For Healthcare Professionals

Combining Default Choices and a Decision Aid to Improve Tobacco Cessation


About the study

The FIRST cluster randomized trial will evaluate the effect of 1) a training program encouraging general practitioners to offer smoking cessation treatment as a default choice to all current smokers consulting a general practitioner (GP), and 2) an interactive, electronic decision aid to guide smoking cessation treatment, on the proportion of current smokers seen in primary care who have quit smoking 6 months after a baseline visit to their GP, as compared to enhanced usual care.

Who can take part

You may be eligible to participate in the study if you meet the following criteria:


Patient-level inclusion criteria:

  1. Consider the GP they are seeing in consultation to be their primary care doctor
  2. Use tobacco daily (cigarettes, cigars, smokeless tobacco)
  3. ≥18 years of age at the time of inclusion

GP-level inclusion criteria:

  1. GP in private practice in French-speaking Switzerland (Vaud, Geneva, Jura, Neuchâtel, Fribourg or Valais) or metropolitan France
  2. Primarily French-speaking patients with >80 individual patients seen in a typical month


Patient-level exclusion criteria:

  1. Consulting for an urgent complaint that precludes even a brief discussion of smoking cessation
  2. Inability to follow the procedures of the study, e.g. unable to read French-language consent materials, severe psychiatric disorders, dementia, etc.
  3. Previous enrolment in a smoking cessation trial <1 year prior
  4. Current daily user of a pharmacologic smoking cessation aid

GP-level exclusion criteria:

  1. Completed an intensive smoking cessation curriculum <2 years prior (ie. at least half-day of training)
  2. Have plans to retire or relocate outside of Switzerland or France in <12 months

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Study Locations

Enter your ZIP code/Postal code/PIN code to locate study sites near you:

How to Apply

Contact the study center to learn if this study is a good match for you.

Study’s details


Smoking Cessation

Age (in years)



Not Applicable

Participants needed


Est. Completion Date

Dec 31, 2023

Treatment type



Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland identifier


Study number


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