Remote Smoking Cessation Intervention for Surgical Patients

(BuTT-Out Trial)

Recruiting in Palo Alto (17 mi)

Overseen by Susan M Lee, MD, FRCPC

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Fraser Health

No Placebo Group

Trial Summary

What is the purpose of this trial?

Smoking continues to be a burden to the healthcare system in Canada. It is well-known that smokers suffer more complications and higher risk of mortality after surgery than non-smokers. A quality improvement project at Royal Columbian Hospital recently showed that it is possible to implement a smoking cessation bundle for all current smokers during their preadmission clinic visit. However, due to the COVID-19 pandemic, much of the bundle was abandoned as it relied heavily on in-person interactions. The investigators wish to study the effect of a structured smoking cessation bundle, delivered remotely, on smoking cessation and postoperative complications. The aim is to determine the feasibility of giving the remotely delivered bundle to elective surgical patients before or around the time of a preadmission clinic visit, and whether it can reduce smoking rates and postoperative complications versus the standard uncoordinated advice.

Research Team

Michelle Mozel, MSc

Principal Investigator

Fraser Health Authority

Susan M Lee, MD, FRCPC

Principal Investigator

Fraser Health Authority

Eligibility Criteria

This trial is for adults over 18 who currently smoke cigarettes and have a surgery scheduled at least one week away or not yet booked. It's not for those needing emergency surgery, using non-cigarette tobacco, marijuana, or vaping products, pregnant or breastfeeding individuals, anyone unable to consent, or participants in other smoking cessation studies.

Inclusion Criteria

Adults aged 18 years and over.

Current smoker (self-identified from pre-surgical package).

Surgery date over 1 week away or not yet booked.

Exclusion Criteria

Emergency surgery.

You only smoke marijuana or use vaping products.

Currently enrolled in any other research study involving smoking cessation.

Treatment Details

Interventions

• Remote smoking cessation bundle (Behavioural Intervention)

Trial Overview The study tests a remote smoking cessation program designed to help smokers quit before their surgical appointments. The goal is to see if this virtual support can reduce the number of people who smoke and lower the risk of complications after surgery compared to standard advice.

Participant Groups

Group I: Intervention group Experimental Treatment 1 Intervention

The intervention group will be emailed (or postal mailed) the smoking cessation bundle with educational video, brochure, referral to the Smokers' Helpline and direct referral to an online pharmacy for nicotine replacement.

Group II: Control group Active Control 1 Intervention

The control group will have their preadmission clinic telephone call as normal and may be given advice to quit smoking and information about available smoking cessation resources over the phone.

Who Is Running the Clinical Trial?

Fraser Health

Lead Sponsor

Trials

49

Recruited

708,000+

Royal Columbian Hospital Foundation

Collaborator

Trials

4

Recruited

1,000+