Ignite Creation Date:
2024-05-06 @ 4:05 PM
Last Modification Date:
2024-10-26 @ 2:03 PM
Study NCT ID:
NCT04868474
Status:
COMPLETED
Last Update Posted:
2024-05-16
First Post:
2021-03-03
Brief Title:
Combining Default Choices and a Decision Aid to Improve Tobacco Cessation
Sponsor:
Center for Primary Care and Public Health Unisante University of Lausanne Switzerland
Organization:
Center for Primary Care and Public Health Unisante University of Lausanne Switzerland
Study Overview
Official Title:
Combining Default Choices and a Decision Aid to Improve Tobacco Cessation at 6 Months in Primary Care Patients a Pragmatic Cluster-randomized Trial
Status:
COMPLETED
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
FIRST
Brief Summary:
The FIRST cluster randomized trial will evaluate the effect of 1 a training program encouraging general practitioners to offer smoking cessation treatment as a default choice to all current smokers consulting a general practitioner GP and 2 an interactive electronic decision aid to guide smoking cessation treatment on the proportion of current smokers seen in primary care who have quit smoking 6 months after a baseline visit to their GP as compared to enhanced usual care
Detailed Description:
Smoking cessation medications are underused in primary care likely because general practitioners GP lack detailed knowledge about prescribing and the fact that smokers seen in primary care must opt-in to treatment Currently GPs only offer treatment to patients who say they are ready to quit smoking and desire treatment making the default choice no treatment Those who are not ready to quit or are hesitant do not discuss quitting or learn about options to help them quit Further GPs often lack confidence to discuss smoking cessation medications or do not provide patients with a choice A decision aid can both help to present quitting with a medication as the default choice and promote shared decision making by allowing patients to see the menu of options available
The current study will combine the use of default choices when approaching smokers and shared decision making with a decision aid for choosing between smoking cessation treatments The investigators will train GPs to offer smoking cessation as the default choice while involving patients in key decisions using a decision aid This innovative approach has not been tested in primary care and has the potential to increase the number of current smokers who make a quit attempt with a proven quit aid thereby increasing the number of patients who quit smoking
The investigators will implement the training as part of the Vivre sans tabac programme for GPs run by the Swiss Medical Association FMH
The current study will combine the use of default choices when approaching smokers and shared decision making with a decision aid for choosing between smoking cessation treatments The investigators will train GPs to offer smoking cessation as the default choice while involving patients in key decisions using a decision aid This innovative approach has not been tested in primary care and has the potential to increase the number of current smokers who make a quit attempt with a proven quit aid thereby increasing the number of patients who quit smoking
The investigators will implement the training as part of the Vivre sans tabac programme for GPs run by the Swiss Medical Association FMH
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None