RCT for Smoking Cessation in 10 Medical Schools
10 所医学院的戒烟随机对照试验
基本信息
- 批准号:8071175
- 负责人:
- 金额:$ 76.34万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2009
- 资助国家:美国
- 起止时间:2009-07-06 至 2014-05-31
- 项目状态:已结题
- 来源:
- 关键词:Academic DetailingAccountingAddressAdultAttentionBehaviorCessation of lifeClinicalClinical Practice GuidelineCollaborationsControl GroupsCost of IllnessCounselingCrowdingDataE-learningEducationEducational CurriculumEducational process of instructingEffectivenessElementsEnrollmentEpidemicEvaluationEvidence based interventionFeedbackGeographic LocationsGoalsHealthHourImpact evaluationIndividualInstructionInterventionKnowledgeLearningMeasuresMediatingMedicalMedical EducationMedical StudentsMethodsModalityModelingOnline SystemsOutcomePatient Self-ReportPatientsPerformancePhysiciansPlayPoliciesProcessRandomizedReportingResearchResearch DesignResearch MethodologyResearch PersonnelRoleScheduleSchoolsSelf EfficacySiteSmokeSmokerSmokingSocietiesStructureStudentsSurveysSystemTeaching MethodTestingTobaccoTobacco DependenceTobacco Use CessationTobacco useTrainingUnited States Public Health ServiceUpdateWithholding TreatmentWorkbasecohortcombatcompare effectivenesscontrol trialdesignevidence baseexperiencefollow-upimprovedinnovationinterestkillingsmedical schoolsnext generationprematureprimary outcomeprogramsrandomized trialsecondary outcomeskill acquisitionskillsskills trainingsmoking cessationsmoking prevalencetheoriestobacco control
项目摘要
DESCRIPTION (provided by applicant): Each year smoking kills 430,000 U.S citizens, exacerbates a myriad of diseases, and costs society approximately $100 billion. Despite the proliferation of information and restrictive smoking policies, adult smoking prevalence has remained relatively stable during the past five years, currently at 21%. Brief physician- delivered tobacco treatment, commonly known as "the 5As", is an evidence-based intervention demonstrated to double a smoker's likelihood of quitting. Given that 70% of smokers see a physician each year, it is imperative that all clinicians have the appropriate knowledge and skill level to counsel smokers. However, few physicians and physicians-in-training receive adequate training to develop these skills. Using a pair-matched, randomized group-controlled (RGC) design (implemented in 10 medical schools), we will compare two methods of teaching the 5As to medical students: 1) traditional medical education (TE), and 2) multi-modal education (MME) that adds two components to TE: a web-based instructional program for students and preceptor training. The primary outcome is observed tobacco treatment counseling skill as measured by the Objective Structured Clinical Examination (OSCE), the standard method for evaluating medical student skill level at all U.S. medical schools. A secondary outcome is self-reported tobacco treatment counseling skill level. In a nested cohort design, during the second year of the study a cohort of medical students will be followed from early in their first year of medical school (MS1) through the end of their third year (MS3) which occurs in the 4th year of the study. The Primary Aim of this RGC trial is to compare the effectiveness of MME for teaching the 5As counseling skills in medical school against TE. Hypothesis 1: MME will outperform TE on observed 5As counseling skills (OSCE). Hypothesis 2: MME will outperform TE on self-reported 5As counseling skills. Strengths of this study include: 1) the innovative study design that tests common and integrative teaching methods and 2) the potential to disseminate throughout US medical schools effective educational methods that can build physicians' skills to assist the millions of patients who continue to smoke. This is a unique window of opportunity to build on our team's prior research in medical education and tobacco dependence treatment. This study involves close collaboration among researchers, practitioners, educators, and stakeholders at 10 U.S. medical schools. This unique team is comprised of investigators with extensive experience developing and teaching an evidence-based, physician-delivered 5A tobacco treatment model; developing and evaluating a web-based tobacco dependence treatment course; implementation of academic detailing with physician preceptors; and experience in building a large medical school consortium for tobacco curriculum reform. PUBLIC HEALTH RELEVANCE: Each year, smoking kills 430,000 U.S citizens, exacerbates myriad diseases, and costs society approximately $100 billion. Brief physician-delivered tobacco cessation counseling, commonly known as "the 5As", is an evidence-based intervention strategy that has been shown to double a smoker's likelihood of quitting. Although 70% of smokers see a physician each year, few physicians are skilled in tobacco cessation treatment, making it imperative that all clinicians and all physicians-in-training have the appropriate knowledge and skill level to counsel their patients who smoke. The goal of this group randomized trial conducted at 10 medical schools is to test the effectiveness of two conditions using different methods for teaching the 5As (Ask, Advise, Assess, Assist, and Arrange) to medical students on their observed and reported counseling behaviors.
描述(由申请人提供):每年吸烟导致43万美国公民死亡,加剧多种疾病,并给社会造成约1000亿美元的损失。尽管信息激增和限制性吸烟政策,成人吸烟率在过去五年中保持相对稳定,目前为21%。医生提供的简短烟草治疗,通常被称为“5A”,是一种循证干预措施,被证明可以使吸烟者戒烟的可能性增加一倍。鉴于每年有70%的吸烟者去看医生,所有临床医生都有适当的知识和技能水平来为吸烟者提供咨询,这是当务之急。然而,很少有医生和受训医生接受足够的培训来发展这些技能。使用配对随机分组对照(RGC)设计(在10所医学院实施),我们将比较两种向医学生教授5A的方法:1)传统医学教育(TE);2)在TE中增加两个组成部分的多模式教育(MME):为学生提供基于网络的教学计划和导师培训。主要结果是观察烟草治疗咨询技能,通过客观结构化临床考试(欧安组织)衡量,这是评估美国所有医学院医学生技能水平的标准方法。次要结果是自我报告的烟草治疗咨询技能水平。在嵌套队列设计中,在研究的第二年期间,将对一组医学生进行跟踪,从他们医学院第一年的早期(MS1)到他们的第三年结束(MS3),这发生在研究的第四年。这项研资局试验的主要目的是比较在医学院教授5A咨询技巧的MME和TE的有效性。假设1:在观察到的5A咨询技能(欧安组织)上,MME的表现优于TE。假设2:在自我报告的5A咨询技能上,MME会比TE表现更好。这项研究的优势包括:1)测试通用和综合教学方法的创新研究设计;2)在美国医学院传播有效的教育方法的潜力,这些方法可以培养医生的技能,帮助数百万继续吸烟的患者。这是一个独特的机会之窗,可以在我们团队先前在医学教育和烟草依赖治疗方面的研究基础上再接再厉。这项研究涉及美国10所医学院的研究人员、从业者、教育工作者和利益相关者之间的密切合作。这一独特的团队由具有丰富经验的研究人员组成,他们开发和教授以证据为基础的、由医生提供的5A烟草治疗模式;开发和评估基于网络的烟草依赖治疗课程;与医生讲师一起实施学术细节;以及为烟草课程改革建立大型医学院联盟的经验。与公共健康相关:每年,吸烟导致43万美国公民死亡,加剧多种疾病,并给社会造成约1000亿美元的损失。医生提供的简短戒烟咨询,俗称“5A”,是一种基于证据的干预策略,已被证明可以使吸烟者戒烟的可能性增加一倍。尽管70%的吸烟者每年都会去看医生,但很少有医生擅长戒烟治疗,因此所有临床医生和所有受训医生都必须具备适当的知识和技能水平,为吸烟的患者提供咨询。这组在10所医学院进行的随机试验的目的是测试两种条件的有效性,使用不同的方法向医学生传授5A(询问、建议、评估、协助和安排),以了解他们观察到的和报告的咨询行为。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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JUDITH K OCKENE其他文献
JUDITH K OCKENE的其他文献
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- 资助金额:
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RCT for Smoking Cessation in 10 Medical Schools
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- 资助金额:
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