Smoking Cessation and a Teachable Moment in Patients With Acute Fractures

Study Overview
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Brief Summary
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Patients who smoke and suffer from fractures are worse off than those who do not smoke. Orthopaedic patients represent a group that can benefit from physician contributions to smoking cessation, and a special opportunity to cue this can begin with the orthopaedic surgeon in the acute setting. However, the best way to appropriately counsel these patients and assess the impact as a teachable moment remains undetermined.

Detailed Description
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If the patient self-identifies as a smoker, the investigators will consent and randomize to receive the intervention or not. Either way, all will receive a baseline attitude survey. The patient will be given a series of questions that target the areas of interest noted in the model. At some point in their hospitalization, preferably at least one day later and no greater than one week later, the patients will be given the teaching intervention (or not), and receive another attitude survey. After discharge, the patients will be expected in orthopaedic follow up clinic. At that time they will receive another attitude survey. If unable to deliver at that time, they will be contacted by phone or sought at their second clinic follow up.

Official Title
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Smoking Cessation and a Teachable Moment in Patients With Acute Fractures

Conditions
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Tobacco Use Disorder, Bone Fractures

Intervention / Treatment
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* Behavioral: Teaching intervention
* Behavioral: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults age 18 or over, who are not under the jurisdiction of the department of corrections Individuals receiving care from University of Pennsylvania Health System clinicians for orthopaedic injuries Individuals who self-identify as smokers Exclusion Criteria: Under age 18 Under the jurisdiction of the department of corrections Nonsmokers People not currently receiving fracture care

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: Interventional<br>All subjects will receive a baseline attitude survey. At some point in their hospitalization, preferably at least one day later and no greater than one week later, the patients will be given a teaching intervention and receive another attitude survey. | Behavioral: Teaching intervention<br>* Subjects will receive a pamphlet which describes the relationship between smoking and negative outcomes in fracture healing.<br>* Other names: Pamphlet;|
| Other: Control<br>All subjects will receive a baseline attitude survey. At some point in their hospitalization, preferably at least one day later and no greater than one week later, the patients will receive another attitude survey. | Behavioral: Control<br>* Subjects in this group will not receive the pamphlet<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Attitude adjustment | Study-specific 9 question Likert-scale survey | Change from baseline (inpatient) pre-intervention, to 24 hours post-intervention, to first clinical follow up visit (outpatient) 1-3 weeks post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Exploratory Impact Assessment | Single binary question | Change from baseline (inpatient) pre-intervention, to 24 hours post-intervention, to first clinical follow up visit (outpatient) 1-3 weeks post-intervention |