Web-Based Respiratory Education About Tobacco and Health Phase II

The primary aim of this study was to develop an interactive Internet-based program (WeBREATHe: Web-Based Respiratory Education About Tobacco and Health) to train pediatric respiratory therapists and nurses to provide brief, hospital-based tobacco cessation interventions to parents of pediatric patients. The WeBREATHe program was based on a Phase I prototype which was evaluated with 50 pediatric respiratory therapists and nurses.

In Phase II, the investigators redesigned and expanded the program with input from 50 educators, nurses and respiratory therapists from Cincinnati Children's Hospital Medical Center. Then the investigators evaluated the Phase II program in a randomized trial in which 215 respiratory therapists and nurses from two large, urban children's hospitals were randomly assigned within hospital to either the Intervention (Training) Condition, or to a Delayed Treatment (Training) Control condition.

Participants' demographic and tobacco use history were measured at baseline, and tobacco cessation intervention behaviors, attitudes, knowledge, perceived barriers, and self-efficacy regarding delivery of a tobacco cessation intervention were measured at baseline, 1 week post-training, and at 3 months post-training. User satisfaction measures were also collected at 1 week post-training from Intervention Condition participants. The investigators hypothesized that participants in the Intervention Condition would have increased tobacco cessation behaviors, positive attitudes and self-efficacy, and decreased perceived barriers than participants i the Delayed-Treatment Control Condition.

Following evaluation, the investigators developed a final version of the interactive training program and created the administrative infrastructure for a marketable product.

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Key information

Conditions

Intervention (Training) Condition Behavior Control (Delayed Training) Condition Health Behavior Tobacco Use Cessation

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Must be a respiratory Therapist, nurse or nurse practitioner at the 2 pediatric hospitals participating in the study.
Must be at least 18 years of age.

Exclusion criteria

Under 18 years of age.

Treatment and study plan

WeBREATHe Training Program

Behavioral

The WeBREATHe Training Program is a web-based, interactive training program to teach pediatric respiratory therapists, nurses and nurse practitioners how to help their patients' parents to quit smoking.

Primary outcomes

Performance of Ask, Advise, Assess, Assist and Arrange Behaviors

Time frame: 3 months post-enrollment

14 items measured on a 5-point Likert scale of frequency. Ask = asking all patients' parents about tobacco use and documenting use in the patients' charts.

Advise = discussing health hazards of tobacco use and giving direct advice to quit.

Assess = determining parents' level of readiness to quit. Assist = discussing strategies or techniques to quit, setting a specific date to quit, discussing pharmacotherapy for tobacco cessation, giving written self-help materials to tobacco users.

Arrange = discussing local tobacco cessation resources and making a referral to a tobacco quit line.

Secondary outcomes

Attitudes towards provision of tobacco cessation interventions

Time frame: 3 months post-enrollment

9 items. Level of agreement measured on a 5-point Likert scale on 9 statements measuring attitudes towards provision of tobacco cessation interventions to patients' parents in pediatric settings. For example, "It is appropriate for pediatric RTs and RNs to assess and document their patients' exposure to secondhand smoke (e.g., family members' tobacco use)."
Perceived Barriers

Time frame: 3 months post-enrollment

7 items measured on a 5-point Likert scale. Participants rate the level of routine barriers to provision of tobacco cessation interventions in pediatric settings, (e.g., lack of training, lack of time, lack of resources).
Self-Efficacy

Time frame: 3 months post-enrollment

6 items measured on a 5-point Likert scale. Participants rate their agreement to statements of perceived self-efficacy to perform Ask, Advise, Assess, Assist and Arrange behaviors (e.g., "I can ask my patients' parents about their smoking.")

Sponsors and collaborators

Lead sponsor

Oregon Research Institute

Other

Registry information

Official study title

Web-Based Respiratory Education About Tobacco and Health (WeBREATHe) Phase II

Acronym: WeBREATHe II

Important dates

Study start: 2008
Primary completion: 2010
Study completion: 2010
First posted: Jul 17, 2012
Registry last updated: Sep 26, 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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Completed