Implementation of Tobacco Cessation Programming at Community Behavioral Health Sites

The University of Chicago

Status: Not yet enrolling

Conditions: Nicotine Use Disorder; Smoking Cessation Intervention; Smoking Cessation

Treatments: Behavioral: Enhanced Courage to Quit

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06837220

P50MD017349 (U.S. NIH Grant/Contract)

IRB24-2154

Details and patient eligibility

About

The goal of this study is to: partner with Respiratory Health Association and determine barriers and unmet smoking cessation treatment needs from leaders in behavioral health organizations, treatment programs and adults who smoke (AWS) in Chicago. This will be accomplished by establishing a community advisory board (CAB) and pilot testing a community-informed smoking cessation treatment within a community behavioral health organization to determine its feasibility after addressing implementation issues.

Full description

The purpose of the proposed study is to determine barriers and unmet smoking cessation treatment needs from leaders in behavioral health organizations, behavioral health treatment providers, and community members in Chicago and pilot test a community-informed, targeted rolling smoking cessation treatment within a community organization. The research team and the Respiratory Health Association (RHA) will work together to identify community sites that could derive possible benefit from adopting and implementing the targeted treatment.

Aim 1: Develop a Community Advisory Board (CAB) comprised of providers, community members, and organization leadership.

Aim 2: Use a mixed-methods approach to understand barriers, facilitators, and unmet treatment needs regarding smoking cessation treatment within the community.

Aim 3: Pilot test the targeted smoking cessation treatment across a 3-month period at one community site through partnership with Respiratory Health Association.

Hypothesis: The targeted intervention will demonstrate feasibility and acceptability.

Enrollment: 24 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Identify as someone who currently smokes combustible cigarettes (at least 1 cigarette per day) on each day for the past month
• Report interest in quitting cigarettes (at least 6/10 scale in interest of quitting)
• Age 18 or older, ability to understand the English language, willing and able to provide informed consent
• Stable residence and contact information throughout the follow up period

Exclusion criteria

• Non-daily or intermittent cigarette use
• No interest in quitting smoking
• Unstable residence/not staying in Chicago for duration of study period
• Current untreated severe substance use disorder (with the exception of tobacco use) or past-year serious untreated psychiatric illness (e.g. schizophrenia, bipolar disorder, obsessive compulsive disorder, unspecified psychosis, past-year suicide attempt)

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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24 participants in 1 patient group

Pilot Intervention

Experimental group

Description:

The participants in this arm will take part in a pilot test of a community-targeted smoking cessation treatment. This treatment will be evidence-based smoking treatment using cognitive behavioral and motivational strategies implemented according to findings from Phase 1 of this study. The original intervention has four core sessions that will be modified accordingly to fit community needs. Participants will complete pre- and post-session questionnaires regarding their smoking status, quit attempts, use of smoking cessation aids, and other surveys.

Treatment:

Behavioral: Enhanced Courage to Quit