Quitlink : A Leveraging Solution to Tobacco Counseling

NCT00112268 | Completed Phase 3

• 1 other identifier: 1R21HS014854-01
• Study Type: interventional
• Target: 3,200
• Locations: 1 country
• Sites: 1

Brief Summary

Primary: To test whether the delivery of A3-5 smoking cessation counseling (Assess, Assist, Arrange) in primary care offices is enhanced by a system that couples (1) an expanded vital sign intervention with (2) fax referral of preparation-stage patients for telephone counseling and (3) feedback to the provider. The question will be examined in a randomized trial, with practices as the unit of analysis and with a control intervention consisting of a conventional vital sign intervention. The experiment will therefore compare what intervention and control practices accomplish beyond simply identifying patients who use tobacco. Secondary: To assess contextual factors that might affect implementation of the intervention and account for its ultimate success or failure. In particular, to assess: (1) environmental and practice-level factors that affect practices' ability to successfully implement and use the intervention and; (2) patient characteristics beyond readiness to change (i.e., age, gender, race/ethnicity) that affect willingness to use the quit line and complete counseling.

Conditions

Smoking

Keywords

randomized controlled trial; primary health care; smoking cessation

Outcome Measures

Primary Outcomes (1)

• Whether the intervention increases the proportion of tobacco users (age 18 and older) who receive help within the domains of A3-5 (Assess, Assist, and/or Arrange) at the index office visit, as reported by exiting patients

Secondary Outcomes (5)

• The frequency with which tobacco users are identified (Ask) and advised to quit (Advise)

• The proportion of patients in the preparation stage who consent to telephone counseling

• How recipients of A1-2, A3-5, and the offer of telephone counseling differ by age, gender, doctor seen, and reason for visit

• The proportion of consenting patients who are contacted by American Cancer Society (ACS) counselors within 2 weeks of referral

• The proportion who completed three counseling sessions

Interventions

QuitLink (office support system for quit line referral) BEHAVIORAL

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Current use of tobacco
• Age 18 or older
• Visit with a clinician that day
• Patient at one of the 16 practices in the study

You may not qualify if:

• Unable to participate in a self-administered exit survey

Sponsors & Collaborators

• Virginia Ambulatory Care Outcomes Research Network: lead

Study Sites (1)

Virginia Ambulatory Care Outcomes Network (ACORN)

Richmond, Virginia, 23298-0251, United States

Location

Related Publications (1)

• Rothemich SF, Woolf SH, Johnson RE, Devers KJ, Flores SK, Villars P, Rabius V, McAfee T. Promoting primary care smoking-cessation support with quitlines: the QuitLink Randomized Controlled Trial. Am J Prev Med. 2010 Apr;38(4):367-74. doi: 10.1016/j.amepre.2010.01.008.

  PMID: 20307804 DERIVED

MeSH Terms

Conditions

Smoking; Smoking Cessation

Condition Hierarchy (Ancestors)

Behavior; Health Behavior

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: ECT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: June 1, 2005
• First Posted: June 2, 2005
• Study Start: June 1, 2005
• Study Completion: July 1, 2006
• Last Updated: October 27, 2006

Record last verified: 2006-10

Locations

US (1)