Connect to Quit for Smoking (CTQ)

University of Pittsburgh

Status: Completed

Conditions: Smoking; Smoking Cessation

Treatments: Other: Coordinated Care; Other: Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01299896

02936

R01CA141596 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this research study is to examine the effectiveness of an intervention designed to reduce smoking in low income veterans within a regional United States Veterans Administration(VA) health care system. A proactive, personalized, coordinated system of care "Connect to Quit (CTQ)" is rooted in the Chronic Care Model. CTQ treats smoking as a chronic condition, like hypertension or diabetes, that requires long term treatment with appropriate combinations of behavioral therapy and pharmacotherapy. CTQ will be evaluated in the context of three (3) VA Pittsburgh Healthcare System (VAPHS) medical practices.

Full description

Approximately 40 Primary Care Providers (PCPs), including non-physicians, in the VAPHS and their patients will be recruited and randomized to either Connect to Quit (CTQ) or Usual Care (UC), existing Veterans Health Administration (VHA) services. After PCPs are enrolled, we will begin recruiting their patients who meet eligibility criteria. The desire to quit smoking is not required for participation in the study, as the point of CTQ is to engage smokers at every level of readiness to quit. Target enrollment is 660 participants, approximately 330 in each treatment arm. Participants will be followed for a minimum of 2 years and a maximum of 4. Investigators will measure abstinence (biochemically-validated, 30 day point-prevalence) throughout the study, assessed every 6 months.

Enrollment: 633 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Male or female 18 years or older
• Veterans seen by a primary care physician within the VAPHS
• Household income not more than $36,000 annually
• Smoke at least 1 cigarette per day

Exclusion criteria

• Smokeless tobacco (snuff or chew) users
• Non-cigarette (e.g., pipe) smokers
• Non-English speaking patients
• Can not be enrolled in another smoking cessation related clinical trial at the time of enrollment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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633 participants in 2 patient groups

Usual Care

Active Comparator group

Description:

Participants will continue to receive all the care currently offered in the VAPHS, including medications for smoking cessation and use of the in-person or telephone counseling options for quit smoking classes. For veterans with a co-pay, incurred fees with be reimbursed.

Treatment:

Other: Usual Care

Coordinated Care

Active Comparator group

Description:

A CTQ Coordinator will coordinate the delivery of smoking related care.

Treatment:

Other: Coordinated Care