E-Visit for COPD and Smoking Cessation

Medical University of South Carolina (MUSC)

Status: Completed

Conditions: Cigarette Smoking; Pulmonary Disease, Chronic Obstructive; Telemedicine

Treatments: Other: Treatment As Usual; Behavioral: smoking cessation, early COPD detection, electronic visit

Study type: Interventional

Funder types: Other

Identifiers

NCT04155073

00086016

Details and patient eligibility

About

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.

Enrollment: 125 patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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125 participants in 2 patient groups

COPD/smoking cessation electronic visit (e-visit)

Experimental group

Description:

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:

Behavioral: smoking cessation, early COPD detection, electronic visit

Treatment as Usual (TAU)

Active Comparator group

Description:

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.

Treatment:

Other: Treatment As Usual