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Study on Smoking Cessation and Cost Outcomes in the Duke Smoking Cessation Program

Terminated
Conditions
Nicotine Dependence
Registration Number
NCT02845687
Lead Sponsor
Duke University
Brief Summary

The purpose of this study is to conduct an observational assessment of natural outcomes within the Duke Smoking Cessation Program (DSCP), "Quit at Duke." This assessment will include information regarding abstinence rates, changes in patient emotional state following treatment, and costs of operations. Primarily, this study will assess the financial sustainability and the cost-effectiveness of the program.

Detailed Description

The purpose of this study is to conduct an observational assessment of natural outcomes within the DSCP, "Quit at Duke." This is an observational study (n=3000) on patients being treated at the DSCP. No interventions are conducted, and data analyzed is collected in the course of clinical care at clinic visits to the Duke Smoking Cessation Program (DSCP). Phone calls are also conducted to determine response to medications and abstinence status up to 12 months following a quit attempt. Outcomes of variables including: demographic variables, evaluation responses, feasibility data, and abstinence rates will be analyzed using general regression models using an ANOVA-based design. Because no intervention is being conducted, there are no safety concerns related to the study.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
209
Inclusion Criteria
  • Age 18 or older
  • Being treated at the Duke Smoking Cessation Program
  • Fluent in written and spoken English.
Exclusion Criteria

N/A

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Biochemically confirmed continuous 30-day abstinence from smoking12 weeks post-Target Quit Day (TQD)

Biochemically confirmed 30-day continuous abstinence. Abstinence is determined by a participant both reporting not smoking in the past 30 days AND a result of \< 7 ppm in carbon monoxide breath testing. If the participant does not meet both criteria, they are not considered abstinent

Secondary Outcome Measures
NameTimeMethod
Biochemically confirmed 7-day point prevalence abstinence from smoking12 weeks post-TQD

Biochemically confirmed 7-day continuous abstinence. Abstinence is determined by a participant both reporting not smoking in the past 7 days AND a result of \< 7 ppm in carbon monoxide breath testing. If the participant does not meet both criteria, they are not considered abstinent

Smoking reduction12 months post-TQD

Smoking reduction as measured by cigarettes per day, as measured by phone-based self-report

Changes in stressBaseline (pre-quit) to 2 and 12 weeks post-TQD

Change in self-reported measures of stress, as measured by Perceived Stress Scale

Changes in anxietyBaseline (pre-quit) to 2 and 12 weeks post-TQD

Change in self-reported measures of anxiety, as measured by the GAD-7

cost of medications per abstinent smoker12 weeks post-TQD
Self-report 7-day point prevalence abstinence from smoking12 month post-TQD

7-day point prevalence abstinence as measured by phone-based, single-item self-report

Changes in relapse predictorsBaseline (pre-quit) to 1 day post-TQD, 1 week post-TQD, 6 months post-TQD, and 12 months post-TQD

Changes in self-reported measures on repeated non-standardized single-item question on stress, urges, and confidence assessed by phone

Overall cost of treatment in dollars per participant12 weeks post-TQD
cost of medical visits in dollars per abstinent participant12 weeks post-TQD
cost of behavioral intervention per abstinent smoker12 weeks post-TQD
Changes in depressionBaseline (pre-quit) to 2 and 12 weeks post-TQD

Change in self-reported measures of depression, as measured by the PHQ-2

cost of prescribed medications in dollars12 weeks post-TQD

Trial Locations

Locations (1)

Duke Smoking Cessation Program

🇺🇸

Durham, North Carolina, United States

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