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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01735448
Registration number
NCT01735448
Ethics application status
Date submitted
23/11/2012
Date registered
28/11/2012
Titles & IDs
Public title
Improving Health for Aboriginal People Through Tobacco Related Research
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Scientific title
Advancing the Understanding of Barriers and Facilitators for Tobacco Prevention, Cessation Treatments, Doctor Visits for Related Illnesses and Health Research for Aboriginal Australians
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Secondary ID [1]
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AHREC 04-12-472
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Secondary ID [2]
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04-12-472
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Tobacco Dependence
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Condition category
Condition code
Mental Health
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Addiction
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Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Focus group
Other interventions - One-on-one interviews
Other interventions - Survey
Aboriginal smoker, male, Adelaide - Focus group: Aboriginal smoker, male from Adelaide
Aboriginal smoker, female, Adelaide - Focus group: Aboriginal smoker, female, from Adelaide
Aboriginal ex/non-smoker, male, Adelaide - Focus group: Aboriginal ex/non-smoker, male, from Adelaide
Aboriginal ex/non-smoker, female, Adelaide - Focus group: Aboriginal ex/non-smoker, female, from Adelaide
Healthcare workers, Adelaide - Focus group: Healthcare workers who are based in Adelaide and work with Aboriginal patients
Healthcare workers, Murray Bridge - Focus group: Healthcare workers who are based in Murray Bridge and work with Aboriginal patients
Aboriginal smoker, male, Murray Bridge - Focus group: Aboriginal smoker, male, from Murray Bridge
Aboriginal smoker, female, Murray Bridge - Focus group: Aboriginal smoker, female, from Murray Bridge
Aboriginal ex/non-smoker, male, Murray Bridge - Focus group: Aboriginal ex/non-smoker, male, from Murray Bridge
Aboriginal ex/non-smoker, female, Murray Bridge - Focus group: Aboriginal ex/non-smoker, female, from Murray Bridge
Key community stakeholders - One-on-one interviews with 10 key Aboriginal community stakeholders
Respiratory physicians - One-on-one interviews with 10 Respiratory physicians
Consultants and General Practitioners - One-on-one interviews with 10 consultants and/or GP's
Other interventions: Focus group
Initially, ten focus groups with an average sample size of 5-7 participants each will be performed in two communities within South Australia, one being Adelaide and the other Murray Bridge, this includes focus groups held with healthcare workers.
The proposed focus groups will be conducted by experienced mediators who have undertaken Aboriginal cultural awareness training and have experience in qualitative research methods. Both mediators have also been involved in all aspects of project development and consultation with Aboriginal Elders and key stakeholders since its conception.
We will be using topic guides (reviewed by Aboriginal Elders and researchers) that will be semi-structured with open-ended questions designed to encourage group discussion around smoking cessation and the use of pharmacotherapies in particular, in addition to other objectives identified during the consultation phase of this research.
Other interventions: One-on-one interviews
One-on- one interviews will be held with both medical clinicians and key stakeholders and will be conducted by existing TQEH (The Queen Elizabeth Hospital), Clinical Practice Unit employees, experienced in qualitative research. Informed consent will be required and the interview will be audio taped to allow analysis of the qualitative data. All interviews will remain anonymous, unless the interviewee prefers to be named. In this case, they will be named in the acknowledgement section of all publications and presentations. Moderator guides have been developed and reviewed in the same process undergone by the focus group moderator guides
Other interventions: Survey
A four page survey will be administered to all focus group and interview participants in addition to select cohorts including tobacco related special interest groups of the Thoracic Society of Australia and New Zealand (TSANZ). The survey will include demographic data, smoking history and current smoking status (questions related to smoking for current tobacco users include the Fagerstrom test for nicotine dependence, multiple Likert scales for cravings, motivation to quit, confidence etc.) and Likert scales examining perceptions, attitudes and knowledge about tobacco use, cessation, prevention, health and research in the Aboriginal setting.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Determine the barriers and facilitators to pharmacological initiatives for tobacco cessation in Aboriginal populations
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Assessment method [1]
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Qualitative analysis (focus groups, one-on-one interviews and surveys). The use of pharmacotherapies for smoking cessation significantly improves the probability of successful abstinence. Identification of the barriers and facilitators for tobacco cessation pharmacotherapies will be determined through these qualitative discussions and mixed method approaches
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Timepoint [1]
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18 months
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Secondary outcome [1]
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Determine the barriers and facilitators for tobacco prevention initiatives, particularly related to Aboriginal youth
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Assessment method [1]
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Qualitative analysis (focus groups, one-on-one interviews and surveys). The use of tobacco prevention initiatives significantly improves the probability of lower tobacco prevalence long-term. Identification of the barriers and facilitators for tobacco prevention initiatives will be determined through these qualitative discussions and mixed method approaches
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Timepoint [1]
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18 months
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Secondary outcome [2]
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Identify the barriers and facilitators for doctor visits by Aboriginal people
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Assessment method [2]
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Qualitative analysis (focus groups, one-on-one interviews and surveys). Regular doctor visits by Aboriginal people can significantly reduce the progression of chronic illnesses, improve quality of life and reduce health care costs. Identification of the barriers and facilitators for these doctor visits, particularly with Respiratory physicians, will be determined through these qualitative discussions and mixed method approaches
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Timepoint [2]
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18 months
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Secondary outcome [3]
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Identify barriers and facilitators to research initiatives in Aboriginal people and identify self-reported health priorities
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Assessment method [3]
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Qualitative analysis (focus groups, one-on-one interviews and surveys). Research in Aboriginal populations are often lengthy and in many cases fail to achieve their objectives, often due to inappropriate methodology or a lack of consultation with Aboriginal Elders or key stakeholders research initiatives particularly related to tobacco and chronic illnesses will be determined through these qualitative discussions and mixed method approaches. In addition, we aim to identify health priorities identified by participants within the focus groups, one-on-one interviews and surveys that can be targeted for future research initiatives.
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Timepoint [3]
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18 months
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Eligibility
Key inclusion criteria
Male Smokers
* Willing to participate
* Identifies as an Aboriginal person
* Uses more than 10 cigarettes or cigarette equivalent per week
* Has lived in the relevant community for >12 months
Female Smokers
* Willing to participate
* Identifies as an Aboriginal person
* Uses more than 10 cigarettes or cigarette equivalent per week
* Has lived in the relevant community for >12 months
Male Non/Ex Smokers
* Willing to participate
* Identifies as an Aboriginal person
* Has not used tobacco for >3 months
* Has lived in the relevant community for >12 months
Female Non/Ex Smokers
* Willing to participate
* Identifies as an Aboriginal person
* Has not used tobacco for >3 months
* Has lived in the relevant community for >12 months
Healthcare worker
* Willing to participate
* Has provided healthcare to people from Aboriginal people for at least 25% of employment hours over the past 12 months, or
* Has provided healthcare to people from Aboriginal people for at least 5 years of their working career
* Is a qualified healthcare worker
GP's / Specialists
* Willing to participate
* Has provided clinical care to people from Aboriginal people over a 12 month period (at least one consult per week or equivalent)
* Is a qualified General Practitioner or,
* Is a qualified doctor specialising in one of the following disciplines: respiratory, vascular, neurology, oncology, cardiology
Key Stakeholders
* Willing to participate
* Currently working/has worked in Aboriginal health as a primary focus of the position, or
* Is a community Elder, or
* Is influential in Aboriginal health/communities
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Cannot speak English
* Cannot sign a consent
* Does not have the intellectual capacity required to respond to questions
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2016
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Sample size
Target
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Accrual to date
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Final
16
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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The Basil Hetzel Institute for Translational Health Research - Adelaide
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Recruitment hospital [2]
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The Queen Elizabeth Hospital - Adelaide
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Recruitment hospital [3]
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Murray Mallee Community Health Service; Aboriginal Primary Health Care Unit - Murray Bridge
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Recruitment postcode(s) [1]
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5011 - Adelaide
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Recruitment postcode(s) [2]
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5253 - Murray Bridge
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Queen Elizabeth Hospital
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Adelaide
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Aim: To identify barriers and facilitators in the uptake of smoking cessation pharmacotherapies, tobacco prevention, doctor visits, smoking amongst youth, community held health priorities and barriers to research in Aboriginal Australians from the perspectives of: * Aboriginal smokers and ex/non-smokers * Aboriginal Healthcare workers * Consultants/general practitioners, and * Key stakeholders in Aboriginal health Focus groups, one-on-one interviews and surveys will be conducted to provide information at the 'grass-roots' level including examinations into perceived differences in locally held beliefs, attitudes, knowledge, traditional practices and the cultural and social constructs, to assist implementation of future tobacco cessation/prevention interventions and treatment of smoking related illnesses. This information can be used to improve the health of Aboriginal people by identifying inadequacies in current practices and highlighting what these are through the eyes of community members, healthcare workers, consultants/general practitioners and key stakeholders. We also intend on examining any facilitators that are identified as positive and working aspects of current initiatives e.g. community infrastructure, in an effort to not 'reinvent the wheel' and acknowledge what is working.
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Trial website
https://clinicaltrials.gov/study/NCT01735448
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Trial related presentations / publications
Carson KV, Brinn MP, Labiszewski NA, Peters M, Chang AB, Veale A, Esterman AJ, Smith BJ. Interventions for tobacco use prevention in Indigenous youth. Cochrane Database Syst Rev. 2012 Aug 15;2012(8):CD009325. doi: 10.1002/14651858.CD009325.pub2. Carson KV, Brinn MP, Peters M, Veale A, Esterman AJ, Smith BJ. Interventions for smoking cessation in Indigenous populations. Cochrane Database Syst Rev. 2012 Jan 18;1:CD009046. doi: 10.1002/14651858.CD009046.pub2.
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Public notes
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Contacts
Principal investigator
Name
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Kristin V Carson, PhD
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Address
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University of Adelaide
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Available on request
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01735448