Efficacy of motivating short interventions for smokers in primary care (COSMOS trial): study protocol for a cluster-RCT.

Details

Serval ID
serval:BIB_993B340D114C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Efficacy of motivating short interventions for smokers in primary care (COSMOS trial): study protocol for a cluster-RCT.
Journal
Trials
Author(s)
Grischott T., Senn O., Rosemann T., Frei A., Cornuz J., Martin-Diener E., Neuner-Jehle S.
ISSN
1745-6215 (Electronic)
ISSN-L
1745-6215
Publication state
Published
Issued date
25/01/2019
Peer-reviewed
Oui
Volume
20
Number
1
Pages
81
Language
english
Notes
Publication types: Clinical Trial Protocol ; Journal Article
Publication Status: epublish
Abstract
Tobacco abuse is a frequent issue in general practitioners' (GPs') offices, with doctors playing a key role in promoting smoking cessation to their patients. However, not all smokers are ready and willing to give up smoking. Thus, a GP focusing on smoking cessation alone might waste the opportunity to improve his patient's health by supporting a change in another harmful behaviour pattern. The aim of this study is to determine whether multi-thematic coaching will lead to higher overall health benefits without resulting in a reduced rate of successful smoking cessations, compared with a monothematic smoking cessation approach.
The study is designed as a two-armed, double-blinded, cluster-randomised trial. GPs will be randomly assigned to the intervention or control group. In the intervention group, GPs will undergo training in patient-centred coaching, shared decision-making and motivational interviewing. The control group will be trained in a state-of-the-art smoking cessation algorithm. GPs will approach adult cigarette-smoking patients and advise those included according to the GP's group affiliation. The primary outcome is the between-group difference in the proportion of participants who achieve a beneficial change in at least one of seven different health-related behavioural dimensions, 12 months post baseline. Secondary outcomes include smoking cessation rates and the patients' self-perceived smoking-related motivation, self-efficacy and planning behaviour. Additionally, covariates describing both GPs and patients will be collected before the start of the intervention, and process outcome measures in compliance with the RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) framework will be recorded during the ongoing study.
Tobacco consumption is still highly prevalent in the general population and often goes hand in hand with other behaviour patterns with adverse health effects. This study will add to the literature regarding effective strategies available to GPs to address unhealthy behaviour among their smoking patients beyond mere smoking cessation counselling. The study will also establish a basis for decisions about further promotion and dissemination of the coaching under study.
ISRCTN, ISRCTN38129107 . Registered on 2 October 2017.
Keywords
Alcohol Drinking, Data Interpretation, Statistical, Double-Blind Method, Exercise, Feeding Behavior, Female, General Practitioners, Humans, Male, Motivation, Outcome Assessment (Health Care), Primary Health Care, Randomized Controlled Trials as Topic, Research Design, Sample Size, Smokers/psychology, Smoking Cessation/methods, Counselling, Health behaviour, Health promotion, Motivational interviewing, Patient-centredness, Primary care, Shared decision-making, Smoking cessation
Pubmed
Web of science
Open Access
Yes
Create date
01/03/2019 13:16
Last modification date
20/08/2019 16:00
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