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Research for Providers

Here are some studies involving healthcare providers:


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Opioid De-implementation

This initiative utilizes a system-level approach through the development of a de-implementation model that addresses the use of high-risk, low value opioid prescribing practices in primary care. This will be accomplished by building capacity across all sectors through the education and training on existing evidence based programs for both pain and addiction management. By building community capacity, we are able to improve the provision and collaboration between existing healthcare networks and services and work towards prevention, early detection and management of patients who develop adverse effects from prescribed opioids.


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Medical Psychiatry Alliance: Technology-Enabled Care Collaboration Study for Youth (TECC-Y): A feasibility study

The overall objective of this study is to develop scalable interventions aimed at addressing the physical health needs of patients affected by early psychosis. Utilizing a high intensity Technology-Enabled Care Collaboration (TECC) model compared to lower intensity self-help modules and email support for early identification and treatment of cardio-metabolic risk factors in youth, ages 16-29, affected by first episode psychosis attending either CAMH, THP or HSC. 

For more information, please visit  the TECC-Y webpage.


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NRT to Effect (NRT2E)

The NRT2E study tests the effectiveness of personalized dose of NRT compared to a standard dose.

The study explores whether personalizing the nicotine patch dose to match an individual's needs is a safe and effective way of helping an individual quit smoking. Study treatment starts with 2 weeks of 21mg/day nicotine patches (standard treatment). For the next 10 weeks after that, you will either continue on standard treatment, or be randomized to receive higher doses of nicotine patches or placebo patches.

For more information about the study, please visit the NRT2E webpage.


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Tobacco addiction treatment implementation and scale up in dental care settings: A mixed methods study

This research study, beginning in Fall 2018, will implement the use of a clinical decision support system (CDSS) within dental practices across Ontario with the goal of enhancing the treatment of smokers. This CDSS will allow dentists to have access to an automated screening and flagging system with technical support to initiate prescription and brief advice for tobacco dependence treatment of all individuals using tobacco in their practice.


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Picking up the PACE

Picking Up the PACE is a comprehensive initiative that uses a biopsychosocial and developmental approach to address modifiable risk factors impeding the success of long term tobacco cessation efforts.

This project aims to improve the ability of healthcare providers (HCPs) to offer evidence-based interventions targeting multiple risk factors (excess alcohol consumption, physical inactivity, poor nutrition, stress tolerance, and poor sleep) for patients who use tobacco in order to improve health and cessation outcomes. Key components of the program include: 1) online training for healthcare providers, and 2) an implementation/guidance tool for healthcare practitioners to use in their clinical practices.


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Effective Prescribing Interventions for Cessation (EPIC): Evaluation of a coaching model to increase the effectiveness of online training for smoking cessation

Project EPIC is an initiative focused on enhancing healthcare pracitioner's knowledge and skills around prescribing smoking cessation medications, like bupropion and varenicline. The study aims to compare the efficacy of an online self-study module with online coaching by experts in the field. The study is currently in process and if you are a healthcare provider that has the ability to prescribe cessation medications, please contact teach@camh.ca for more information.


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Mood Management

Individuals with depression are almost twice as likely to be smokers, achieve lower long-term smoking abstinence, and experience greater addiction severity and negative mood when making a quit attempt. Approximately, 38% of patient enrolled in the STOP program have current or past depression; 6-month quit rates that are significantly lower than patients without depression (33% vs. 40%). Since the launch of the Mood Management initiative in 2018, the STOP portal has offered features to support healthcare providers in the delivery of brief interventions and educational resources to patients presenting risk of depression or depressive symptoms - in order to improve their smoking cessation success.

To download our patient resource for managing mood click here.

For questions regarding the Mood Management initiative, please contact: MoodInitiative@camh.ca. 

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