Smoking Cessation and a Teachable Moment in Patients With Acute Fractures

NCT ID: NCT02781038

Last Updated: 2017-11-07

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

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2015-12-31

Brief Summary

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Patients who smoke and suffer from fractures are worse off than those who do not smoke. Orthopaedic patients represent a group that can benefit from physician contributions to smoking cessation, and a special opportunity to cue this can begin with the orthopaedic surgeon in the acute setting. However, the best way to appropriately counsel these patients and assess the impact as a teachable moment remains undetermined.

Detailed Description

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If the patient self-identifies as a smoker, the investigators will consent and randomize to receive the intervention or not. Either way, all will receive a baseline attitude survey. The patient will be given a series of questions that target the areas of interest noted in the model. At some point in their hospitalization, preferably at least one day later and no greater than one week later, the patients will be given the teaching intervention (or not), and receive another attitude survey. After discharge, the patients will be expected in orthopaedic follow up clinic. At that time they will receive another attitude survey. If unable to deliver at that time, they will be contacted by phone or sought at their second clinic follow up.

Conditions

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Tobacco Use Disorder Bone Fractures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Interventional

All subjects will receive a baseline attitude survey. At some point in their hospitalization, preferably at least one day later and no greater than one week later, the patients will be given a teaching intervention and receive another attitude survey.

Group Type EXPERIMENTAL

Teaching intervention

Intervention Type BEHAVIORAL

Subjects will receive a pamphlet which describes the relationship between smoking and negative outcomes in fracture healing.

Control

All subjects will receive a baseline attitude survey. At some point in their hospitalization, preferably at least one day later and no greater than one week later, the patients will receive another attitude survey.

Group Type OTHER

Control

Intervention Type BEHAVIORAL

Subjects in this group will not receive the pamphlet

Interventions

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Teaching intervention

Subjects will receive a pamphlet which describes the relationship between smoking and negative outcomes in fracture healing.

Intervention Type BEHAVIORAL

Control

Subjects in this group will not receive the pamphlet

Intervention Type BEHAVIORAL

Other Intervention Names

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Pamphlet

Eligibility Criteria

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Inclusion Criteria

* Adults age 18 or over, who are not under the jurisdiction of the department of corrections
* Individuals receiving care from University of Pennsylvania Health System clinicians for orthopaedic injuries
* Individuals who self-identify as smokers

Exclusion Criteria

* Under age 18
* Under the jurisdiction of the department of corrections
* Nonsmokers
* People not currently receiving fracture care
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jaimo Ahn, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

References

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Al-Hadithy N, Sewell MD, Bhavikatti M, Gikas PD. The effect of smoking on fracture healing and on various orthopaedic procedures. Acta Orthop Belg. 2012 Jun;78(3):285-90.

Reference Type BACKGROUND
PMID: 22822565 (View on PubMed)

Patel RA, Wilson RF, Patel PA, Palmer RM. The effect of smoking on bone healing: A systematic review. Bone Joint Res. 2013 Jun 14;2(6):102-11. doi: 10.1302/2046-3758.26.2000142. Print 2013.

Reference Type BACKGROUND
PMID: 23836474 (View on PubMed)

An LC, Foldes SS, Alesci NL, Bluhm JH, Bland PC, Davern ME, Schillo BA, Ahluwalia JS, Manley MW. The impact of smoking-cessation intervention by multiple health professionals. Am J Prev Med. 2008 Jan;34(1):54-60. doi: 10.1016/j.amepre.2007.09.019.

Reference Type BACKGROUND
PMID: 18083451 (View on PubMed)

Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102-14. doi: 10.1037//0003-066x.47.9.1102.

Reference Type BACKGROUND
PMID: 1329589 (View on PubMed)

Lawson PJ, Flocke SA. Teachable moments for health behavior change: a concept analysis. Patient Educ Couns. 2009 Jul;76(1):25-30. doi: 10.1016/j.pec.2008.11.002. Epub 2008 Dec 24.

Reference Type BACKGROUND
PMID: 19110395 (View on PubMed)

Fonarow GC. In-hospital initiation of statins: taking advantage of the 'teachable moment'. Cleve Clin J Med. 2003 Jun;70(6):502, 504-6. doi: 10.3949/ccjm.70.6.502. No abstract available.

Reference Type BACKGROUND
PMID: 12828221 (View on PubMed)

Glasgow RE, Stevens VJ, Vogt TM, Mullooly JP, Lichtenstein E. Changes in smoking associated with hospitalization: quit rates, predictive variables, and intervention implications. Am J Health Promot. 1991 Sep-Oct;6(1):24-9. doi: 10.4278/0890-1171-6.1.24.

Reference Type BACKGROUND
PMID: 10148681 (View on PubMed)

McBride CM, Emmons KM, Lipkus IM. Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res. 2003 Apr;18(2):156-70. doi: 10.1093/her/18.2.156.

Reference Type BACKGROUND
PMID: 12729175 (View on PubMed)

Dohnke B, Ziemann C, Will KE, Weiss-Gerlach E, Spies CD. Do hospital treatments represent a 'teachable moment' for quitting smoking? A study from a stage-theoretical perspective. Psychol Health. 2012;27(11):1291-307. doi: 10.1080/08870446.2012.672649. Epub 2012 Apr 4.

Reference Type BACKGROUND
PMID: 22472171 (View on PubMed)

Other Identifiers

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819551

Identifier Type: -

Identifier Source: org_study_id