Perioperative Smoking Cessation Interventions

NCT ID: NCT03222908

Last Updated: 2018-12-26

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

TERMINATED

Clinical Phase

NA

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-15

Study Completion Date

2018-07-30

Brief Summary

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To assess impact of behavioral economic principles of precommitment, implementation intentions, and social contracting on smoking cessation for patients undergoing surgery.

Detailed Description

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Purpose \& Objective: Behavioral interventions in surgical patients are an opportunity to improve outcomes through decreased complications, with measurable economic impact. Smoking cessation is one of the most desirable long-term health behaviors for adults with potential substantial impact on postoperative complications

Study Activity \& Population Group: The investigators propose a precommitment contractual agreement implementing behavioral economic principles at the preoperative appointment for active tobacco users undergoing an operation and assessing for ability to quit smoking with testing on the day of surgery, and the durability of cessation over the postoperative course as measured with urine nicotine testing at follow up appointments. The population of interest is adults who currently smoke tobacco or vaporized nicotine who are scheduled to undergo a major operation. The control group is standard of care; prescriptive advice to quit smoking. The intervention is contract agreement for preoperative cessation.

Data Analysis \& Risk Issues: Following informed consent patients will be randomized to control or intervention groups, baseline urine nicotine tests will be performed in clinic. Urine nicotine testing will be performed on the day of enrollment, the day of their operation, and at their one-month follow up appointments. Thirty-day outcomes will be evaluated by retrospective chart review.

Conditions

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Smoking Cessation Perioperative/Postoperative Complications

Keywords

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Behavior Perioperative/Postoperative Complications contract agreement implementation intentions precommitment smoking cessation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized control
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control: Prescriptive Advice

Amenable patients will be enrolled into the study, their intervention will be current standard of care smoking cessation counseling by their surgeon, they will undergo 3 urine tests and a chart review for outcomes.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention1: Contract Agreement

Amenable patients will be enrolled into the study, their intervention will be a smoking cessation contract with their surgeon, they will undergo 3 urine tests and a chart review for outcomes.

Group Type EXPERIMENTAL

Intervention1: Contract Agreement

Intervention Type BEHAVIORAL

Smoking Cessation Contract

Intervention2: Implementation Intentions

Amenable patients will be enrolled into the study, their intervention will be a worksheet to fill out with their smoking cessation implementation intentions that will be signed by patient and surgeon, they will undergo 3 urine tests and a chart review for outcomes.

Group Type EXPERIMENTAL

Intervention2: Implementation Intentions

Intervention Type BEHAVIORAL

Smoking Cessation Contract with worksheet for implementation intentions

Interventions

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Intervention1: Contract Agreement

Smoking Cessation Contract

Intervention Type BEHAVIORAL

Intervention2: Implementation Intentions

Smoking Cessation Contract with worksheet for implementation intentions

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* active tobacco use
* preoperative appointment for an operation within 6 weeks

Exclusion Criteria

* active enrollment in tobacco cessation program
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christopher R Mantyh, MD

Role: PRINCIPAL_INVESTIGATOR

DUKE DEPARTMENT OF SURGERY

Locations

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Duke University Medical Center

Durham, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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Pro00076125

Identifier Type: -

Identifier Source: org_study_id