NCT04316260

Brief Summary

The goal of this study is to develop, refine, and complete preliminary feasibility testing of a smoking cessation electronic visit (e-visit) for implementation in primary care/family medicine. The investigators will conduct a feasibility RCT (N=51) of the smoking cessation e-visit as compared to treatment as usual (TAU), delivered via primary care, with primary objective to provide effect size estimates for a larger RCT. Primary outcomes cluster around: 1) treatment feasibility, 2) treatment acceptability, 3) treatment satisfaction, 4) evidence-based cessation treatment utilization, and 5) cessation-related outcomes (quit attempt incidence, abstinence). It is hypothesized that participants randomized to the e-visit condition as compared to those randomized to the TAU condition will have higher rates of cessation treatment utilization (medications, counseling) and superior cessation-related outcomes.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
51

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

May 1, 2019

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2019

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2020

Completed
19 days until next milestone

First Submitted

Initial submission to the registry

March 18, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 20, 2020

Completed
9 months until next milestone

Results Posted

Study results publicly available

December 8, 2020

Completed
Last Updated

December 8, 2020

Status Verified

December 1, 2020

Enrollment Period

6 months

First QC Date

March 18, 2020

Results QC Date

November 5, 2020

Last Update Submit

December 4, 2020

Conditions

Outcome Measures

Primary Outcomes (12)

  • Number of Participants Who Utilized Smoking Cessation Treatment

    Number of participants who utilized smoking cessation treatment since last assessment.

    Month 1

  • Number of Participants Who Utilized Smoking Cessation Treatment

    Number of participants who utilized smoking cessation treatment since last assessment.

    Month 3

  • Cigarettes Smoking

    Cigarettes per day reduction greater than 50%

    Month 1

  • Cigarettes Smoking

    Cigarettes per day reduction greater than 50%

    Month 3

  • Quit Attempts

    Quit attempts since last contact

    Month 1

  • Quit Attempts

    Quit attempts since last contact

    Month 3

  • 24-hour Quit Attempt

    Quit attempt lasting 24 hours since last contact

    Month 1

  • 24-hour Quit Attempt

    Quit attempt lasting 24 hours since last contact

    Month 3

  • Seven-day Point Prevalence Abstinence

    Participant has not had a cigarette in the past 7 days

    Month 1

  • Seven-day Point Prevalence Abstinence

    Participant has not had a cigarette in the past 7 days

    Month 3

  • Floating Abstinence

    Participant has gone 7+ days without a cigarette since last contact.

    Month 1

  • Floating Abstinence

    Participant has gone 7+ days without a cigarette since last contact.

    Month 3

Secondary Outcomes (4)

  • E-visit Completion

    Month 1

  • Provider Fidelity

    Month 1

  • E-visit Ease of Use

    Month 1

  • Time to Complete the E-visit

    Month 1

Study Arms (2)

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 and 2) an invitation to complete a follow-up e-visit one-month after the initial e-visit.

Behavioral: Smoking cessation e-visit

Treatment As Usual

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.

Behavioral: Treatment As Usual

Interventions

electronic visits (e-visits) for smoking cessation

Smoking cessation electronic visit (e-visit)

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

Eligibility Criteria

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

You may qualify if:

  • current smoking, defined as smoking 5+ cigarettes/day, for 20+ days out of the last 30, for the last 6+ months
  • age 18+
  • enrolled in Epic's MyChart program or willing to sign up for MyChart
  • possess a valid e-mail address that is checked daily to access follow-up assessments and MyChart messages
  • English fluency

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Related Publications (1)

  • Dahne J, Player M, Carpenter MJ, Ford DW, Diaz VA. Evaluation of a Proactive Smoking Cessation Electronic Visit to Extend the Reach of Evidence-Based Cessation Treatment via Primary Care. Telemed J E Health. 2021 Mar;27(3):347-354. doi: 10.1089/tmj.2020.0167. Epub 2020 Oct 20.

MeSH Terms

Conditions

Smoking

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Behavior

Results Point of Contact

Title
Noelle Natale
Organization
Medical University of South Carolina

Publication Agreements

PI is Sponsor Employee
Yes

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

March 18, 2020

First Posted

March 20, 2020

Study Start

May 1, 2019

Primary Completion

October 31, 2019

Study Completion

February 28, 2020

Last Updated

December 8, 2020

Results First Posted

December 8, 2020

Record last verified: 2020-12

Data Sharing

IPD Sharing
Will not share

Locations