Know Cancer

or
forgot password

Changing Pediatric Office Systems Nationally to Address Parental Tobacco Use


N/A
18 Years
N/A
Not Enrolling
Both
Tobacco Dependence

Thank you

Trial Information

Changing Pediatric Office Systems Nationally to Address Parental Tobacco Use


The CEASE intervention works within existing systems of care to address parental smoking.
Based on national guidelines and extensive qualitative research obtained in pilot testing,
elements of CEASE can be tailored to work with particular practices' staffing, resources,
and physical configuration. CEASE integrates evidence-based tobacco-use screening, cessation
assistance, and referral to outside services into visits with families in pediatric clinics.
Elements include (1) Identification of smokers and self-assessment of quitting preferences;
(2) Counseling (brief motivational messaging elements include collaborative goal setting,
set quit date, personal barriers to quitting, problem-solving strategies, implementing
smoke-free homes and cars, and social support, strategies shown to increase satisfaction
with the pediatric visit.(3) Medication (NRT prescription and free 1 week supply (while
supplies last)—including for those cutting down to quit as recommended in latest
guidelines); (4) Quitline enrollment via faxed enrollment form; and (5) Review of CEASE
action sheets at each visit until the family is smoke-free. We train practices in the
adoption, implementation, and maintenance of the intervention. A more detailed training
manual discusses additional in-depth strategies for maximizing billing and reimbursement,
materials for seasonal cessation opportunities and supporting employees' own cessation
efforts.


Inclusion Criteria:



- Parents or guardians who smoke or who are former smokers (quit in the last 2 years),
are present at the visit, and whose child (any age) is seen by a pediatrician in a
participating practice.

- "Smoker" will be defined as answering "yes" to the screening question: "Have you
smoked a single cigarette, even a puff, in the past 7 days?"

- "Former smoker" will be defined as answering "no" to the screening question: "Have
you smoked a single cigarette, even a puff, in the past 7 days?" and "yes" to the
screening question: "Have you quit smoking in the last 2 years?"

Exclusion Criteria:

- Parents under age 18

- Parents who have a child with a medical emergency (any condition requiring transfer
for immediate medical intervention)

- Non-consenting individuals

- Non-English speakers

- Prior enrollment in the study during a previous healthcare visit.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Delivery of Assistance

Outcome Description:

Delivery of cessation assistance, defined as counseling about strategies or methods for quitting, prescribing medication, or enrolling in Quitline or other program

Outcome Time Frame:

over 2 years

Safety Issue:

No

Principal Investigator

Jonathan P Winickoff, MD, MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

Massachusetts General Hospital

Authority:

United States: Institutional Review Board

Study ID:

2013P000777/MGH

NCT ID:

NCT01882348

Start Date:

June 2013

Completion Date:

June 2017

Related Keywords:

  • Tobacco Dependence
  • tobacco control, tobacco treatment, pediatrics, parents
  • Tobacco Use Disorder

Name

Location

Massachusetts General HospitalBoston, Massachusetts  02114-2617