Skip to main content
main-content

01.12.2012 | Study protocol | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

A teachable moment communication process for smoking cessation talk: description of a group randomized clinician-focused intervention

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Susan A Flocke, Elizabeth Antognoli, Mary M Step, Sybil Marsh, Theodore Parran, Mary Jane Mason
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-109) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

SF developed the concept for the study and the study design. She significantly contributed to the development and implementation of the intervention, interpretation of data analysis and drafting of the article. EA contributed to the development and implementation of the intervention, interpretation of data analysis and drafting of the article. MS contributed to the development and implementation of the intervention, interpretation of data analysis and drafting of the article. SM contributed to the development and implementation of the intervention and drafting of the article. TP contributed to the development and implementation of the intervention and drafting of the article. MJM contributed to the data analysis and interpretation of data and drafting of key sections of the article. All authors contributed to refining and revising the article for important intellectual content. All authors read and approved the final manuscript.

Abstract

Background

Effective clinician-patient communication about health behavior change is one of the most important and most overlooked strategies to promote health and prevent disease. Existing guidelines for specific health behavior counseling have been created and promulgated, but not successfully adopted in primary care practice. Building on work focused on creating effective clinician strategies for prompting health behavior change in the primary care setting, we developed an intervention intended to enhance clinician communication skills to create and act on teachable moments for smoking cessation. In this manuscript, we describe the development and implementation of the Teachable Moment Communication Process (TMCP) intervention and the baseline characteristics of a group randomized trial designed to evaluate its effectiveness.

Methods/Design

This group randomized trial includes thirty-one community-based primary care clinicians practicing in Northeast Ohio and 840 of their adult patients. Clinicians were randomly assigned to receive either the Teachable Moments Communication Process (TMCP) intervention for smoking cessation, or the delayed intervention. The TMCP intervention consisted of two, 3-hour educational training sessions including didactic presentation, skill demonstration through video examples, skills practices with standardized patients, and feedback from peers and the trainers. For each clinician enrolled, 12 patients were recruited for two time points. Pre- and post-intervention data from the clinicians, patients and audio-recorded clinician‒patient interactions were collected. At baseline, the two groups of clinicians and their patients were similar with regard to all demographic and practice characteristics examined. Both physician and patient recruitment goals were met, and retention was 96% and 94% respectively.

Discussion

Findings support the feasibility of training clinicians to use the Teachable Moments Communication Process. The next steps are to assess how well clinicians employ these skills within their practices and to assess the effect on patient outcomes.

Trial Registration

ClinicalTrials.gov Identifier: NCT01575886
Zusatzmaterial
Authors’ original file for figure 1
12913_2012_2334_MOESM1_ESM.pdf
Authors’ original file for figure 2
12913_2012_2334_MOESM2_ESM.pdf
Authors’ original file for figure 3
12913_2012_2334_MOESM3_ESM.pdf
Authors’ original file for figure 4
12913_2012_2334_MOESM4_ESM.tiff
Authors’ original file for figure 5
12913_2012_2334_MOESM5_ESM.tiff
Authors’ original file for figure 6
12913_2012_2334_MOESM6_ESM.pdf
Authors’ original file for figure 7
12913_2012_2334_MOESM7_ESM.doc
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2012

BMC Health Services Research 1/2012 Zur Ausgabe