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Background <p>Tobacco use is a strong risk factor for premature mortality and morbidity. We assessed the feasibility of screening and recruiting participants for a randomized controlled trial (RCT) of a facilitated referral intervention to promote smoking and vaping cessation among parents and children (CanCEASE).</p> Methods <p>We conducted a pilot RCT of CanCEASE in five outpatient pediatric clinics in Montreal, Canada. We recruited parents (≥ 18&#xa0;years) and adolescents (14–17&#xa0;years) who reported smoking or vaping in the 7&#xa0;days prior to recruitment. Our primary outcome was the number of participants recruited and randomized per day of recruitment (&gt; 0.6/day). Secondary outcomes included interest in cessation resources (binary, at least one resource requested by the end of participation at 6&#xa0;months) and participant retention (≥ 60% at 6 months). Descriptive statistics are presented, and outcomes are compared between parent and adolescent participants using chi-square tests.</p> Results <p>There were 118&#xa0;days of recruitment across 5 clinics spread over 95 calendar days, resulting in enrollment of 53 adolescents and 74 parents in the study, with the majority being female. Recruitment rates were 0.56 participant/day of recruitment for adolescents and 0.78 participant/day of recruitment for parents. Interest in specific cessation resources was low overall. Retention rate at 6&#xa0;months was 52.8% (95% confidence interval: 43.7–61.6) and higher among adolescents (vs. parents) and females (vs. males).</p> Conclusions <p>Our study demonstrated the feasibility of screening and recruiting parents and adolescents for a smoking and vaping cessation trial. However, strategies to increase interest in cessation resources and retention rates would improve the odds of success of an effectiveness trial.</p> Trial registration <p>This pilot study is registered at ClinicalTrials.gov (ID: <a href="https://clinicaltrials.gov/study/NCT05366790">NCT05366790</a>). It was submitted on May 4, 2022. Protocol information is available at ClinicalTrials.gov.</p>

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A brief digital screening tool to address parental and adolescent tobacco and electronic cigarette use in paediatric medical care in Canada: a pilot randomized controlled trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月13日

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  • Olivier Drouin,
  • Tamara Perez,
  • Émile Diamant,
  • Cristal Namuhoranye,
  • Sandrine Mitri,
  • Afnan Al-Saleh,
  • Marie-Pierre Sylvestre,
  • Jennifer O.’Loughlin,
  • Jonathan P. Winickoff,
  • Nicholas Chadi

摘要

Background

Tobacco use is a strong risk factor for premature mortality and morbidity. We assessed the feasibility of screening and recruiting participants for a randomized controlled trial (RCT) of a facilitated referral intervention to promote smoking and vaping cessation among parents and children (CanCEASE).

Methods

We conducted a pilot RCT of CanCEASE in five outpatient pediatric clinics in Montreal, Canada. We recruited parents (≥ 18 years) and adolescents (14–17 years) who reported smoking or vaping in the 7 days prior to recruitment. Our primary outcome was the number of participants recruited and randomized per day of recruitment (> 0.6/day). Secondary outcomes included interest in cessation resources (binary, at least one resource requested by the end of participation at 6 months) and participant retention (≥ 60% at 6 months). Descriptive statistics are presented, and outcomes are compared between parent and adolescent participants using chi-square tests.

Results

There were 118 days of recruitment across 5 clinics spread over 95 calendar days, resulting in enrollment of 53 adolescents and 74 parents in the study, with the majority being female. Recruitment rates were 0.56 participant/day of recruitment for adolescents and 0.78 participant/day of recruitment for parents. Interest in specific cessation resources was low overall. Retention rate at 6 months was 52.8% (95% confidence interval: 43.7–61.6) and higher among adolescents (vs. parents) and females (vs. males).

Conclusions

Our study demonstrated the feasibility of screening and recruiting parents and adolescents for a smoking and vaping cessation trial. However, strategies to increase interest in cessation resources and retention rates would improve the odds of success of an effectiveness trial.

Trial registration

This pilot study is registered at ClinicalTrials.gov (ID: NCT05366790). It was submitted on May 4, 2022. Protocol information is available at ClinicalTrials.gov.