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OpenTrials
Completed

NCT Number: NCT04071795

Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry

This study will use a scientifically robust, mixed-methods, two-arm cluster-randomized study design. Investigators will implement a tobacco use clinical reminder for outpatient psychiatrists practicing at the VA New York Harbor Healthcare System (N = 20). Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting (Opt-In Reminder). The other half will receive a clinical reminder that includes a standing nicotine replacement therapy (NRT) order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out (Opt-Out Reminder). Prior to implementation of the reminders, psychiatrists in both arms will receive a one-hour training on tobacco treatment and individual education outreach to demonstrate the clinical reminder and answer questions (academic detailing).

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Key information

Conditions

Smoking Cessation Behavior Health Behavior

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

NYU Langone Health

New York, 10016, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Psychiatrists
  • Works in outpatient psychiatry at Manhattan or Brooklyn VA campus and has no plans to leave in the next 6 months
  • Patient Post-Visit Survey Population
  • Had a visit with a psychiatrist included in the study Current smoker

Exclusion criteria

  • Outpatient Psychiatrists:
  • None
  • Patient Post-Visit Survey Population:
  • Non-English speaking

Treatment and study plan

Opt-Out Reminder

Behavioral

half will receive a clinical reminder that includes a standing NRT order and a referral to cessation counseling that will automatically generate unless the provider actively opts-out

Opt-In Reminder

Behavioral

Half of the psychiatrists will receive a reminder that encourages the psychiatrist to offer cessation medications and referral to cessation counseling to patients interested in quitting

Primary outcomes

  1. Number of Patients Screened for Smoking

    Time frame: Up to Month 6

    Number of patients with documented current smoking in the medical record who were screened for tobacco use during their psychiatry visit. Data derived from medial records.

  2. Number of Smokers Prescribed a Cessation Medication

    Time frame: Up to Month 6

    Number of people with documented current smoking in the medical record who were prescribed cessation medication.

  3. Number of Smokers Referred to Counseling

    Time frame: Up to Month 6

    Number of people with documented current smoking in the medical record for whom counseling referrals were ordered.

Sponsors and collaborators

Lead sponsor

NYU Langone Health

Other

Collaborators

  • National Institute on Drug Abuse (NIDA)

Registry information

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Aug 28, 2019
Registry last updated
Apr 28, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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