Decision Aid for Cigarette Smokers Undergoing Surgery

Study Overview
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Brief Summary
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Smokers have three choices when faced with surgery: keep smoking, quit for a short time around surgery or quit for good. In the first specific aim, a decision aid was designed to help facilitate the discussion of these choices between smokers and healthcare providers. This second aim will test whether this decision aid improves the decisional quality compared with standard methods used to discuss perioperative smoking.

Official Title
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Decision Aid Development for Cigarette Smokers Undergoing Surgery: Specific Aim 2

Conditions
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Tobacco Abuse

Intervention / Treatment
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* Behavioral: Decision Aid
* Behavioral: Control intervention
* Behavioral: Decision Aid
* Behavioral: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Current cigarette smoker Scheduled to undergo elective surgery at Mayo Clinic Rochester Age 18 years or older Able to fully participate in all study aspects Exclusion Criteria: Unavailable for telephone follow-up

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: In-patient surgery<br>Decision Aid tool is presented by respiratory therapist, prompting a discussion with the provider (physician or physician assistant)about smoking around time of surgery | Behavioral: Decision Aid<br>* Decision Aid tool is presented by respiratory therapist, prompting a discussion with the provider (physician or physician assistant)about smoking around time of surgery<br>|
| Active Comparator: In-patient<br>Standard of care information, including distributing patient education brochure, to provide information regarding perioperative smoking | Behavioral: Control intervention<br>* Standard of care information, including distributing patent education brochure, to provide information regarding perioperative smoking<br>|
| Experimental: Out-patient surgery<br>Decision Aid tool is presented by respiratory therapist, prompting a discussion with the provider (physician or physician assistant)about smoking around time of surgery | Behavioral: Decision Aid<br>* Decision Aid tool is presented by respiratory therapist, prompting a discussion with the provider (physician or physician assistant)about smoking around time of surgery<br>|
| Active Comparator: Out-patient<br>Standard of care information, including distributing a patient education brochure, to provide information regarding perioperative smoking | Behavioral: Control<br>* Standard of care information, including distributing patient education brochure, to provide information regarding perioperative smoking<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measures of decisional quality | The Decisional Conflict Scale and the OPTION Scale will be utilized | Assessed immediately after the time of the preoperative conversation in the preoperative clinic | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measures of intent and self-efficacy | Intent to quit smoking, and self-efficacy for quitting | Immediately after the preoperative evaluation in the preoperative clinic | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cigarette smoker, Elective surgery