Clinical Reminder Changes to Increase Smoking Cessation Treatment in Outpatient Psychiatry
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About
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).
Enrollment
Sex
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Volunteers
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
Trial design
Primary purpose
Allocation
Interventional model
Masking
140 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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