Quitline Use in Surgical Patients

Study Overview
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Brief Summary
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Elective surgery represents a teachable moment to deliver tobacco interventions. The overall goal of this proposal is to increase the utilization of the QUITPLANSM Helpline by surgical patients who smoke. Two specific aims will be pursued using a multidisciplinary research team. In the first aim, we will develop a practice-based intervention to promote QUITPLANSM Helpline utilization by surgical patients (Specific Aim 1A) using a combination of key informant interviews (approximately 30 subjects), and focus groups (approximately 25 subjects) then develop methods to educate providers in its implementation (Specific Aim 1B) and test their effectiveness in approximately 20 providers. In the second aim, we will perform a randomized clinical trial of this intervention in 300 patients scheduled for elective surgery, with the primary outcome being utilization of the QUITPLANSM Helpline (Specific Aim 2). Subjects will be randomized to receive either the intervention developed in Specific Aim 1, or a brief control intervention.

Official Title
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Increasing QUITPLAN Helpline Utilization in Surgical Patients

Conditions
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Tobacco Dependence

Intervention / Treatment
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* Behavioral: Standard brief advice
* Behavioral: Quitline intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients ≥ 18 yrs. scheduled for elective surgery at Mayo Clinic Rochester. Current smoking before the scheduling of surgery, defined as > 100 cigarettes lifetime consumption and self-reports of smoking either every day or some days. Patients who are in the midst of a quit attempt initiated since learning about surgery are eligible. Exclusion Criteria: Patient is not available 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: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>Brief assistance with smoking abstinence | Behavioral: Standard brief advice<br>* Brief general assistance with smoking cessation<br>|
| Experimental: 2<br>Brief intervention to promote quitline utilization | Behavioral: Quitline intervention<br>* Brief intervention designed specifically to encourage quitline utilization<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of one quitline counseling session |  | Three months postoepratively | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking behavior at six months postoperatively |  | six months postoperatively | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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surgical patients, cigarette smoking, postoperative complications, telephone counseling, quitlines