Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-06

Study Completion Date

2021-02-24

Brief Summary

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This study will use a scientifically robust, mixed-methods, two-arm cluster-randomized study design. Investigators will implement a tobacco use clinical reminder for outpatient psychiatrists practicing at the VA New York Harbor Healthcare System (N = 20). Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting (Opt-In Reminder). The other half will receive a clinical reminder that includes a standing nicotine replacement therapy (NRT) order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out (Opt-Out Reminder). Prior to implementation of the reminders, psychiatrists in both arms will receive a one-hour training on tobacco treatment and individual education outreach to demonstrate the clinical reminder and answer questions (academic detailing).

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Detailed Description

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Conditions

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Smoking Cessation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

2 arm cluster randomized study design

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Opt Out

Training and Academic Detailing

Group Type EXPERIMENTAL

Opt-Out Reminder

Intervention Type BEHAVIORAL

half will receive a clinical reminder that includes a standing NRT order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out

Opt In

Training and Academic Detailing

Group Type EXPERIMENTAL

Opt-In Reminder

Intervention Type BEHAVIORAL

Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting

Interventions

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Opt-Out Reminder

half will receive a clinical reminder that includes a standing NRT order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out

Intervention Type BEHAVIORAL

Opt-In Reminder

Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Psychiatrists
* Works in outpatient psychiatry at Manhattan or Brooklyn VA campus and has no plans to leave in the next 6 months
* Patient Post-Visit Survey Population
* Had a visit with a psychiatrist included in the study Current smoker