Evaluating Effective Methods for Referral for Smoking Cessation Counseling and High Blood Pressure Follow-up

NCT ID: NCT03020836

Last Updated: 2017-01-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 473 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-04-30
• Study Completion Date: 2016-07-31

Brief Summary

Investigators conducted a clinic-based study to determine the magnitude of uncontrolled hypertension and current smoking in eye doctor's offices and sought to determine if referral to care results in actions taken by the patient.

Detailed Description

Smoking and hypertension are two modifiable risk factors that are linked to highly prevalent chronic diseases such as diabetes and cardiovascular disease. The ophthalmology waiting room has the potential to be an effective point of intervention to provide referral to primary care in addition to health education on preventive health topics.

The investigators therefore, conducted a clinic-based study to determine the magnitude of uncontrolled hypertension and current smoking in eye doctor's offices and to determine if referral to care results in actions taken by the patient.

The investigators determined the proportion of patients who have elevated blood pressure. Patients were referred appropriately and the proportion of participants who followed the recommendation to meet with their primary care doctor for elevated blood pressure at 4-6 weeks and 8-10 weeks was determined. In addition, those who consented to be in the study and admitted to smoking cigarettes were offered smoking cessation assistance through a quit line. Investigators also followed up on cigarette smoking at 4-6 weeks and 8-10 weeks.

Conditions

Hypertension; Smoking Cessation

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SCREENING
• Blinding Strategy: NONE

Study Groups

Hypertension patient referral

Referral to primary care physician for hypertension control: Patients with uncontrolled hypertension were referred to a primary care physician for treatment.

Group Type: OTHER

Referral to primary care physician for hypertension control

Intervention Type: BEHAVIORAL

Referral to primary care physician for hypertension control

Smoking cessation patient referral

Referral to smoking quit line: Patients that were current smokers were referred to the Maryland smoking cessation quit line if they were willing.

Group Type: OTHER

Referral to smoking quit line

Intervention Type: BEHAVIORAL

Referral to Maryland Tobacco/Smoking quit line for help with smoking cessation

Interventions

Referral to primary care physician for hypertension control

Referral to primary care physician for hypertension control

Intervention Type: BEHAVIORAL

Referral to smoking quit line

Referral to Maryland Tobacco/Smoking quit line for help with smoking cessation

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Patients >18 years of age presenting to the glaucoma service and general eye service at Wilmer Eye Institute.

Exclusion Criteria

• Non-English speakers
• Unable to provide written informed consent

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Johns Hopkins University

OTHER

Sponsor Role: lead

Responsible Party

David S. Friedman

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

NA_00089710

Identifier Type: -

Identifier Source: org_study_id