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
- 49
- 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.
研究组 & 干预措施
Intervention
Training of Lung Cancer Screening Personnel on implementation of the United States Public Health Service (US PHS) Guidelines for Smoking Cessation and Performance Coaching during Implementation Phase of the Study
Data collection from Patients: demographics, health status, smoking history, quitting behavior, perceptions of lung cancer risk and worry, impact of screening on tobacco use behavior, and exposure to the intervention. (baseline, <14 days, 3 months, and 6 months)
干预措施: Personnel Training and Coaching Calls (Other)
Usual Care
No training or performance coaching calls on personnel, just usual clinic practice.
Data collection from Patients: demographics, health status, smoking history, quitting behavior, perceptions of lung cancer risk and worry, impact of screening on tobacco use behavior, and exposure to the intervention. (baseline, <14 days, 3 months, and 6 months)
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)