N/A
N=683
Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry
Smoking Cessation
Bottom Line
View on ClinicalTrials.gov: NCT04071795 ↗Enrolled (actual)
683
Serious AEs
0.0%
Results posted
Apr 2023
Primary outcome: Primary: Number of Patients Screened for Smoking — 240; 303 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Opt-Out Reminder (Behavioral); Opt-In Reminder (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- NYU Langone Health
- Primary completion
- Feb 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients Screened for Smoking |
240; 303 | — |
| PRIMARY Number of Smokers Prescribed a Cessation Medication |
63; 47 | — |
| PRIMARY Number of Smokers Referred to Counseling |
59; 24 | — |
Summary
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).
Eligibility Criteria
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
Exclusion Criteria
- Outpatient Psychiatrists:
- None
- Patient Post-Visit Survey Population:
- Non-English speaking
Data sourced from ClinicalTrials.gov (NCT04071795). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.