Smoking cessation Mental and Behavioural Disorders
Conditions
Interventions
Using a pragmatic, patient-level, randomized design, Veterans who smoke cigarettes will be randomized in a 1:1 ratio to one of two intervention groups: Enhanced Usual Care or Enhanced Usual Care + Fin
Sponsors
Center for Innovation
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Age =18 2. Enrolled in VA health care 3. Assigned to a primary care provider in a participating VISN (currently 4, 12, 17, 20) 4. Has a valid mailing and/or email address on file 5. Currently smokes cigarettes: 5.1. Reported as a current tobacco user per clinical data in the EHR 5.2. Self-reported having smoked =5 cigarettes per day at the time of recruitment call 5.3. CO pre-enrollment verification of smoking status (=8 PPM) 6. Willing to set a quit date within 2–60 days of the first pharmacist visit 7. Device/internet capable (assessed via digital divide consult if needed) 8. Able to receive payment via direct deposit and enrolled in EFT prior to randomization
Exclusion criteria
Exclusion criteria: 1. Enrolled in hospice care or diagnosed with a condition where there is less than 12 months of expected survival 2. Diagnosis of cognitive impairment 3. No phone contact on file 4. Unwilling or unable to participate in telemedicine visits
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 7-day, CO verified abstinence at 12-month follow-up measured using PPM at 12-month follow up;6-month prolonged abstinence at 6 and 12 month follow-up measured using self reporting at 6 and 12 month follow ups;Quality of life measured using the EUROQOL EQ-5D instrument at 12 month follow up;Cost-effectiveness measured using Incremental Cost-Effectiveness Ratio (ICER) at 6 month follow up | — |
Primary
| Measure | Time frame |
|---|---|
| 7-day point abstinence measured using CO verified at 6-month follow up | — |
Countries
United States of America
Contacts
Public ContactAnne Melzer
Outcome results
None listed