper Internal Medicine
  • Had an eligible scheduled or completed practice visit categorized as a new annual visit, return patient visit, return annual visit, or return patient sick visit
  • For the tobacco cessation intervention: Penn Family Care patient who had not previously completed the tobacco questionnaire
  • For the 30-day follow-up survey: Active smoker in the EHR as of the completed visit date or prescribed nicotine replacement therapy (NRT) between 3 days before and 30 days after the completed visit date
  • For the primary analysis: Active smoker in the EHR as of the completed visit date
  • For the primary analysis: Did not have an NRT prescription between 34 and 4 days before the completed visit date

Критерии исключения

  • None except as specified in inclusion criteria.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Нерандомизированное
Модель
Параллельные группы
Маскирование
Открытое
Основная цель
Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07735286 · 26-7268

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗