Pediatric Residency Training On Tobacco

NCT ID: NCT00098215

Last Updated: 2005-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

4000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-03-31

Study Completion Date

2006-02-28

Brief Summary

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The purpose of this study is to determine whether a specialized, technology-based training program in tobacco prevention is more effective than standard training for pediatric residents who counsel youth and their parents.

Detailed Description

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The American Academy of Pediatrics and other leading health agencies call upon pediatricians to address environmental tobacco smoke (ETS), prevent smoking onset in youths, and encourage cessation of tobacco use by adolescents and their parents. Systematic intervention on tobacco by pediatricians would protect infants and young children from the harmful effects of ETS and save adolescents from a lifetime of addiction and tobacco-related disease. Despite this, few pediatricians address tobacco use, and pediatric residency training programs are not preparing residents to play a leadership role in the anti-tobacco arena.

The Pediatric Residency Training on Tobacco project is a four-year randomized controlled study of the efficacy of a specialized tobacco intervention program for pediatric residents. Eight participating pediatric training sites were randomly assigned to a Special Training condition featuring "Solutions for Smoking", a hybrid CD-ROM/Website training program. Six sites were randomly assigned to a control condition that provided standard print literature. Key features of "Solutions for Smoking" include a website containing background material on tobacco, interviewing, behavioral and pharmacological aspects of intervention, and a series of CD-ROMs containing audio-visual vignettes that model state-of-the-art interviewing and tobacco intervention skills. Residents are expected to practice the interventions with patients in their Continuity Clinics, and all sites are provided with brochures and other intervention materials for this purpose. Study investigators meet with residents at all sites three times per year to discuss the program and the residents' efforts to intervene on tobacco with their patients. Annually, second and third-year residents participate in Objective Structured Clinical Examinations (OSCEs) and a Resident Tobacco Survey. Patients and parents attending each of the Continuity Clinics complete Patient and Parent Tobacco Surveys at baseline and end of study.

Primary endpoints include changes over time in pediatric residents' tobacco intervention knowledge, skills, and activities as reported on the Tobacco Surveys and measured by performance on the OSCEs at baseline and follow-up. Secondary endpoints include changes in smoking, other tobacco use, and control of ETS by patients and parents. The study hypothesizes that pediatric residents in both arms of the study will be similar in knowledge and skills at baseline; that residents in the specialized training program will acquire more knowledge and greater skills for tobacco intervention during the course of the study compared to residents in the control condition; and residents in each condition will increase the frequency in which they address tobacco in patients and parents.

Conditions

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Tobacco Use Disorder

Keywords

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Residency training

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

ECT

Blinding Strategy

NONE

Interventions

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Pediatric residency training on tobacco

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

The Baseline and Follow-up Parent Tobacco Surveys will be administered to 100 parents (one per family) who are present in the clinic when the surveys are administered. Parents who cannot read English or Spanish and who are bringing their child to the clinic for the very first time will not be able to participate.
Minimum Eligible Age

0 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role lead

Principal Investigators

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Joseph Schwab, M.D.

Role: PRINCIPAL_INVESTIGATOR

New Jersey Medical School

Locations

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UMDNJ-Robert Wood Johnson Medical School

Camden, New Jersey, United States

Site Status RECRUITING

Mount Sinai School of Medicine (Jersey City Program)

Jersey City, New Jersey, United States

Site Status RECRUITING

Jersey Shore Medical Center

Neptune City, New Jersey, United States

Site Status RECRUITING

Newark Beth Israel Medical Center

Newark, New Jersey, United States

Site Status RECRUITING

St. Joseph's Hospital and Medical Center

Paterson, New Jersey, United States

Site Status RECRUITING

Long Island College Hospital

Brooklyn, New York, United States

Site Status RECRUITING

Woodhull Medical and Mental Health Center

Brooklyn, New York, United States

Site Status RECRUITING

Brooklyn Hospital Center Program

Brooklyn, New York, United States

Site Status RECRUITING

Nassau County Medical Center

East Meadow, New York, United States

Site Status RECRUITING

New York Flushing Hospital Medical Center

Flushing, New York, United States

Site Status RECRUITING

Winthrop-University Hospital Program

Mineola, New York, United States

Site Status RECRUITING

New York and Presbyterian Hospital (Cornell Campus) Program

New York, New York, United States

Site Status RECRUITING

Lincoln Medical Center

The Bronx, New York, United States

Site Status RECRUITING

Bronx/Lebanon Hospital

The Bronx, New York, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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William Graessle, MD

Role: primary

Richard Bonforte, MD

Role: primary

Alan Cabasso, MD

Role: primary

Joshua S Rosenblatt, MD

Role: primary

Thomas Daley, MD

Role: primary

Umit Emre, MD

Role: primary

John Moohr, MD

Role: primary

Theodoros Raptis, MD

Role: primary

Stephen P Katz, MD

Role: primary

Fatema Meah, MD

Role: primary

Stephen Marino, DO

Role: primary

Susan Bostwick, MD

Role: primary

Hermann Mendez, MD

Role: primary

Ronald Bainbridge, MD

Role: primary

Other Identifiers

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1R01HD040683

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1R01HD40683-1

Identifier Type: -

Identifier Source: org_study_id