Implementation Of Smoking Cessation Services Within NCI NCORP Community Sites With Organized Lung Cancer Screening Programs
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,094
- 试验地点
- 98
- 主要终点
- Percentage of Patients With 7-day Sustained Smoking Abstinence Reported in the Patient Survey
研究概览
简要总结
Evaluate a multi-faceted training program to improve short-term smoking cessation rates (<14 days post-visit) and short (3 months) and sustained abstinence (6 months) among 1,114 enrolled smokers who present for low-dose computed tomography (LDCT) lung cancer screening in 26 community-based practices.
详细描述
We utilize an effectiveness-implementation hybrid design, employing a cluster, randomized control trial of community-based NCORP sites to study the effectiveness of a multi-faceted intervention to improve smoking cessation among lung cancer screening patients, as well as dissemination and implementation (D&I) science to optimize and accelerate translation of findings into clinical practice. We will: (1) Evaluate a multi-faceted training program to improve short-term smoking cessation rates (1-week post-visit) and sustained abstinence (6 months) among 1,114 enrolled smokers (557 in each trial arm) who present for LDCT lung cancer screening in community-based lung cancer screening practices; (2) Characterize the adoption and adaptation of the evidence-based tobacco cessation strategies in 26 community-based LDCT lung cancer screening programs; and (3) Develop and evaluate an implementation toolkit for integrating evidence-based tobacco cessation strategies in community-based LDCT lung cancer screening programs. Qualitative data will be collected from key informants at participating screening programs during and after intervention implementation. Quantitative survey data (baseline, <14 days, 3 months, and 6 months) and saliva specimens (6 months only) will be collected from smoking patients receiving screening within these programs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Agrees to have NCORP research personnel serve as the study liaison and another person to serve as the cessation program champion.
- •Agrees to participate in all aspects of the intervention, randomization, and evaluation.
- •Agrees to participate in a confidential 1-on-1 semi-structured interview with the research team.
- •Agrees to have the interview taped, transcribed and qualitatively analyzed.
- •Age ≥18 years
- •Potential participants will be screened using the following question: "Do you smoke cigarettes every day, some days, or not at all?" (BRFSS). A current smoker is anyone responds "every day" or "some days".
排除标准
- •Current use (previous 30 days) of a tobacco dependence treatment including bupropion, varenicline, and nicotine replacement
- •Individuals who use e-cigarettes and who are not smoking cigarettes. Dual users (those who use both e-cigarettes and cigarettes) will still be included in the trial.
- •The presence of a physical or cognitive impairment that would prevent a person from engaging in survey research (such as blindness, deafness, or dementia).
- •Individual has already completed the intended LDCT lung cancer screening for this study.
- •Non-English speaking participants.
结局指标
主要结局
Percentage of Patients With 7-day Sustained Smoking Abstinence Reported in the Patient Survey
时间窗: 6 months (after baseline)
7-day sustained smoking abstinence will be measured by the question "Have you smoked a cigarette (or other tobacco products), even a puff, in the last 7 days?" in patient survey.
次要结局
- Short-term Smoking Abstinence - Patient Survey(3 months (after baseline))
- Salivary Cotinine Test for Non-Smokers(6 months (after baseline))
- Total Number of Services Participant Reported Received at 14 Days(<= 14 days after baseline)