Comprehensive Tobacco Cessation for Cancer Patients and Survivors

Virginia Commonwealth University (VCU)

Status: Enrolling

Conditions: Tobacco Use Cessation; Cancer

Treatments: Behavioral: Behavioral counseling for tobacco cessation

Study type: Interventional

Funder types: Other

Identifiers

NCT05805722

HM20026004 (Other Identifier)

MCC-22-19970

Details and patient eligibility

About

The purpose of this research study is to learn how best to incorporate tobacco cessation treatment into clinical care for cancer patients, survivors, and caregivers.

Full description

The goal of this study is to generate knowledge regarding the feasibility and acceptability of integrating tobacco cessation treatment into clinical care for cancer patients, survivors, and caregivers. The evidence base regarding tobacco treatment is solid: pharmacology (nicotine replacement therapy (and/or), bupropion, or varenicline) in combination with behavioral counseling yields the best results with respect to cessation rates. What remains unclear is how best to offer and implement this comprehensive treatment in the context of a cancer center-especially in a patient population facing social determinants of health that may not be in favor of tobacco cessation. Thus, in this study, the investigators are offering the "gold standard" tobacco treatment and assessing feasibility and acceptability of these procedures in order to inform future efforts to optimize treatment delivery for this unique population and setting. The intervention for this protocol was approved for standard of care use.

Enrollment: 75 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Provision of signed and dated informed consent form
• Stated willingness to comply with study procedures and availability for the duration of the study
• Have a documented history of cancer of any type, whether active or in remission
• Identify as a current or recently-quit tobacco user

Exclusion criteria

• Not a VCUHealth patient
• Non English-speaking

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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75 participants in 2 patient groups

Behavioral Counseling for Tobacco Cessation

Experimental group

Description:

Behavioral counseling for tobacco cessation consists of psychoeducation in combination with evidence-based behavior change techniques including stimulus control, self-monitoring, goal-setting, implementation planning, and problem-solving. Specific content topics include the harms of smoking/benefits of quitting, coping with cravings and withdrawal, setting a quit date, managing social influences, and relapse prevention.

Treatment:

Behavioral: Behavioral counseling for tobacco cessation

Observational Arm

No Intervention group

Description:

Both the behavioral intervention and pharmacotherapy will be conducted as a routine clinical activities (treatment as usual)-not as research activities