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Perioperative Smoking Cessation Interventions

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Duke University

Status

Terminated

Conditions

Perioperative/Postoperative Complications
Smoking Cessation

Treatments

Behavioral: Intervention2: Implementation Intentions
Behavioral: Intervention1: Contract Agreement

Study type

Interventional

Funder types

Other

Identifiers

NCT03222908
Pro00076125

Details and patient eligibility

About

To assess impact of behavioral economic principles of precommitment, implementation intentions, and social contracting on smoking cessation for patients undergoing surgery.

Full description

Purpose & Objective: Behavioral interventions in surgical patients are an opportunity to improve outcomes through decreased complications, with measurable economic impact. Smoking cessation is one of the most desirable long-term health behaviors for adults with potential substantial impact on postoperative complications

Study Activity & Population Group: The investigators propose a precommitment contractual agreement implementing behavioral economic principles at the preoperative appointment for active tobacco users undergoing an operation and assessing for ability to quit smoking with testing on the day of surgery, and the durability of cessation over the postoperative course as measured with urine nicotine testing at follow up appointments. The population of interest is adults who currently smoke tobacco or vaporized nicotine who are scheduled to undergo a major operation. The control group is standard of care; prescriptive advice to quit smoking. The intervention is contract agreement for preoperative cessation.

Data Analysis & Risk Issues: Following informed consent patients will be randomized to control or intervention groups, baseline urine nicotine tests will be performed in clinic. Urine nicotine testing will be performed on the day of enrollment, the day of their operation, and at their one-month follow up appointments. Thirty-day outcomes will be evaluated by retrospective chart review.

Enrollment

19 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • active tobacco use
  • preoperative appointment for an operation within 6 weeks

Exclusion criteria

  • active enrollment in tobacco cessation program

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

19 participants in 3 patient groups

Control: Prescriptive Advice
No Intervention group
Description:
Amenable patients will be enrolled into the study, their intervention will be current standard of care smoking cessation counseling by their surgeon, they will undergo 3 urine tests and a chart review for outcomes.
Intervention1: Contract Agreement
Experimental group
Description:
Amenable patients will be enrolled into the study, their intervention will be a smoking cessation contract with their surgeon, they will undergo 3 urine tests and a chart review for outcomes.
Treatment:
Behavioral: Intervention1: Contract Agreement
Intervention2: Implementation Intentions
Experimental group
Description:
Amenable patients will be enrolled into the study, their intervention will be a worksheet to fill out with their smoking cessation implementation intentions that will be signed by patient and surgeon, they will undergo 3 urine tests and a chart review for outcomes.
Treatment:
Behavioral: Intervention2: Implementation Intentions

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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