E-Visit for COPD and Smoking Cessation

NCT04155073 | Completed Results

• 1 other identifier: 00086016
• Study Type: interventional
• Target: 125
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this work is to develop, refine, and pilot test an electronic visit (e-visit) to: 1) deliver smoking cessation treatment to adults at risk for COPD and 2) to improve rates of COPD early detection and accurate diagnosis. The investigators will conduct a pilot RCT of the COPD/smoking cessation e-visit as compared to treatment as usual (TAU), with primary objective to provide effect size estimates for a larger RCT.

Conditions

Pulmonary Disease, Chronic Obstructive; Cigarette Smoking; Telemedicine

Outcome Measures

Primary Outcomes (2)

• Evidence-based Cessation Treatment Utilization

  participants in both groups will be queried for use of a smoking cessation medication since the last assessment

  Baseline through Month 3

• Number of Participants at Month 1 and Month 3 With At Least 1 Quit Attempt

  quit attempts will be assessed at each follow-up using a timeline followback for the last 6-months at baseline and since prior follow-up for each subsequent assessment

  Baseline through Month 3

Secondary Outcomes (1)

• E-visit Acceptability and Feasibility

  Baseline through Month 3

Study Arms (2)

COPD/smoking cessation electronic visit (e-visit)

EXPERIMENTAL

This group will be sent 1) an invitation to complete an electronic visit (e-visit) focused on cigarette smoking, quitting smoking, and respiratory symptoms, 2) an invitation to complete a follow-up e-visit one-month after the initial e-visit, and if needed, 3) a home spirometry test with instructions on how to video themselves completing a lung functioning test via the device within an additional e-visit.

Behavioral: smoking cessation, early COPD detection, electronic visit

Treatment as Usual (TAU)

ACTIVE COMPARATOR

This group will be provided information about the state quitline and about the importance of quitting smoking and it will be recommended that they contact their PCP to schedule a medical visit to discuss quitting smoking.

Other: Treatment As Usual

Interventions

smoking cessation, early COPD detection, electronic visit BEHAVIORAL

electronic visits (e-visits) for smoking cessation and early detection of chronic obstructive pulmonary disease (COPD)

COPD/smoking cessation electronic visit (e-visit)

Treatment As Usual OTHER

Information about the state quitline and about the importance of quitting smoking and a recommendation to contact one's PCP to schedule a medical visit to discuss quitting smoking

Treatment as Usual (TAU)

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• current cigarette smoker,
• enrolled in MUSC's Epic MyChart program or willing to sign up for MyChart,
• possess a valid e-mail address that is checked daily,
• English fluency, and
• owner of an iOS or Android-compatible smartphone and a webcam-enabled device

You may not qualify if:

• COPD on a patient's problem list within Epic.

Sponsors & Collaborators

• Medical University of South Carolina: lead

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Related Publications (1)

• Dahne J, Player MS, Strange C, Carpenter MJ, Ford DW, King K, Miller S, Kruis R, Hawes E, Hidalgo JE, Diaz VA. Proactive Electronic Visits for Smoking Cessation and Chronic Obstructive Pulmonary Disease Screening in Primary Care: Randomized Controlled Trial of Feasibility, Acceptability, and Efficacy. J Med Internet Res. 2022 Aug 30;24(8):e38663. doi: 10.2196/38663.

  PMID: 36040766 DERIVED

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Cigarette Smoking

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Tobacco Smoking; Smoking; Behavior; Tobacco Use

Results Point of Contact

• Title: Dr. Jennifer Dahne
• Organization: Medical University of South Carolina

dahne@musc.edu

843-876-2280

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: November 1, 2019
• First Posted: November 7, 2019
• Study Start: December 12, 2019
• Primary Completion: March 12, 2021
• Study Completion: March 12, 2021
• Last Updated: February 21, 2024
• Results First Posted: February 21, 2024

Record last verified: 2023-07

Locations

US (1)