Tobacco-Focused Patient Navigation to Address Barriers to Utilization of Community-Based Smoking Cessation Services in Primary Care

NCT01678118 | Completed

• 1 other identifier: 11-028
• Study Type: observational
• Target: 16
• Locations: 1 country
• Sites: 2

Brief Summary

Patient navigators have been shown to assist people seeking cancer screening and other medical services. The purpose of this study is to see whether a patient navigator can link smokers to available community resources shown to help smokers quit smoking.

Conditions

Minority Smokers

Keywords

Patient Navigation; Tobacco dependent; smoking; Cessation; 11-028

Outcome Measures

Primary Outcomes (1)

• patient navigation (TPN) feasibility

  To evaluate the study's potential in terms of its reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) of the intervention, tobacco-dependent patients will be asked to complete an intake interview and a telephone follow-up interview (at 3 to 6 months post-intervention).

  1 year

Study Arms (1)

minority smokers

A single arm ABA design will be used to pilot a tobacco-focused patient navigation (TPN) intervention for low income, minority smokers.

Behavioral: Patient Navigator

Interventions

Patient Navigator BEHAVIORAL

The pt navigator will phone (email, text, or other preferred method of contact) pts prior to the date of previously set individual goals (e.g. going to an appt, getting their cessation medications filled, etc) as a reminder \& to discuss barriers such as finances, transportation or ambivalent motivation. In this manner, pts receive navigation services tailored to their individual needs \& barriers. Once pts are connected with a cessation service (defined as either using cessation medication or at least 1 contact with a Quitline or community-based cessation counselor)or provider-prescribed cessation medication usage, continues the navigation intervention will be considered complete. W/I the 3 month engagement period, pts will receive up to 6 contacts from the Pt Navigator following referral from primary care provider. Consistent with recommended pt navigation practice, the navigator will provide feedback to primary care provider regarding cessation services that the pts are receiving.

minority smokers

Eligibility Criteria

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

Study Population

Participants will also be recruited from Heritage Health Center, located at 1727 Amsterdam Ave, which serves a large proportion to low income, minority patients in Harlem, New York. Also, from the Ralph Lauren Center for Cancer Care and Cancer Prevention (RLCCCP), a community based Center for the prevention, diagnosis, and treatment of cancer located at 1919 Madison Avenue.

You may qualify if:

• Age ≥ 18 years
• Self-reported current daily smoker, as verified with a portable alveolar carbon monoxide (CO) analyzer (24 hour point prevalence); CO levels ≥ 8 ppm.
• English and/or Spanish-speaking
• Referred to the navigation program by their primary care clinician
• At baseline, participants report at least thinking about quitting (i.e., Contemplation or Preparation stages of readiness to quit).

You may not qualify if:

• Serious, untreated psychiatric illness (e.g., schizophrenia,) or active substance abuse likely to preclude adherence to the protocol

Sponsors & Collaborators

• Memorial Sloan Kettering Cancer Center: lead
• Sophie Davis School of Biomedical Education at The City College of New York: collaborator
• NYU Langone Health: collaborator
• Ralph Lauren Center for Cancer Care and Prevention: collaborator
• Heritage Health Center, New York: collaborator

Study Sites (2)

Heritage Health Center

New York, New York, 10031, United States

Location

Ralph Lauren Center for Cancer Care and Prevention

New York, New York, United States

Location

Related Links

• Memorial Sloan-Kettering Cancer Center

MeSH Terms

Conditions

Smoking

Interventions

Patient Navigation

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Patient-Centered Care; Primary Health Care; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Jamie Ostroff, PhD

  Memorial Sloan Kettering Cancer Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 30, 2012
• First Posted: September 3, 2012
• Study Start: April 1, 2011
• Primary Completion: July 20, 2021
• Study Completion: July 20, 2021
• Last Updated: July 27, 2021

Record last verified: 2021-07

Locations

US (2)