Preventing Smoking Relapse After Total Joint Replacement Surgery



Status:Not yet recruiting
Conditions:Smoking Cessation, Smoking Cessation
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:18 - 100
Updated:1/9/2019
Start Date:March 2019
End Date:October 2020
Contact:Yaa Haber
Email:yaa.haber@nyumc.org
Phone:646 501 2636

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Hospitalization for elective knee or hip replacement surgery presents an outstanding
opportunity to motivate people to quit smoking, because it provides an opportunity to
encourage patients to remain smoke-free as they proactively quit to optimize their surgery
outcomes. This study will conduct a comparative effectiveness trial of patients who quit
smoking pre-operatively, comparing the current standard of care with a novel comprehensive
relapse prevention intervention guided by Marlatt's Relapse Prevention Model.

The specific aims of this study are to evaluate the effectiveness and cost-effectiveness of
the relapse prevention intervention and will: 1) compare the effectiveness of standard
post-operative cessation treatment with a comprehensive relapse prevention intervention on
smoking cessation outcomes; 2) conduct a comparative economic analysis to assess the value of
the relapse prevention intervention for patients and the healthcare system; and 3) explore
the impact of the interventions on surgical complications and readmissions.

Inclusion Criteria:

Patient Participants

- Received preoperative smoking cessation counseling through Orthopedic Surgery Quit
Smoking Program

- Undergoing elective knee or hip arthroplasty surgery

- Have not smoked any cigarettes in the week prior to admission and carbon monoxide 4
ppm46,47

- Have a cell phone (for text messaging)

- Provide informed consent in English

Caregiver participants:

- Age ≥ 18 years

- Be a caregiver of the patient participant

- Provide informed consent in English

Exclusion Criteria:

- Patients will be excluded if they used smokeless tobacco or an electronic cigarette in
the last 30 days.
We found this trial at
1
site
550 1st Ave
New York, New York 10016
(212) 263-7300
Principal Investigator: Scott Sherman, MD
Phone: 646-501-2636
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