PROS Smokebusters: Adolescent Smoking Cessation in Pediatric Primary Care

Study Overview
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Brief Summary
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This is a pilot study addressing office systems and clinician behavior change surrounding smoking cessation interventions for teens. The investigators' long-term goal is to improve the quality of clinical preventive services in practice-based research network settings. Their specific aims are to: a) pilot procedures for recruitment and randomization of PROS practices; and b) field trial/pilot PROS practitioner cessation counseling and practices' enrollment of adolescent patients; and assess the feasibility of pediatric clinician referral of adolescent patients to internet-based adjuncts for smoking cessation. The investigators will evaluate a pilot round of recruitment and randomization, and smoking cessation training and delivery in 10 PROS practice sites; and assess the acceptability of study procedures and on-line internet counseling adjunct referral feasibility within PROS practice sites. Up to 1000 adolescents presenting for well visits will complete a short baseline survey prior to their well-visit. A sample of them will be surveyed by phone at 4-6 weeks to provide preliminary estimates of cessation counseling effectiveness for future studies. The investigators will field test measures, describe the patterns of smoking among youth, and explore how much receiving interventions affects motivation, quitting, abstinence/relapse attitudes, attitudes towards internet-based outreach strategies, and behaviors for 100 smokers. **we have completed recruitment of providers; we are recruiting teens ONLY at this point**

Detailed Description
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This is a pilot study addressing office systems and clinician behavior change surrounding smoking cessation interventions for teens. The investigators' long-term goal is to improve the quality of clinical preventive services in practice-based research network settings. Their specific aims are to: a) pilot procedures for recruitment and randomization of PROS practices; and b) field trial/pilot PROS practitioner cessation counseling and practices' enrollment of adolescent patients; and assess the feasibility of pediatric clinician referral of adolescent patients to internet-based adjuncts for smoking cessation. The investigators will evaluate a pilot round of recruitment and randomization, and smoking cessation training and delivery in 10 PROS practice sites; and assess the acceptability of study procedures and on-line internet counseling adjunct referral feasibility within PROS practice sites. Up to 1000 adolescents presenting for well visits will complete a short baseline survey prior to their well-visit. A sample of them will be surveyed by phone at 4-6 weeks to provide preliminary estimates of cessation counseling for future studies. The investigators will field test measures, describe the patterns of smoking among youth, and explore how much receiving interventions affects motivation, quitting, abstinence/relapse attitudes, attitudes towards internet-based outreach strategies, and behaviors for 100 smokers.

Official Title
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Adolescent Smoking Cessation in Pediatric Primary Care

Conditions
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Health Care Quality, Access, and Evaluation, Smoking Cessation

Intervention / Treatment
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* Behavioral: smoking cessation, practice change


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Practitioner recruitment criteria: Has a patient flow of several adolescents per week. Reads and speaks English. Able and willing to provide informed consent Patient recruitment criteria: 14 years or older Lives in a home or apartment with access to a phone or mail address Speaks English Cognitively able to respond to survey questions Cognitively able to give assent and obtain parent/guardian permission or consent Exclusion Criteria: Providers: already participating in a PROS study

Ages Eligible for Study
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Minimum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Double


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: smoking cessation, practice change|Providers will be trained in a brief smoking cessation intervention for teens.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| smoking cessation rates |  | 4-6 weeks | 
| quit attempts |  | 4-6 weeks | 
| provider practice change |  | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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smoking cessation, adolescents