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A Randomized Trial to Implement the AHCPR Smoking Cessation Guideline



A Randomized Trial to Implement the AHCPR Smoking Cessation Guideline

For Condition: Smoking
Status: Completed
Sponsor(s): Department of Veterans Affairs , Department of Veterans Affairs Health Services Research and Development Service
Synopsis: Among veterans, smoking is the single most important risk factor for preventable mortality and morbidity, and studies suggest a higher prevalence of smoking among veterans than the general population. The VHA has encouraged adoption of the AHCPR Guideline for Smoking Cessation, yet most hospitals have poorly developed smoking cessation programs. The present study is designed to investigate the effectiveness of an organizational strategy to increase compliance with the AHCPR guideline. Short term goals of the study include increasing the rate of identification of smokers and increasing the delivery of brief smoking cessation interventions. Long term goals include reducing tobacco consumption among veterans. Twenty VAMCs with active primary care clinics have been randomly assigned to either control (usual practice; UP) or intervention (organizational support; OS) groups. The intervention hospitals receive staff training and site consultation; all hospitals will receive the AHCPR guideline. Rate of identification of smokers in the medical record, smoking cessation rates, provision of smoking cessation services (e.g., NRT, counseling), and costs of NRT will be determined via telephone interviews with patients, chart review, and electronic records.
Details:
Eligibility:
Study Type:
  Interventional, Prevention, Randomized, Open Label, Active Control, Single Group Assignment
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: Subjects must be smokers.
Total Enrollment: 4000

Location and Contact Information:

VA Medical Center
Minneapolis,  Minnesota,  55417
United States
 


Additional Information:
Study ID Numbers:
  CPG 97-039; 
Study Start Date: September 1998
Record last reviewed: November 2000
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00013013

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2. Smoking Cessation in Alcoholism Treatment

3. Quit Smoking

4. Timing of Smoking Intervention in Alcohol Treatment (nicotine patch)

5. Theory-based Interventions for Smoking and Obesity (Challenge) Trial

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