Smoking
Conditions
Keywords
Smoking Cessation, Internet, Intervention Studies, Health Services Accessibility
Brief summary
The purpose of this study is to develop an evidence-based Tobacco Tactics website tailored to veterans based on an intervention tested in the VA.
Detailed description
Despite the detrimental effects of smoking, approximately 33% of veterans continue to smoke compared to approximately 21% of the general population. While efficacious cessation interventions are available, implementation of cessation interventions remains a challenge and new intervention strategies are needed to reach veterans. VA cessation providers recently met in Atlanta and one recommendation was to develop a cessation website for veterans. The evidence-based Tobacco Tactics website will be designed, pre-tested, and pilot tested as an intervention to assist veteran smokers to quit smoking. The efficacy of the website will then be tested in a subsequent randomized control trial (RCT). If the website proves efficacious, it would decrease morbidity and mortality among veterans, decrease face-to-face cessation intervention time for providers, and reach veterans in areas all over the country, perhaps through the VA My Healthy Vet website. This is a Phase 1 behavioral clinical trial designed to develop and pilot test a web-based Tobacco Tactics intervention tailored to veteran smokers. First, we will outline the specific content areas to be addressed. Second, we will develop the Tobacco Tactics intervention with our web designer in accordance with VA Web Operations. Third, a member of the research team will go through the website with the 5 veteran smokers obtaining feedback and noting any problems that occur. Fourth, with human studies approval, we will pilot test the impact of the intervention with 9 veteran smokers recruited to quit smoking using the Tobacco Tactics website. A research nurse will: 1. be available by phone to answer any questions; 2. collect qualitative data on veterans use of the Tobacco Tactics website; and, 3. note the 30 day quit rate. Formative evaluation during pre-testing will include qualitative feedback on the: 1. ability to accomplish tasks; 2. ability to accomplish goals with skill and speed; 3. ability to operate the system; and 4. satisfaction. For the 9 veteran smokers that actually try to use the Tobacco Tactics website to quit smoking, we will be able to determine: 1. the number of times they signed onto the website; 2. the time spent on the website; and 3. the number of times each module was accessed. Impact evaluation will be the 30 day quit rates of the 9 veteran smokers that agree to use the website.
Interventions
BEHAVIORALTobacco Tactics website
Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers
Sponsors
US Department of Veterans Affairs
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Veteran, * Screen Positive for Current Smoking, * Greater than 18 Years of Age, * Access to the Internet
Exclusion criteria
* Non-English Speaking, * Have Unstable Physical or Psychiatric/Mental Conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self Reported 30 Day Smoking Quit Rate | 30 days post intervention | Impact evaluation was the 30-day quit rates of the 9 veteran smokers that agreed to use the website. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Feedback to Evaluate the Website | 30 days post intervention | Formative evaluation during pre-testing included qualitative feedback on the: 1) ability to accomplish tasks; 2) ability to accomplish goals with skill and speed; 3) ability to operate the system; and 4) satisfaction. For the 9 veteran smokers that actually tried to use the Tobacco Tactics website to quit smoking, we were able to determine: 1) the number of times they signed onto the website; 2) the time spent on the website; and 3) the number of times each module was accessed. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Tobacco Tactics Website Nine veteran smokers who will pilot test the Tobacco Tactics website
Tobacco Tactics website: Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers | 9 |
| Total | 9 |
Baseline characteristics
| Characteristic | Tobacco Tactics Website |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 9 Participants |
| Age, Continuous | 48 years |
| Region of Enrollment United States | 9 participants |
| Sex: Female, Male Female | 3 Participants |
| Sex: Female, Male Male | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 9 |
| serious Total, serious adverse events | 0 / 9 |
Outcome results
Primary
Self Reported 30 Day Smoking Quit Rate
Impact evaluation was the 30-day quit rates of the 9 veteran smokers that agreed to use the website.
Time frame: 30 days post intervention
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Tobacco Tactics Website | Self Reported 30 Day Smoking Quit Rate | 0 participants |
Secondary
Patient Feedback to Evaluate the Website
Formative evaluation during pre-testing included qualitative feedback on the: 1) ability to accomplish tasks; 2) ability to accomplish goals with skill and speed; 3) ability to operate the system; and 4) satisfaction. For the 9 veteran smokers that actually tried to use the Tobacco Tactics website to quit smoking, we were able to determine: 1) the number of times they signed onto the website; 2) the time spent on the website; and 3) the number of times each module was accessed.
Time frame: 30 days post intervention
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Tobacco Tactics Website | Patient Feedback to Evaluate the Website | easy to read | 5 participants |
| Tobacco Tactics Website | Patient Feedback to Evaluate the Website | enjoyable | 4 participants |
| Tobacco Tactics Website | Patient Feedback to Evaluate the Website | easy to navigate | 4 participants |