NCT01737281

Brief Summary

Veterans with a mental health diagnosis have higher a prevalence of smoking and higher rates of smoking-related morbidities compared to the general Veteran population. Smoking cessation treatment delivery in the VA typically depends on a visit from a health care provider. In this study, investigators will use information within the electronic medical record to identify all smokers with a mental health diagnosis at a VA health care facility and proactively reach out to enroll them in an intensive tobacco cessation treatment program. This approach could be generalized to other behaviors and provides a novel method to improve the health of an entire population of patients.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,938

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jul 2014

Longer than P75 for not_applicable

Geographic Reach
1 country

4 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

November 27, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 29, 2012

Completed
1.6 years until next milestone

Study Start

First participant enrolled

July 1, 2014

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2017

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2018

Completed
9 months until next milestone

Results Posted

Study results publicly available

March 14, 2019

Completed
Last Updated

March 26, 2019

Status Verified

March 1, 2019

Enrollment Period

3 years

First QC Date

November 27, 2012

Results QC Date

November 19, 2018

Last Update Submit

March 18, 2019

Conditions

Keywords

SmokingTobacco controlCounselingmental health

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Cotinine-Validated Abstinence From Smoking

    The primary outcome will be cotinine-validated abstinence from smoking at 12-month follow-up.

    12 months

Secondary Outcomes (1)

  • Number of Participants Self-Reporting 7-Day Abstinence From Cigarettes

    12 months

Study Arms (2)

Proactive outreach

EXPERIMENTAL

Proactive outreach to deliver 7 sessions of telephone counseling and nicotine replacement therapy.

Behavioral: Proactive outreach

Usual care

ACTIVE COMPARATOR

Usual smoking cessation care from clinical staff

Behavioral: Usual care

Interventions

Proactive contact (mail and phone) offering smoking cessation medications and telephone counseling.

Proactive outreach
Usual careBEHAVIORAL

Usual smoking cessation care from VA clinical staff.

Usual care

Eligibility Criteria

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

You may qualify if:

  • Current smoker (i.e., any tobacco use in past 30 days)
  • Seen in VA Mental Health Clinic in prior 12 months

You may not qualify if:

  • Dementia
  • Does not speak English
  • Does not have a telephone and mailing address (necessary to mail out consent materials and to deliver the telephone-based intervention)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

James A. Haley Veterans' Hospital, Tampa, FL

Tampa, Florida, 33612, United States

Location

Minneapolis VA Health Care System, Minneapolis, MN

Minneapolis, Minnesota, 55417, United States

Location

Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY

New York, New York, 10010, United States

Location

Michael E. DeBakey VA Medical Center, Houston, TX

Houston, Texas, 77030, United States

Location

Related Publications (4)

  • Rogers ES, Fu SS, Krebs P, Noorbaloochi S, Nugent SM, Rao R, Schlede C, Sherman SE. Proactive outreach for smokers using VHA mental health clinics: protocol for a patient-randomized clinical trial. BMC Public Health. 2014 Dec 17;14:1294. doi: 10.1186/1471-2458-14-1294.

  • Hammett P, Fu SS, Lando HA, Owen G, Okuyemi KS. The association of military discharge variables with smoking status among homeless Veterans. Prev Med. 2015 Dec;81:275-80. doi: 10.1016/j.ypmed.2015.09.007. Epub 2015 Sep 21.

  • Rogers ES, Fu SS, Krebs P, Noorbaloochi S, Nugent SM, Gravely A, Sherman SE. Proactive Tobacco Treatment for Smokers Using Veterans Administration Mental Health Clinics. Am J Prev Med. 2018 May;54(5):620-629. doi: 10.1016/j.amepre.2018.02.011. Epub 2018 Mar 15.

  • Japuntich SJ, Hammett PJ, Rogers ES, Fu S, Burgess DJ, El Shahawy O, Melzer AC, Noorbaloochi S, Krebs P, Sherman SE. Effectiveness of Proactive Tobacco Cessation Treatment Outreach Among Smokers With Serious Mental Illness. Nicotine Tob Res. 2020 Aug 24;22(9):1433-1438. doi: 10.1093/ntr/ntaa013.

MeSH Terms

Conditions

SmokingPsychological Well-Being

Condition Hierarchy (Ancestors)

BehaviorPersonal Satisfaction

Results Point of Contact

Title
Dr. Scott Sherman
Organization
VA NY Harbor Healthcare System

Study Officials

  • Scott E Sherman, MD MPH

    Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY

    PRINCIPAL INVESTIGATOR
  • Steven S. Fu, MD MSCE

    Minneapolis VA Health Care System, Minneapolis, MN

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 27, 2012

First Posted

November 29, 2012

Study Start

July 1, 2014

Primary Completion

June 30, 2017

Study Completion

June 30, 2018

Last Updated

March 26, 2019

Results First Posted

March 14, 2019

Record last verified: 2019-03

Data Sharing

IPD Sharing
Will not share

Locations