Investigating Novel Smoking Cessation Primary Care Interventions in Rural Environments
INSPIRE
Addressing Rural Cancer Disparities Via Proactive Smoking Cessation Treatment Within Primary Care: A Hybrid Type 1 Effectiveness-Implementation Trial of a Scalable Smoking Cessation Electronic Visit
2 other identifiers
interventional
288
1 country
1
Brief Summary
The purpose of this research study is to evaluate an electronic visit (e-visit) for smoking cessation across rural primary care settings. Participants will be randomly assigned to receive either the smoking cessation e-visit or not. The e-visit will look similar to an online questionnaire asking about smoking history, motivation to quit, and preferences for medications for quitting smoking. Participants may receive a prescription for a smoking cessation medication as an outcome of the e-visit, if randomized to the e-visit group, but there is no requirement to take any medication. This study consists of questionnaires and breath samples provided at 4 separate time points throughout the study. Participation in this study will take about 24 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2023
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 17, 2023
CompletedStudy Start
First participant enrolled
March 7, 2023
CompletedFirst Posted
Study publicly available on registry
March 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 15, 2027
March 5, 2026
March 1, 2026
4 years
February 17, 2023
March 3, 2026
Conditions
Outcome Measures
Primary Outcomes (6)
Smoking Cessation
Self-reported smoking via Timeline Follow Back will be biochemically verified via breath CO, with abstinence defined as CO of ≤ 4 ppm. Self-report and CO data will be utilized together to determine 7-day PPA.
Month 1
Smoking Cessation
Self-reported smoking via Timeline Follow Back will be biochemically verified via breath CO, with abstinence defined as CO of ≤ 4 ppm. Self-report and CO data will be utilized together to determine 7-day PPA.
Month 3
Smoking Cessation
Self-reported smoking via Timeline Follow Back will be biochemically verified via breath CO, with abstinence defined as CO of ≤ 4 ppm. Self-report and CO data will be utilized together to determine 7-day PPA.
Month 6
Reduction in Cigarettes Per Day
Reduction in cigarettes per day of 50% via self-report timeline follow back assessment.
Month 1
Reduction in Cigarettes Per Day
Reduction in cigarettes per day of 50% via self-report timeline follow back assessment.
Month 3
Reduction in Cigarettes Per Day
Reduction in cigarettes per day of 50% via self-report timeline follow back assessment.
Month 6
Study Arms (2)
Smoking cessation electronic visit (e-visit)
EXPERIMENTALThis 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.
Treatment as usual (TAU)
ACTIVE COMPARATORThis 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.
Interventions
electronic visits (e-visits) for smoking cessation
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.
Eligibility Criteria
You may qualify if:
- Current cigarette smoking, defined as smoking 1+ cigarettes per 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 enroll
- Possess a valid e-mail address that is checked daily to access study assessments and MyChart messages
- Owner of an iOS or Android compatible smartphone to provide remote CO readings
- Have a valid address at which mail can be received (for mailing iCO™)
- English fluency
You may not qualify if:
- \- Current engagement in cessation treatment, defined as use of an FDA-approved cessation medication within the last 7 days
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Medical University of South Carolina
Charleston, South Carolina, 29425, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
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
- Associate Professor
Study Record Dates
First Submitted
February 17, 2023
First Posted
March 13, 2023
Study Start
March 7, 2023
Primary Completion (Estimated)
February 28, 2027
Study Completion (Estimated)
August 15, 2027
Last Updated
March 5, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share