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Salvation Army Tobacco Quit Line Referral Implementation Trial

Not Applicable
Conditions
Tobacco Use
Smoking
Smoking Cessation
Registration Number
NCT06689774
Lead Sponsor
University of Wisconsin, Madison
Brief Summary

The goal of this clinical trial is to understand how the Salvation Army staff can help people who use tobacco learn about and connect with no-cost treatments to help cut down or quit smoking. Researchers will gather information about the thoughts and experiences of people who smoke tobacco and receive services at the Salvation Army, as well as the experiences of the staff offering support to help treat tobacco use.

Detailed Description

In this 2-year pilot study, a team of Salvation Army personnel and consumers will work with a member of the University of Wisconsin Center for Tobacco Research and Intervention Regional Outreach team to plan, implement, and evaluate strategies to connect Salvation Army service consumers with the Wisconsin Tobacco Quit Line for help quitting smoking. The study team will pilot test and refine an enhanced implementation support protocol designed to help Salvation Army teams adapt quitline referral workflows and implementation strategies to fit well with the culture and climate of participating Salvation Army sites, and to enhance Salvation Army staff readiness to connect the consumers they serve with the Wisconsin Tobacco Quit Line. The study team will also pilot test and refine a strategy that Salvation Army personnel can use to incentivize acceptance of Wisconsin Tobacco Quit Line connections by consumers while they are at the Salvation Army service center. To evaluate and enhance the 2 implementation strategies of interest in this study (enhanced implementation support for personnel and an incentive for consumers to accept a connection with the Quit Line while at the Salvation Army), the study team will conduct qualitative interviews with both personnel and consumers at Salvation Army sites, and will collect survey data from personnel and consumers. Service records from both the Salvation Army and Wisconsin Tobacco Quit Line will also be collected for this study to help evaluate the reach of the tobacco treatment intervention, and the representativeness of its reach across subpopulations of consumers. Data regarding the process of implementing Wisconsin Tobacco Quit Line referral in the Salvation Army will also be gathered via observation and recordings of project team meetings. These sources of data will be integrated to help evaluate how well the strategies of interest work in 2 Salvation Army sites, and to refine these in preparation for a full-scale cluster-randomized clinical trial.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
233
Inclusion Criteria
  • Age 18 or older
  • Involved in the management, delivery, or receipt of social services at a participating Salvation Army site, or a member of the University of Wisconsin-Center for Tobacco Research and Intervention Outreach Team supporting Wisconsin Tobacco Quit Line implementation
  • Able to speak English, Spanish, or another language for which an interpreter is available
Exclusion Criteria
  • Children under the age of 18
  • Unable to speak a common language with a study team member or available interpreter

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Primary Outcome Measures
NameTimeMethod
Wisconsin Tobacco Quit Line (WTQL) referral rate18 months

Proportion of adult Salvation Army consumers who use tobacco referred to the WTQL in any modality. Goal is at least 10% without incentives, and at least 16% with incentives.

Wisconsin Tobacco Quit Line (WTQL) enrollment rate18 months

Proportion of clients referred from Salvation Army sites that enroll in WTQL services. Goal is at least 5% without incentives, 8% with incentives.

Salvation Army personnel WTQL referral training engagement18 months

Proportion of eligible Salvation Army personnel who participate in at least some WTQL referral training. Goal is at least 70%.

Salvation Army personnel adoption of WTQL referral18 months

Proportion of eligible Salvation Army personnel who refer at least 1 client to the WTQL. Goal is at least 60%.

Tobacco use screening of adult consumers of Salvation Army services18 months

Rate of asking about and documenting current tobacco use among all adult consumers of eligible services in participating Salvation Army sites. Goal is 50% screening rate.

Secondary Outcome Measures
NameTimeMethod
Self-reported abstinence from smoking in the past 7 days3 months, 6 months post target date to quit smoking

Number of WTQL service clients referred from the Salvation Army who report no smoking in the past 7 days at follow-up

Immediate referral via live calls to Wisconsin Tobacco Quit Line (WTQL)18 months

Rate of immediate referral via live calls to WTQL among adult Salvation Army consumers who use tobacco (this will be a subset of the primary referral outcome)

Trial Locations

Locations (1)

University of Wisconsin Center for Tobacco Research and Intervention

🇺🇸

Madison, Wisconsin, United States

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