NCT01289275

Brief Summary

When smokers are hospitalized they quit smoking, either voluntarily or involuntarily. Most of them, however, go back to smoking soon after discharge. This study will test an innovative approach which includes dispensing nicotine patches at discharge, providing proactive telephone counseling post discharge, or giving a combination of the two. The interventions are aimed at increasing the long term quit rate of these patients. The specific aims of the study are to demonstrate the effects of two interventions, dispensing nicotine patches at discharge and providing proactive telephone counseling soon after discharge, on 12-month quit rates of hospitalized smokers in a 2 x 2 factorial design.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,270

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Aug 2011

Typical duration for phase_4

Geographic Reach
1 country

6 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 31, 2011

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 3, 2011

Completed
6 months until next milestone

Study Start

First participant enrolled

August 1, 2011

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2014

Completed
3.4 years until next milestone

Results Posted

Study results publicly available

November 29, 2017

Completed
Last Updated

February 13, 2020

Status Verified

February 1, 2020

Enrollment Period

2.9 years

First QC Date

January 31, 2011

Results QC Date

October 26, 2017

Last Update Submit

February 11, 2020

Conditions

Keywords

tobacco cessationsmoking cessationtelephoneself-helpsmoking abstinencetobacco use disorderhospitalcardiopulmonary diseasesdisparity

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants With 30-day Abstinence

    All participants will receive an assessment Interview 6-months after their initial contact with the Helpline. The interview will cover, as appropriate, tobacco use, use of quitting aids, pattern of quitting (including slips and relapse situations), and satisfaction with the services. The interview will be conducted over the telephone. Intention to treat analysis.

    6-months post enrollment

Secondary Outcomes (3)

  • Percentage of Smokers Making a 24-hour Quit Attempt

    6-months post enrollment

  • Self-reported Re-hospitalization

    6-months post enrollment

  • 30-day Abstinence

    2-months post enrollment

Study Arms (4)

Telephone Counseling

EXPERIMENTAL

Up to 5 proactive counseling sessions

Behavioral: Telephone CounselingBehavioral: Brief Hospital Counseling

Nicotine Patches

EXPERIMENTAL

8 weeks of nicotine patches

Drug: Nicotine PatchesBehavioral: Brief Hospital Counseling

Telephone Counseling + Patches

EXPERIMENTAL

5 proactive sessions, 8 weeks patches

Drug: Nicotine PatchesBehavioral: Telephone CounselingBehavioral: Brief Hospital Counseling

Brief hospital counseling

ACTIVE COMPARATOR

brief in hospital counseling, no proactive sessions or patches

Behavioral: Brief Hospital Counseling

Interventions

Subjects randomized into the patch condition will receive 8 weeks of nicotine patches at discharge. The kit will contain 4 weeks of 21mg patches, 2 weeks of 14mg, and 2 weeks of 7mg.

Nicotine PatchesTelephone Counseling + Patches

Up to 5 proactive counseling sessions from California Smokers' Helpline.

Telephone CounselingTelephone Counseling + Patches

All subjects receive bedside counseling either from Respiratory Therapists or nurses according to the hospital's particular practices.

Brief hospital counselingNicotine PatchesTelephone CounselingTelephone Counseling + Patches

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older
  • Smoke \>=6 Cigarettes per day
  • English or Spanish speaking
  • Valid phone number
  • Valid address
  • Gave consent to participate in study and evaluation

You may not qualify if:

  • Hospital stay of less than 24 hours
  • Inability to communicate orally
  • Hypersensitivity to nicotine
  • Pregnant
  • Hospitalized for psychiatric treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Scripps Mercy - Chula Vista

Chula Vista, California, 91910, United States

Location

Univeristy of California, Davis

Davis, California, 95616, United States

Location

UCSD - Thornton Hospital

La Jolla, California, 92037, United States

Location

Scripps Mercy - San Diego Campus

San Diego, California, 92103, United States

Location

UCSD Medical Center - Hillcrest

San Diego, California, 92103, United States

Location

University of California, San Diego: California Smokers' Helpline

San Diego, California, 92111, United States

Location

Related Publications (3)

  • Cummins SE, Gamst AC, Brandstein K, Seymann GB, Klonoff-Cohen H, Kirby CA, Tong EK, Chaplin E, Tedeschi GJ, Zhu SH. Helping Hospitalized Smokers: A Factorial RCT of Nicotine Patches and Counseling. Am J Prev Med. 2016 Oct;51(4):578-86. doi: 10.1016/j.amepre.2016.06.021.

  • Duffy SA, Cummins SE, Fellows JL, Harrington KF, Kirby C, Rogers E, Scheuermann TS, Tindle HA, Waltje AH; Consortium of Hospitals Advancing Research on Tobacco (CHART). Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART). Tob Induc Dis. 2015 Sep 3;13(1):29. doi: 10.1186/s12971-015-0056-5. eCollection 2015.

  • Cummins S, Zhu SH, Gamst A, Kirby C, Brandstein K, Klonoff-Cohen H, Chaplin E, Morris T, Seymann G, Lee J. Nicotine patches and quitline counseling to help hospitalized smokers stay quit: study protocol for a randomized controlled trial. Trials. 2012 Aug 1;13:128. doi: 10.1186/1745-6215-13-128.

MeSH Terms

Conditions

Smoking CessationTobacco Use CessationTobacco Use DisorderPulmonary Heart Disease

Interventions

Tobacco Use Cessation Devices

Condition Hierarchy (Ancestors)

Health BehaviorBehaviorSubstance-Related DisordersChemically-Induced DisordersMental DisordersHeart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Therapeutics

Results Point of Contact

Title
Sharon Cummins, Ph.D.
Organization
UC San Diego, California Smokers' Helpline

Study Officials

  • Shu-Hong Zhu, Ph.D.

    UCSD

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

January 31, 2011

First Posted

February 3, 2011

Study Start

August 1, 2011

Primary Completion

July 1, 2014

Study Completion

July 1, 2014

Last Updated

February 13, 2020

Results First Posted

November 29, 2017

Record last verified: 2020-02

Data Sharing

IPD Sharing
Will not share

Locations