Choose2Quit: Improving Equity in Smoking Cessation for Low Income Adults

NCT05612152 | Unknown

• 1 other identifier: RSG-18-137-01-CPPB
• Study Type: interventional
• Target: 1,600
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this study is to evaluate the effectiveness of a tobacco treatment navigator to improve primary care patient engagement in tobacco cessation support. We compare an ask, advise and connect to the quitline approach vs. the novel tobacco treatment navigator approach on the primary outcomes of receipt of tobacco cessation counseling sessions and receipt of tobacco cessation medications.

Conditions

Tobacco Use

Outcome Measures

Primary Outcomes (2)

• receipt of tobacco cessation counseling

  receipt of 1 or more tobacco cessation counseling sessions from referral sources

  4 weeks after referral

• receipt of tobacco cessation medications

  documentation of orders for nicotine replacement therapy, varenicline or bupropion in electronic health record

  within 4 weeks after referral

Secondary Outcomes (1)

• 7-day point prevalence abstinence

  8 weeks after referral

Study Arms (2)

Referral to Quitline

ACTIVE COMPARATOR

Patients who indicate they are ready to quit in the next 30 days are offered an electronic referral to the state quitline for tobacco cessation services.

Other: Referral to Quitline

Choose2Quit

EXPERIMENTAL

Patients who indicate they are ready to quit in the next 30 days are offered an electronic referral to the Choose2Quit tobacco treatment navigator who walks the patient through choices for tobacco cessation counseling, tobacco cessation medications and other supports (e.g. texting, apps) and facilitates placing referrals, orders and providing information.

Other: Choose2Quit

Interventions

Referral to Quitline OTHER

An electronic referral to the state quitline is placed. This prompts the quitline to proactively call the patient to enroll in counseling services.

Referral to Quitline

Choose2Quit OTHER

An electronic referral to the Choose2quit tobacco cessation navigator is placed. This prompts the navigator to call the patient to review options for tobacco cessation counseling, tobacco cessation medications and other supports.

Choose2Quit

Eligibility Criteria

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

You may qualify if:

• patient care visit to one of the participating primary care clinics during the study period
• reports current tobacco use
• reports interest in quitting tobacco in the next 30 days
• accepts offer of referral to tobacco cessation support

You may not qualify if:

• not interested in quitting in next 30 days
• not interested in assistance

Sponsors & Collaborators

• Oregon Health and Science University: lead
• Case Western Reserve University: collaborator
• MetroHealth System, Ohio: collaborator

MeSH Terms

Conditions

Tobacco Use

Condition Hierarchy (Ancestors)

Behavior

Central Study Contacts

Susan Flocke

CONTACT

216 965 5538; flocke@ohsu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 3, 2022
• First Posted: November 10, 2022
• Study Start: November 1, 2022
• Primary Completion: February 28, 2024
• Study Completion: July 31, 2024
• Last Updated: November 10, 2022

Record last verified: 2022-11