Tobacco abuse and other modifiable health risk factors of smokers Mental and Behavioural Disorders Mental and behavioural disorders due to use of tobacco
Conditions
Interventions
The general practitioners are randomly allocated to either the intervention or the control arm of the trial. Randomization on the level of physicians (= clusters) with stratification by type of doctor
Sponsors
Institute of Primary Care
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Current cigarette smoker 2. Male or female of at least 18 years of age 3. Registered as patient in the recruiting physician’s patient base 4. Capable of judgement with regard to participation in the study 5. Signed informed consent after being informed
Exclusion criteria
Exclusion criteria: 1. Severe general or psychiatric illness (e.g. malignancy, major depressive episode, dementia etc) 2. Inability of the participant to follow the procedures of the study due to other reasons (e.g. language problems) 3. Foreseeable change of general practitioner within one year (e.g. due to planned relocation) On the level of general practitioners previous training in “Gesundheitscoaching-KHM” disqualifies from participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of participants with any relevant health-promoting change in either smoking behavior, body weight, physical activity, alcohol consumption, stress level, eating habits or another self-chosen health related behavioral dimension (self-declaration questionnaires; additional confirmatory saliva cotinine test after 12 months) after 1, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Smoking cessation rates among patients with high intrinsic motivation to stop smoking after 1, 6, and 12 months based on self-declaration (questionnaires) and after 12 months using saliva cotinine-testing 2. Smoking cessation rates among all participants after 1, 6, and 12 months based on self-declaration (questionnaires) and after 12 months using saliva cotinine-testing 3. Reduction in number of cigarettes per day (self-declaration questionnaires) after 1, 6, and 12 months compared to baseline 4. Weight loss in units of 1 kg (self-declaration questionnaires) after 1, 6, and 12 months, compared to baseline 5. Increase in physical activity time per week in units of 5 minutes (self-declaration questionnaires) after 1, 6, and 12 months, compared to baseline 6. Reduction in number of standard drinks per week (self-declaration questionnaires) after 1, 6, and 12 months, compared to baseline, and number of alcohol-free days per week (self-declaration questionnaires) at 1, 6, and 12 months 7. Reduction in score of the 10-item Perceived Stress Scale (PSS-10, German version) after 1, 6, and 12 months, compared to baseline 8. Increase in score of translated “MedDietScore” questionnaire after 1, 6, and 12 months, compared to baseline 9. Participant’s degree of motivation and – if applicable – confidence to achieve and maintain a change in behavior (self-efficacy) (self-declaration questionnaires after each coaching/counseling session) 10. If applicable: Availability of a plan on when and how to take action (action planning) and existence of a relapse plan (coping planning) (self-declaration questionnaires after each coaching/counseling session) Parameters describing setting (e.g. characteristics of GPs’ clientele and infrastructure), process quality (e.g. training course quality), structure quality (e.g. refusal or dropout rates), and other data will be collected as covariates using questionnaires after recruitment of GPs, GP training, and the GPs’ individually last patie | — |
Countries
Switzerland
Contacts
Public ContactThomas Grischott
Outcome results
None listed