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Deliver an Evidence-based Smoking Cessation Intervention for Smokers Attending A&E Departments in Hong Kong

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ClinicalTrials.gov Identifier: NCT03818360
Recruitment Status : Not yet recruiting
First Posted : January 28, 2019
Last Update Posted : July 2, 2019
Sponsor:
Information provided by (Responsible Party):
Dr. LI William Ho Cheung, The University of Hong Kong

Brief Summary:

This project aims to deliver an evidence-based smoking cessation intervention comprising the provision of brief cessation advice to smokers attending emergency departments and active referral to existing smoking cessation services. The objectives are as follows:

  1. To promote this evidence-based project to emergency departments in various hospitals under the Hospital Authority
  2. To construct a network with non-governmental organisations (NGOs) to provide smoking cessation services
  3. To train healthcare professionals to use the AWARD model to deliver brief cessation advice to smokers
  4. To deliver brief cessation advice via healthcare professionals and actively refer smokers to existing smoking cessation services.

Condition or disease Intervention/treatment Phase
Smoking Smoking Cessation Evidence-Based Nursing Emergency Service, Hospital Behavioral: an evidence-based smoking cessation intervention comprising brief advice plus active referrals Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 2000 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Implementation of an Evidence-based Smoking Cessation Intervention Comprising Brief Advice Plus Active Referrals for Smokers Attending Emergency Departments in Hong Kong
Estimated Study Start Date : July 2019
Estimated Primary Completion Date : October 2020
Estimated Study Completion Date : April 2021

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Smokers attending A&E
Receive an evidence-based smoking cessation intervention comprising brief advice plus active referrals for smokers attending emergency departments in Hong Kong.
Behavioral: an evidence-based smoking cessation intervention comprising brief advice plus active referrals
The trained healthcare professionals will be encouraged to deliver brief smoking cessation advice based on the AWARD model to smokers who attend emergency departments and are triaged as semi-urgent or non-urgent. The trained healthcare professionals will ask the smokers their smoking history, then deliver the warning message to the smokers. If the smokers refuse to quit immediately, the trained healthcare professionals will advise them to reduce the number of cigarettes smoked per day, with the goal of complete cessation within 6 months. The healthcare professionals will then actively refer smokers to the chosen service provider within 1 week of recruitment. Smokers will receive proactive telephone calls from the service providers, receive a leaflet about the health-related hazards of smoking and benefits of quitting, and a pocket-sized information card containing brief information about the existing smoking cessation services in Hong Kong.




Primary Outcome Measures :
  1. Biochemically validated abstinence of smokers at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The self-reported quitters at the 6-month follow-up will be invited to participate in a biochemical validation (measurement of exhaled [CO] and salivary cotinine level). The criteria for validated abstinence are an exhaled CO level of less than 4 ppm and a saliva cotinine level of less than 10 ng/ml.


Secondary Outcome Measures :
  1. Biochemically validated abstinence of smokers at the 12-month follow-up [ Time Frame: at the 12-month follow-up ]
    The self-reported quitters at the 12-month follow-up will be invited to participate in a biochemical validation (measurement of exhaled [CO] and salivary cotinine level). The criteria for validated abstinence are an exhaled CO level of less than 4 ppm and a saliva cotinine level of less than 10 ng/ml.

  2. Self-reported 7-day point prevalence of abstinence at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    Smokers will be asked to report self-reported 7-day point prevalence of abstinence at the 6-month follow-up

  3. Self-reported 7-day point prevalence of abstinence at the 12-month follow-up [ Time Frame: at the 12-month follow-up ]
    Smokers will be asked to report self-reported 7-day point prevalence of abstinence at the 12-month follow-up

  4. Self-reported reduction of ≥ 50% in cigarette consumption at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    Smokers will be asked to report self-reported reduction of ≥ 50% in cigarette consumption at the 6-month follow-up

  5. Self-reported reduction of ≥ 50% in cigarette consumption at the 12-month follow-up [ Time Frame: at the 12-month follow-up ]
    Smokers will be asked to report self-reported reduction of ≥ 50% in cigarette consumption at the 12-month follow-up


Other Outcome Measures:
  1. Number of emergency departments participated at the end of recruitment [ Time Frame: at 10 months ]
    Number of emergency departments that agree to join this project

  2. Knowledge of the risk of smoking in trained healthcare professionals before the training workshops [ Time Frame: baseline ]
    The trained healthcare professionals will be asked about their knowledge of the risk of smoking prior to the training workshops

  3. Knowledge of the risk of smoking in trained healthcare professionals at the end of the training workshops [ Time Frame: up to 1 week ]
    The trained healthcare professionals will be asked about their knowledge of the risk of smoking at the end of the training workshops

  4. Knowledge of the risk of smoking in trained healthcare professionals at the 3-month follow-up [ Time Frame: at the 3-month follow-up ]
    The trained healthcare professionals will be asked about their knowledge of the risk of smoking at the 3-month follow-up

  5. Knowledge of the risk of smoking in trained healthcare professionals at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The trained healthcare professionals will be asked about their knowledge of the risk of smoking at the 6-month follow-up

  6. Attitudes towards smoking, tobacco control and smoking cessation in trained healthcare professionals before the training workshops [ Time Frame: Baseline ]
    The trained healthcare professionals will be asked about their attitudes towards smoking, tobacco control and smoking cessation prior to the training workshops

  7. Attitudes towards smoking, tobacco control and smoking cessation in trained healthcare professionals at the end of the training workshops [ Time Frame: up to 1 week ]
    The trained healthcare professionals will be asked about their attitudes towards smoking, tobacco control and smoking cessation at the end of the training workshops

  8. Attitudes towards smoking, tobacco control and smoking cessation in trained healthcare professionals at the 3-month follow-up [ Time Frame: at the 3-month follow-up ]
    The trained healthcare professionals will be asked about their attitudes towards smoking, tobacco control and smoking cessation at the 3-month follow-up

  9. Attitudes towards smoking, tobacco control and smoking cessation in trained healthcare professionals at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The trained healthcare professionals will be asked about their attitudes towards smoking, tobacco control and smoking cessation at the 6-month follow-up

  10. Practices of delivering smoking cessation advice in trained healthcare professionals before the training workshops [ Time Frame: baseline ]
    The trained healthcare professionals will be asked about their practices of delivering smoking cessation advice prior to the training workshops

  11. Practices of delivering smoking cessation advice in trained healthcare professionals at the end of the training workshops [ Time Frame: up to 1 week ]
    The trained healthcare professionals will be asked about their practices of delivering smoking cessation advice at the end of the training workshops

  12. Practices of delivering smoking cessation advice in trained healthcare professionals at the 3-month follow-up [ Time Frame: at the 3-month follow-up ]
    The trained healthcare professionals will be asked about their practices of delivering smoking cessation advice at the 3-month follow-up

  13. Practices of delivering smoking cessation advice in trained healthcare professionals at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The trained healthcare professionals will be asked about their practices of delivering smoking cessation advice at the 6-month follow-up

  14. Level of self-efficacy in trained healthcare professionals before the training workshops [ Time Frame: baseline ]
    The trained healthcare professionals will be asked about their levels of self-efficacy to deliver smoking cessation advice prior to the training workshops

  15. Level of self-efficacy in trained healthcare professionals at the end of the training workshops [ Time Frame: up to 1 week ]
    The trained healthcare professionals will be asked about their levels of self-efficacy to deliver smoking cessation advice at the end of the training workshops

  16. Level of self-efficacy in trained healthcare professionals at the 3-month follow-up [ Time Frame: at the 3-month follow-up ]
    The trained healthcare professionals will be asked about their levels of self-efficacy to deliver smoking cessation advice at the 3-month follow-up

  17. Level of self-efficacy in trained healthcare professionals at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The trained healthcare professionals will be asked about their levels of self-efficacy to deliver smoking cessation advice at the 6-month follow-up

  18. Intention to deliver smoking cessation advice in trained healthcare professionals before the training workshops [ Time Frame: baseline ]
    The trained healthcare professionals will be asked about their intentions to deliver smoking cessation advice prior to the training workshops

  19. Intention to deliver smoking cessation advice in trained healthcare professionals at the end of the training workshops [ Time Frame: up to 1 week ]
    The trained healthcare professionals will be asked about their intentions to deliver smoking cessation advice at the end of the training workshops

  20. Intention to deliver smoking cessation advice in trained healthcare professionals aat the 3-month follow-up [ Time Frame: at the 3-month follow-up ]
    The trained healthcare professionals will be asked about their intentions to deliver smoking cessation advice at the 3-month follow-up

  21. Intention to deliver smoking cessation advice in trained healthcare professionals aat the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The trained healthcare professionals will be asked about their intentions to deliver smoking cessation advice at the 6-month follow-up

  22. Planning to deliver smoking cessation advice in trained healthcare professionals before the training workshops [ Time Frame: baseline ]
    The trained healthcare professionals will be asked about their planning to deliver smoking cessation advice prior to the training workshops

  23. Planning to deliver smoking cessation advice in trained healthcare professionals at the end of the training workshops [ Time Frame: up to 1 week ]
    The trained healthcare professionals will be asked about their planning to deliver smoking cessation advice at the end of the training workshops

  24. Planning to deliver smoking cessation advice in trained healthcare professionals at the 3-month follow-up [ Time Frame: at the 3-month follow-up ]
    The trained healthcare professionals will be asked about their planning to deliver smoking cessation advice at the 3-month follow-up

  25. Planning to deliver smoking cessation advice in trained healthcare professionals at the 6-month follow-up [ Time Frame: at the 6-month follow-up ]
    The trained healthcare professionals will be asked about their planning to deliver smoking cessation advice at the 6-month follow-up

  26. Number of smokers that have been approached by healthcare professionals at the end of the project [ Time Frame: at 22 months ]
    The numbers of smokers that have been approached by the trained healthcare professionals at the end of the project will be recorded.

  27. Number of smokers that have been given brief advice on smoking cessation at the end of the project [ Time Frame: at 22 months ]
    The numbers of smokers that have been given brief advice on smoking cessation at the end of the project will be recorded.

  28. Number of smokers that have been referred to smoking cessation services at the end of the project [ Time Frame: at 22 months ]
    The numbers of smokers that have been referred to smoking cessation services at the end of the project will be recorded.



Information from the National Library of Medicine

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, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria
  • Healthcare professionals employed in the emergency departments of various hospitals under the Hospital Authority
  • Smokers attending emergency departments who are triaged as semi-urgent (level 4) or non-urgent (level 5)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03818360


Contacts
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Contact: Ho Cheung William Li, PhD 39176634 william3@hku.hk
Contact: Vanessa Yeung 39176327 ylhh@hku.hk

Locations
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Hong Kong
The University of Hong Kong Not yet recruiting
Hong Kong, Hong Kong
Contact: Ho Cheung William Li, PhD    39176634    william3@hku.hk   
Sponsors and Collaborators
The University of Hong Kong
Investigators
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Principal Investigator: Ho Cheung William Li, PhD The University of Hong Kong

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Responsible Party: Dr. LI William Ho Cheung, Associate Professor, The University of Hong Kong
ClinicalTrials.gov Identifier: NCT03818360     History of Changes
Other Study ID Numbers: UW 19-032
First Posted: January 28, 2019    Key Record Dates
Last Update Posted: July 2, 2019
Last Verified: June 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Dr. LI William Ho Cheung, The University of Hong Kong:
Smoking cessation intervention
Evidence-based
Brief advice
Active referrals
Emergency departments

Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes