E-Visit for COPD and Smoking Cessation

Not Applicable

Completed

• Conditions: Telemedicine; Pulmonary Disease, Chronic Obstructive; Cigarette Smoking
• Interventions: Behavioral: smoking cessation, early COPD detection, electronic visit; Other: Treatment As Usual

• Registration Number: NCT04155073
• Lead Sponsor: Medical University of South Carolina

Brief Summary

The goal of this work is to develop, refine, and pilot test an electronic visit (e-visit) to: 1) deliver smoking cessation treatment to adults at risk for COPD and 2) to improve rates of COPD early detection and accurate diagnosis. The investigators will conduct a pilot RCT of the COPD/smoking cessation e-visit as compared to treatment as usual (TAU), with primary objective to provide effect size estimates for a larger RCT.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-11-01
• Study First Submitted QC: 2019-11-04
• Study First Posted: 2019-11-07
• Study Start: 2019-12-12
• Primary Completion: 2021-03-12
• Study Completion: 2021-03-12
• Results First Submitted: 2022-07-01
• Status Verified: 2023-07
• Results First Submitted QC: 2023-07-21
• Last Update Submitted: 2023-07-21
• Results First Posted: 2024-02-21
• Last Update Posted: 2024-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• current cigarette smoker,
• enrolled in MUSC's Epic MyChart program or willing to sign up for MyChart,
• possess a valid e-mail address that is checked daily,
• English fluency, and
• owner of an iOS or Android-compatible smartphone and a webcam-enabled device

Exclusion Criteria

• COPD on a patient's problem list within Epic.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
COPD/smoking cessation electronic visit (e-visit)	smoking cessation, early COPD detection, electronic visit	This group will be sent 1) an invitation to complete an electronic visit (e-visit) focused on cigarette smoking, quitting smoking, and respiratory symptoms, 2) an invitation to complete a follow-up e-visit one-month after the initial e-visit, and if needed, 3) a home spirometry test with instructions on how to video themselves completing a lung functioning test via the device within an additional e-visit.
Treatment as Usual (TAU)	Treatment As Usual	This 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.

Primary Outcome Measures

Name	Time	Method
Number of Participants at Month 1 and Month 3 With At Least 1 Quit Attempt	Baseline through Month 3	quit attempts will be assessed at each follow-up using a timeline followback for the last 6-months at baseline and since prior follow-up for each subsequent assessment
Evidence-based Cessation Treatment Utilization	Baseline through Month 3	participants in both groups will be queried for use of a smoking cessation medication since the last assessment

Secondary Outcome Measures

Name	Time	Method
E-visit Acceptability and Feasibility	Baseline through Month 3	the percentage of patients who complete the initial and follow-up e-visits

Trial Locations

Locations (1)

Medical University of South Carolina; 🇺🇸 Charleston, South Carolina, United States