The OneFlorida Cancer Control Alliance: Implementing the 6As in Pediatric Primary Care
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 11 - 17 |
| Updated: | 4/17/2018 |
| Start Date: | February 27, 2017 |
| End Date: | December 28, 2019 |
The primary purpose of our study is to conduct a pilot, practice-based intervention focused
on increasing adherence to the 6As for youth ages 11 through 17 years. The 6As are: (1)
"Anticipate" (future use), (2) "Ask" (about tobacco use), (3) "Advise" (advise the patient to
quit using tobacco), (4) "Assess" (the patient's readiness to quit using tobacco), (5)
"Assist" (by setting a quit date, providing materials on quitting tobacco, providing tobacco
cessation medications, and referring the patient for additional services and/or counseling) ,
and (6) "Arrange" (by re-contacting the patient after their quit date and arranging a
follow-up visit).
on increasing adherence to the 6As for youth ages 11 through 17 years. The 6As are: (1)
"Anticipate" (future use), (2) "Ask" (about tobacco use), (3) "Advise" (advise the patient to
quit using tobacco), (4) "Assess" (the patient's readiness to quit using tobacco), (5)
"Assist" (by setting a quit date, providing materials on quitting tobacco, providing tobacco
cessation medications, and referring the patient for additional services and/or counseling) ,
and (6) "Arrange" (by re-contacting the patient after their quit date and arranging a
follow-up visit).
Investigators will incorporate American Academy of Pediatrics (AAP) best practice
recommendations to screen and counsel parents. The specific aims of this study are to: (1)
Develop and deploy an electronic short screening tool for tobacco and nicotine product use
into pediatric primary care workflow in conjunction with clinician and office staff training
on the 6As and parent screening through the use of trained Clinical Practice Facilitators,
clinician-engaged adaptations of the intervention to fit their practice workflow, and support
for Maintenance of Certification (MOC) to engage pediatricians in implementing the best
practices; (2) Gather pilot data about the effectiveness of the intervention on clinician
adherence to best practices and changes in practice capacity for change, adaptive reserve,
and clinician self-efficacy; and (3) Examine the congruence between documentation of the
intervention in the electronic health record (EHR) and youth report of the intervention.
recommendations to screen and counsel parents. The specific aims of this study are to: (1)
Develop and deploy an electronic short screening tool for tobacco and nicotine product use
into pediatric primary care workflow in conjunction with clinician and office staff training
on the 6As and parent screening through the use of trained Clinical Practice Facilitators,
clinician-engaged adaptations of the intervention to fit their practice workflow, and support
for Maintenance of Certification (MOC) to engage pediatricians in implementing the best
practices; (2) Gather pilot data about the effectiveness of the intervention on clinician
adherence to best practices and changes in practice capacity for change, adaptive reserve,
and clinician self-efficacy; and (3) Examine the congruence between documentation of the
intervention in the electronic health record (EHR) and youth report of the intervention.
Inclusion Criteria:
- 11-17 years old
Exclusion Criteria:
- 18 years and older
We found this trial at
3
sites
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1600 Southwest Archer Road
Gainesville, Florida 32610
Gainesville, Florida 32610
Principal Investigator: Elizabeth Shenkman, PhD
Phone: 352-273-7345
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