Ignite Creation Date:
2024-05-05 @ 11:22 AM
Last Modification Date:
2024-10-26 @ 9:06 AM
Study NCT ID:
NCT00012987
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2001-03-14
Brief Title:
Implementing Guidelines for Smoking Cessation A Randomized Trial of Evidence-Based Quality Improvement
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Implementing Guidelines for Smoking Cessation A Randomized Trial of Evidence-Based Quality Improvement
Status:
COMPLETED
Status Verified Date:
2007-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Smoking is a serious and common health risk among veterans Given the press of national initiatives and local incentives to improve smoking cessation care in response to VA performance measures this study tests a widely applicable approach to clinical practice guidelines implementation namely evidence-based quality improvement which is directly relevant to the translation of efficacious treatments into enhancements in VA health care policy and practice Evidence-Based Quality Improvement EBQI focuses on improved provider adherence to smoking cessation guidelines and a decrease in patient smoking rates in a manner designed to produce short- and long-term health improvements and cost benefits at the organizational level
Detailed Description:
Background
Smoking is a serious and common health risk among veterans Given the press of national initiatives and local incentives to improve smoking cessation care in response to VA performance measures this study tests a widely applicable approach to clinical practice guidelines implementation namely evidence-based quality improvement which is directly relevant to the translation of efficacious treatments into enhancements in VA health care policy and practice Evidence-Based Quality Improvement EBQI focuses on improved provider adherence to smoking cessation guidelines and a decrease in patient smoking rates in a manner designed to produce short- and long-term health improvements and cost benefits at the organizational level
Objectives
Adherence to smoking cessation guidelines requires practice changes at the patient provider and system levels to achieve optimal quit rates The objective of this study was to evaluate the effectiveness of evidence-based quality improvement EBQIan expert-designed and locally implemented clinical reorganization of smoking cessation careon changes in smoking cessation SC practice among primary care providers and health outcomes among veteran smokers
Methods
An evidence-based quality improvement intervention comprising provision of physician and patient educational materials local priority setting with leadership and providers and local adaptation of expert-designed protocols was implemented in experimental VA primary care practices n9 VA control sites n9 matched on size and academic affiliation received smoking cessation guideline copies We randomly sampled consented screened and surveyed primary care patients at all 18 sites n1941 smokers and used computer-assisted telephone interviewing to assess sociodemographics health status function and smoking behavior attitudes and treatment experience Post-intervention 12-month follow-up interviews were completed using the same measures n1080 We used multiple imputation using hotdeck techniques and applied both enrollment and attrition weights to the patient-level data We used weighted logistic regression to evaluate intervention effects controlling for patient-level predictors of quit attempts and quit status eg level of addiction readiness to change age health
Status
The project is completed Analysis is ongoing for manuscripts
Smoking is a serious and common health risk among veterans Given the press of national initiatives and local incentives to improve smoking cessation care in response to VA performance measures this study tests a widely applicable approach to clinical practice guidelines implementation namely evidence-based quality improvement which is directly relevant to the translation of efficacious treatments into enhancements in VA health care policy and practice Evidence-Based Quality Improvement EBQI focuses on improved provider adherence to smoking cessation guidelines and a decrease in patient smoking rates in a manner designed to produce short- and long-term health improvements and cost benefits at the organizational level
Objectives
Adherence to smoking cessation guidelines requires practice changes at the patient provider and system levels to achieve optimal quit rates The objective of this study was to evaluate the effectiveness of evidence-based quality improvement EBQIan expert-designed and locally implemented clinical reorganization of smoking cessation careon changes in smoking cessation SC practice among primary care providers and health outcomes among veteran smokers
Methods
An evidence-based quality improvement intervention comprising provision of physician and patient educational materials local priority setting with leadership and providers and local adaptation of expert-designed protocols was implemented in experimental VA primary care practices n9 VA control sites n9 matched on size and academic affiliation received smoking cessation guideline copies We randomly sampled consented screened and surveyed primary care patients at all 18 sites n1941 smokers and used computer-assisted telephone interviewing to assess sociodemographics health status function and smoking behavior attitudes and treatment experience Post-intervention 12-month follow-up interviews were completed using the same measures n1080 We used multiple imputation using hotdeck techniques and applied both enrollment and attrition weights to the patient-level data We used weighted logistic regression to evaluate intervention effects controlling for patient-level predictors of quit attempts and quit status eg level of addiction readiness to change age health
Status
The project is completed Analysis is ongoing for manuscripts
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None