Tobacco Use
Conditions
Brief summary
The goal of the study is to develop and test Connection to Health for Smokers (CTHS), a comprehensive program to support smokers to quit and improve smokers' general health. The program will be designed for implementation by health educators in community health centers.
Detailed description
The investigators will use a participatory approach to develop and test the feasibility and acceptability of CTHS in community health center sites in Contra Costa County. Development of the program will be informed by active engagement with a patient advisory group composed of current smokers and clinical team members who serve current smokers in community health centers. Feasibility and acceptability will be assessed by implementing the CTHS program for patients in 3 clinical sites, using the RE-AIM evaluation framework. Primary outcomes will include the number and proportion of enrolled smokers who create at least one health-related action plan with a health educator, and stated intention of clinical teams to continue using CTHS after the research. The investigators will enroll 90 smokers in CTHS and 90 additional smokers in Enhanced Standard of Care (ESC) which will be the active comparison group. Participants will be randomly assigned. Smoking status will be reassessed after 3 months. Primary outcomes will include number of 24-hour quit attempts, and 7-day smoking abstinence, as well as changes in self-efficacy and readiness to quit smoking among participants who do not quit. Results of this pilot program will inform further development of the CTHS program for testing in larger scale clinical trials.
Interventions
BEHAVIORALConnection to Health for Smokers
Connection to Health for Smokers includes 5 core components supported by online tools: (1) comprehensive electronic patient survey, (2) automated summary report to flag areas of difficulty (3) interactive priority setting, (4) interactive action planning, and (5) electronic text reminders and followup.
BEHAVIORALEnhanced Standard of Care
Participants will complete a survey and receive standard one-on-one smoking cessation according to a usual care protocol delivered by health educators
Sponsors
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Must have smoked cigarettes in the last 7 days
Exclusion criteria
\- Speaking languages other than English or Spanish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Program Reach, Effectiveness, Adoption, Implementation, and Maintenance | 3 months | The RE-AIM Framework will be used to assess program feasibility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 7-day smoking abstinence | 3 months | Not smoking cigarettes (not even a puff) in the last 7 days |
Countries
United States
Outcome results
None listed