Cancer
Conditions
Keywords
Tobacco Cessation, Patient Navigation
Brief summary
Patient Navigation is being included as part of a tobacco treatment program for cancer patients to help patients overcome barriers to quitting.
Detailed description
The primary objective of this prospective, interventional pilot study is to assess the feasibility, acceptability and fidelity of a navigation intervention embedded into the clinical Tobacco Treatment Program. The investigators will employ a pre-post design with two cohorts (30 to the pre-intervention, and 90 to the intervention, respectively) to address the specific aims of the study.
Interventions
BEHAVIORALAdjuvant Patient Navigation for Tobacco Treatment
Patients in the study meet with the Patient Navigator two weeks after their first tobacco treatment visit and again after their second visit with the Tobacco Treatment Provider. The Patient Navigator will discuss psychosocial and other cessation barriers. The Patient Navigator will connect the patients with appropriate resources to help overcome these barriers.
Sponsors
Temple University
Fox Chase Cancer Center
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The first 30 patients are enrolled to the pre-intervention group and receive standard of care to serve as a comparison group. The subsequent patients are enrolled to the single arm to receive the standard care and patient navigation intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients with a cancer diagnosis. Patients may be undergoing active therapy or may have completed treatment. 2. English speaking. 3. Age \> 18 years. 4. Active tobacco cigarette user, defined as having smoked a cigarette within the 30 days prior to enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of Integrating Navigation into Tobacco Treatment Program | Prior to first TTP visit - consented and enrolled | The number of patients who enroll and consent to receiving the tobacco treatment program navigation intervention. Feasibility will be obtained if at least 60% consent and enroll. |
| Patient Acceptability of Navigation in Tobacco Treatment - Patient Recommendation | One and six months post initial navigation intervention | The number of patients who state they would likely or highly likely to recommend the service to other cancer patients. Acceptability will obtained if 70% of patients likely recommend the service. |
| Provider Implementation of the Intervention -Fidelity to Protocol | Baseline to 6 months | The number of patients who receive the two primary components of the navigation intervention, assessing tobacco cessation barriers and psychosocial barriers. Fidelity will be achieved if 80% of cases include both elements measured through a review of the navigation case management system. |
| Fidelity of Utilization of Navigation Intervention - Patient Participation | Baseline to 6 months | Number of patients who had at least 2 navigation encounters. Fidelity will be achieved if 80% of patients have a minimum of 2 navigation encounters through the navigation case management review. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 7-Day Point Prevalence | Six months | 7-Day point prevalence of tobacco will be assessed at six month follow up. |
Countries
United States
Outcome results
None listed