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| ID | Type | Description | Link |
|---|---|---|---|
| NA 7193 | Other Grant/Funding Number | Heart and Stroke Foundation of Canada |
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This proposal outlines the design of a cluster randomized controlled trial to compare the effectiveness of a new approach to integrating smoking cessation services into routine interactions with patients in the primary care setting using an adaptation of the Ottawa Model for Smoking Cessation (OMSC). The OMSC aims to systematically identify the smoking status of all patients, provide brief cessation advice, and offer evidence-based cessation support to those interested in embarking on a quit attempt. This study will provide important new evidence to assist with the development of a more comprehensive cessation system in the province of Ontario and across Canada.
A multi-component intervention has been designed to facilitate the uptake of the OMSC using best evidence regarding the integration of smoking cessation intervention into primary care practice. The secondary objective of the study is to examine the incremental value of providing tailored performance feedback to primary care practitioners when delivered as part of the OMSC intervention program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OMSC Group | Active Comparator | The OMSC Group will receive a multi-component intervention which includes:
|
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| OMSC + Performance Feedback Group | Experimental | The OMSC + Provider Performance Feedback Group will receive the same intervention program as the OMSC group. In addition, clinicians will complete a one-hour audit and feedback session prior to the implementation of the OMSC program at their clinic. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OMSC Group | Other | The OMSC Group will receive a multi-component intervention which includes:
|
| Measure | Description | Time Frame |
|---|---|---|
| Effect of the Ottawa Model for Smoking Cessation within family doctors' offices compared to control practices. | The primary objectives of this study are to determine whether the Ottawa Model for Smoking Cessation (OMSC) increases:
| Patient bio-chemically verified 7-day point prevalence abstinence is measured at 6 months post-enrollement. |
| Measure | Description | Time Frame |
|---|---|---|
| Examining the incremental impact of audit and feedback within family doctors' offices compared to the OMSC alone group and standard control practices. | The secondary objectives of this study are to examine the incremental impact of audit and feedback on:
|
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Practice Inclusion Criteria:
Practice Exclusion Criteria:
Patient Inclusion Criteria:
Patient Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sophia Papadakis, Ph.D., MHA | University of Ottawa Heart Insitute | Principal Investigator |
| Andrew Pipe, MD | Ottawa Heart Institute Research Corporation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Ottawa Heart Institute | Ottawa | Ontario | K1Y 4W7 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19903737 | Background | Reid RD, Mullen KA, Slovinec D'Angelo ME, Aitken DA, Papadakis S, Haley PM, McLaughlin CA, Pipe AL. Smoking cessation for hospitalized smokers: an evaluation of the "Ottawa Model". Nicotine Tob Res. 2010 Jan;12(1):11-8. doi: 10.1093/ntr/ntp165. Epub 2009 Nov 10. | |
| 20600264 | Background | Papadakis S, McDonald P, Mullen KA, Reid R, Skulsky K, Pipe A. Strategies to increase the delivery of smoking cessation treatments in primary care settings: a systematic review and meta-analysis. Prev Med. 2010 Sep-Oct;51(3-4):199-213. doi: 10.1016/j.ypmed.2010.06.007. Epub 2010 Jun 17. |
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| ID | Term |
|---|---|
| D016540 | Smoking Cessation |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
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| OMSC + Performance Feedback Group | Behavioral | The OMSC + Performance Feedback Group will receive the same intervention program as the OMSC group. In addition, clinicians will complete a one-hour audit and feedback session prior to the implementation of the OMSC program at their clinic. The goal of the audit and feedback is to increase provider self-efficacy in the delivery of smoking cessation interventions, raise awareness of the current delivery of evidence-based cessation practices, identify areas for improvement, and motivate providers to deliver evidence-based treatments. |
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| Patient bio-chemically verified 7-day point prevalence abstinence is measured at 6 months post-enrollement. |
| 19707607 | Background | McIvor A, Kayser J, Assaad JM, Brosky G, Demarest P, Desmarais P, Hampson C, Khara M, Pathammavong R, Weinberg R. Best practices for smoking cessation interventions in primary care. Can Respir J. 2009 Jul-Aug;16(4):129-34. doi: 10.1155/2009/412385. |
| 26348788 | Derived | Papadakis S, Pipe AL, Reid RD, Tulloch H, Mullen KA, Assi R, Cole AG, Wells G. Effectiveness of performance coaching for enhancing rates of smoking cessation treatment delivery by primary care providers: Study protocol for a cluster randomized controlled trial. Contemp Clin Trials. 2015 Nov;45(Pt B):184-190. doi: 10.1016/j.cct.2015.08.013. Epub 2015 Sep 5. |