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Peri Operative Smoking Cessation Program

This study has been completed.
Information provided by (Responsible Party):
University Health Network, Toronto Identifier:
First received: January 31, 2014
Last updated: December 3, 2015
Last verified: December 2015
Implementation of a perioperative smoking cessation program with computer based patient education increases the rate of short term (1 month) and long term (6 month) reduces the incidence of perioperative complications in elective surgical patients.

Condition Intervention
Smoking Cessation
Behavioral: Computer based patient education

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Development and Implementation of a Peri Operative Smoking Cessation Program With Computer Based Patient Education.

Resource links provided by NLM:

Further study details as provided by University Health Network, Toronto:

Primary Outcome Measures:
  • Quit rate [ Time Frame: 6 month ]
    we will do urine cotinine analysis to confirm the abstinence

Secondary Outcome Measures:
  • Surgical outcome [ Time Frame: 1 month ]
    we will do a chart review to find out the intraoperative and post operative complications

Enrollment: 345
Study Start Date: July 2013
Study Completion Date: June 2015
Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: computer based patient education
The patients will complete a pre module and post module set of questions to determine whether their knowledge about peri operative smoking cessation increase smoking has changed. According to their willingness and eligibility, pharmacotherapy will be given.
Behavioral: Computer based patient education

Detailed Description:

Patients will be enrolled in the quit smoking before surgery program. Before participating in the education program, the investigators will ask patients questions about their smoking habits, and patient will complete pre-education questionnaires that should take about 5 minutes. Patients will participate in a computer-based education program about quitting smoking for about 15 minutes. It will explain the importance of quitting smoking before their surgery, how to quit and coping with quitting. If they are not familiar with using a computer, we will provide an assistant for them to complete the education program. After completing the education program, they will complete a post-education questionnaire. patients will also receive an information pamphlet.

All participants will receive the computer-based education program, brief counselling, pamphlet, Smokers' Helpline referral, and telephone follow-up.

Altogether you will be spending about 30 minutes to complete the assessment, education program and counselling.

patients will be asked for their permission to inform their family physician about their participation in this study. Their smoking status, date of surgery, quit date, and recommended medication (when appropriate) will be faxed to your family physician to assist them quitting process. If they are willing to accept the assistance from Smokers' Helpline, their name and phone number will be faxed to the Smokers' Helpline, and someone from Smokers' Helpline will call you in the next 48 hours to follow-up.

The investigators will monitor patient's smoking behavior by measuring expired carbon monoxide, a gas in the air they breathe out, during their pre-surgery visit and on the day of surgery. We also will measure urine cotinine (a by-product of nicotine) by taking urine samples and check their smoking status by asking questions about their smoking habits on the day of surgery, 1 month, 3 months and 6 months after their surgery. During the telephone interview follow-up, we will remind them to do the urine cotinine and mail it to us. (Prepaid mail with urine cotinine strip will be provided at the time of the 2nd visit on the day of surgery.) Each follow-up phone call will take about 6 -10 minutes.

A one-month,3 month and 6 month follow up will be done by the research coordinator to assess the smoking status. Brief counseling (< 5 mins) will be provided.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients> 18 years of age
  • self reported smokers ( daily or non daily smokers)
  • Scheduled for elective surgical procedures

Exclusion Criteria:

  • patients who cannot read and understand English
  • Have any form of cognitive impairment
  • Do not have a telephone
  • Drug or alcohol abuser dependence within the past year
  • Patients whop are already on pharmacotherapy for smoking cessation.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT02053155

Canada, Ontario
Mount Sinai Hospital
Toronto, Ontario, Canada, M5G 1X5
Toronto Western Hospital
Toronto, Ontario, Canada
Womens College Hospital
Toronto, Ontario, Canada
Sponsors and Collaborators
University Health Network, Toronto
Principal Investigator: Jean Wong, FRCPC Associate professor, dewpartment of anesthesia. Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario
  More Information

Responsible Party: University Health Network, Toronto Identifier: NCT02053155     History of Changes
Obsolete Identifiers: NCT01904370
Other Study ID Numbers: 6/11/2013
Study First Received: January 31, 2014
Last Updated: December 3, 2015

Keywords provided by University Health Network, Toronto:
Smoking cessation
perioperative complication
smokers help line processed this record on April 21, 2017