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| Name | Class |
|---|---|
| University College, London | OTHER |
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This is a feasibility study of a personalised, integrated smoking cessation in the surgical pathway in patients undergoing major elective thoracic surgery when compared to usual care of standard community/hospital based NHS smoking cessation. Half the patients will receive the intervention and half the patients will receive usual care.
Smoking prior to major thoracic surgery is a major risk factor for development of postoperative complications which effect both short and long-term outcome. Despite this 1 in 5 patients continue to smoke before their operation.
Project MURRAY is a trial comparing the effectiveness of personalised integrated smoking cessation delivered by trained health-care practitioners in the thoracic surgical pathway, and is a three part package of behaviour interventions and pharmacotherapy as per National Institute of Clinical Excellence (NICE)/ National Centre for Smoking Cessation Training (NCSCT) guidance which is supported by an adjunct web-based application. This is a pilot study to evaluate feasibility of a substantive trial and study processes in 5 adult thoracic centres including the trial coordinating site at the University Hospitals Birmingham NHS Foundation Trust. This is a multicentre feasibility study, with aim for equal weighting between the two arms of the integrated smoking cessation and an observation only group of usual care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Integrated smoking cessation | Active Comparator | Integrated smoking cessation delivered by trained health-care practitioners in the thoracic surgical pathway: a three part package of behaviour interventions and pharmacotherapy as per NICE/NCSCT guidance which is supported by an adjunct web-based application. |
|
| Usual care smoking cessation | No Intervention | Usual care of standard community/hospital based NHS smoking cessation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Integrated Behavioural therapy | Behavioral | Integrated smoking cessation behavioural therapy |
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| Measure | Description | Time Frame |
|---|---|---|
| Recruitment | To establish the number of patients who agree to participate in the intervention as a proportion of those eligible to enter the study | 0 days from recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Integration of intervention | Integration of the intervention into the clinical pathway by time from decision to operate from study recruitment | 0 days from recruitment, 1 day or surgery |
| Barriers to recruitment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amy Kerr | Contact | 01214241895 | amy.kerr@heartofengland.nhs.uk | |
| Salma Kadiri | Contact | 01214241396 | salma.kadiri@heartofengland.nhs.uk |
| Name | Affiliation | Role |
|---|---|---|
| Babu Naidu, MD | University of Birmingham | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33158819 | Derived | Lugg ST, Kerr A, Kadiri S, Budacan AM, Farley A, Perski O, West R, Brown J, Thickett DR, Naidu B; Project MURRAY Investigators. Protocol for a feasibility study of smoking cessation in the surgical pathway before major lung surgery: Project MURRAY. BMJ Open. 2020 Nov 6;10(11):e036568. doi: 10.1136/bmjopen-2019-036568. |
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Upon completion and publication of the study, individual participant data will be shared that underlie the results reported in study after de-identification. Additional related documents will be available including the study protocol, statistical analysis plan and an analytical code.
This data will be available in the beginning 3 months and 5 years following article publication.
To those who provide a methodologically sound proposal for analysis to achieve the aims in the approved proposal. All proposals should be directed to b.naidu@bham.ac.uk. To gain access requestors will need to sign a data access agreement.
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| ID | Term |
|---|---|
| D016540 | Smoking Cessation |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
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| Integrated Pharmacotherapy | Drug | Integrated smoking cessation pharmacotherapy including choice of combination nicotine replacement therapy, varenicline or electronic cigarettes |
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| Integrated Web-based application | Device | Integrated smoking cessation web-based application |
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Descriptive reasons for non-participation from screening logs
| 0 days from recruitment |
| Fine tune procedures and data capture forms | To pilot data capture forms aiming for over 90% completion of important perioperative data for each patient | 0 days from recruitment, 1 day of surgery, 1 month after surgery |
| Smoking cessation in the intervention group | To assess the proportion of patients who receive the intervention who have quit smoking | 1 day of surgery, 1 month after surgery |
| Smoking cessation in the usual care group | To assess the proportion of patients in an observation only usual care group who have quit smoking | 1 day of surgery, 1 month after surgery |
| Variability of smoking cessation practices | To define the variability of smoking cessation practices in all patients using the nicotine replacement usage questionnaire | 0 days from recruitment, 1 day of surgery, 1 month after surgery |
| Qualitative interview | To understand patients' experience of and engagement with the intervention, and any unintended consequences To establish whether the intervention is acceptable to thoracic surgery patients and staff, and investigate recommendations for optimisation in intervention delivery | 1 month after surgery |