None listed
Conditions
Brief summary
Smoking in the perioperative setting leads to increased surgical and anaesthetic complications. It has been demonstrated that by reducing perioperative smoking rates it can lead to a reduction in these complications, resulting in better outcomes for both patients and health care systems. Undergoing an operation creates a unique encounter between the patient and a variety of health-care professionals. It occurs at a time when patients maybe more receptive to lifestyle changes and provides an opportunity for a “teachable moment” when the patient may be willing to adopt and sustain a positive behavioural change. This project will utilise deliver a m-Health smoking cessation intervention opportunistically targeted to a time point at which patients have been shown to be particularly receptive to behaviour change (before a surgical procedure). Inclusion criteria will be patients booked for surgical procedures in a large metropolitan hospital who have a self-reported history of smoking. Inclusion criteria include access to an active mobile phone and ability to understand written English. Participants will be randomised 1:1 in a single blinded randomised control trial to either usual care, or usual care plus a 12 week smoking cessation intervention delivered via 4 SMS messages per week. SMS messages will include 24 smoking cessation messages and 24 general message which include 1) healthy lifestyle (i.e. diet and physical activity) and 2) information specific to Westmead Hospital pre-admission and surgical services (eg. Parking locations, typical clinic duration, items to bring etc.)
Interventions
This project will utilise deliver a m-Health smoking cessation intervention opportunistically targeted to a time point at which patients have been shown to be particularly receptive to behaviour change (before a surgical procedure).
The intervention for this project entails a text message program delivered to participants over a 12 week period of time, with 4 messages per week. The content of these text messages will include 24 smoking cessation messages and 24 general messages, which include
This project will utilise deliver a m-Health smoking cessation intervention opportunistically targeted to a time point at which patients have been shown to be particularly receptive to behaviour change (before a surgical procedure). The intervention for this project entails a text message program delivered to participants over a 12 week period of time, with 4 messages per week. The content of these text messages will include 24 smoking cessation messages and 24 general messages, which include 1) healthy lifestyle (i.e. diet and physical activity) and 2) information specific to Westmead Hospital pre-admission and surgical services (eg. Parking locations, typical clinic duration, items to bring etc.). The primary outcome of self-reported smoking cessation will be assessed at 12 weeks and 12 months. Participants will be recruited via screening of recommendation for surgery documents at Westmead pre-admission clinic. At this point, our investigators based at Westmead hospital will contact the participants and fill out the initial questionnaire surrounding their current smoking habits and general health indices. The questionnaire data is recorded on the RedCap database which will then randomise the participants to the intervention or control group. Participants in the intervention group will receive text messages as above, via current software previously used to deliver text message based interventions in high risk cardiology patients (used for clinical trial TEXT ME). This intervention is delivered from the cardiology research department at Westmead hospital. At the end of the 12 week period - investigators will again contact the participants to fill out the follow up questionnaire regarding changes to smoking habits/smoking cessation/increased willingness to quit. This research aims to establish the feasibility and effectiveness of a 12 week SMS delivered smoking cessation program delivered during the pre-operative waiting period before a scheduled surgical procedure. The initial welcome message will be sent followed by 8 admin messages first. In the first week of the program there will be 4 messages and after that 3 messages per week. After the 8 admin messages the participants will receive 24 smoking cessation messages, 10 healthy lifestyle messages and 6 messages with information specific to Westmead Hospital pre-admission and surgical services. The message delivery is monitored via an automated query to the messaging service provider. This query is performed for each message for 7 days after the message has been dispatched to determine whether the message has been delivered or not. This data is written to an excel spreadsheet. Participants will be encouraged not to reply to the messages however any replies will be monitored and responded to as necessary. Participants will be able to opt out of the intervention at any time by replying to a message with the response 'STOP'. If participants reply stop the messages will be ceased but they will still be contacted for followup. They will not be replaced as a drop off rate was factored into the power calculations.
Sponsors
University of Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Inclusion criteria will be patients booked for surgical procedures in a large metropolitan hospital who have a self-reported history of smoking. Inclusion criteria include access to an active mobile phone and ability to understand written English.
Exclusion criteria
Inability to understand English, no access to a mobile phone, surgery booked for less than 90 days time
Outcome results
None listed