Smoking Cessation and a Teachable Moment in Patients With Acute Fractures

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.

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Key information

Conditions

Tobacco Use Disorder Bone Fractures Chemically-Induced Disorders Fractures, Bone Mental Disorders Substance-Related Disorders Wounds and Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Teaching intervention

Behavioral

Subjects will receive a pamphlet which describes the relationship between smoking and negative outcomes in fracture healing.

Other names: Pamphlet

Control

Behavioral

Subjects in this group will not receive the pamphlet

Primary outcomes

Attitude adjustment

Time frame: Change from baseline (inpatient) pre-intervention, to 24 hours post-intervention, to first clinical follow up visit (outpatient) 1-3 weeks post-intervention

Study-specific 9 question Likert-scale survey

Secondary outcomes

Exploratory Impact Assessment

Time frame: Change from baseline (inpatient) pre-intervention, to 24 hours post-intervention, to first clinical follow up visit (outpatient) 1-3 weeks post-intervention

Single binary question

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Registry information

Important dates

Study start: 2014
Primary completion: 2015
Study completion: 2015
First posted: May 24, 2016
Registry last updated: Nov 7, 2017

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.

Published trials that share one or more normalized conditions with this study.

Completed