- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05019495
Optimizing Tobacco Treatment Delivery for People Living With HIV
November 28, 2023 updated by: Alana Rojewski, Medical University of South Carolina
The purpose of this study is to conduct a randomized trial to evaluate a proactive, opt-out model of provider contact to deliver smoking cessation support for people living with HIV compared to standard care support delivered through traditional clinic pathways.
Investigators will also evaluate implementation outcomes to identify barriers and facilitators towards future implementation.
Investigators hope to define best practices and optimize the delivery of smoking cessation interventions for people living with HIV.
Study Overview
Detailed Description
This hybrid effectiveness-implementation trial presents on opportunity to optimize tobacco treatment delivery for people living with HIV (PLWH), and identify barriers and facilitators towards future implementation.
We are proposing a comparison of Treatment As Usual (TAU; reactive, opt-in tobacco treatment using standard clinical pathways) vs Proactive Outreach with Medication Opt-out for Tobacco Treatment Engagement (PrOMOTE).
Participants will be randomized in a 1:1 allocation.
The primary aim is to compare rates of cessation and quit attempts at the Week 12 follow-up between participants who received TAU versus PrOMOTE.
As a secondary aim we will characterize key determinants of PrOMOTE reach, implementation fidelity, adherence, and acceptability.
We hypothesize that the PrOMOTE intervention will increase cessation rates and number of quit attempts, and that it will result in greater reach and pharmacotherapy delivery compared to TAU.
Key determinants of PrOMOTE implementation outcomes will also be characterized.
An exploratory assessment of CD4 cell count and HIV viral load, in addition to durability of smoking cessation outcomes, will also be assessed.
By optimizing the delivery of effective tobacco treatments for PLWH, we hope to increase the number of people receiving tobacco treatment, increase tobacco cessation rates, and reduce the risk of morbidity and mortality from smoking-related causes.
Study Type
Interventional
Enrollment (Estimated)
231
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Madeline G Foster
- Phone Number: 8437371516
- Email: fostemad@musc.edu
Study Contact Backup
- Name: Alana Rojewski
- Phone Number: 8438761593
- Email: rojewski@musc.edu
Study Locations
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina
-
Contact:
- Madeline Foster
- Phone Number: 843-737-1516
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
21 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age 21 and older
- Current diagnosis of HIV
- Current smoker (defined as self-report of current smoking)
- Willing to be randomized
- English speaking
Exclusion Criteria:
- Currently taking part in any other tobacco treatment program or using cessation medication (i.e., taking nicotine replacement therapy or other cessation medications, enrolled in the Quitline, or in another study)
- Currently imprisoned
- Pregnant women
- Non-English speaking persons
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Treatment as Usual
Treatment as Usual (TAU) participants will follow traditional clinic pathways for receiving tobacco treatment in the Medical University of South Carolina Health Infectious Disease outpatient clinic.
All patients randomized to TAU will have the opportunity to access smoking cessation pharmacotherapy from the Infectious Disease clinical pharmacist.
|
|
Experimental: ProMOTE
In the PrOMOTE group, the participants will be contacted by the clinical pharmacist on the tobacco treatment staff three times for medication prescriptions and refills.
They will also receive brief counseling and motivational interviewing by the clinical pharmacist.
|
This is an opt-out, proactive approach to tobacco treatment by a clinical pharmacy specialist.
The pharmacist will call patients and offer an individualized pharmacotherapy prescription.
The patient must opt-out for it not to be sent to their pharmacy.
The patient will also receive brief motivational interviewing and behavioral counseling from the pharmacist.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tobacco use abstinence
Time Frame: 7 days
|
Self-reported and confirmed by breath carbon monoxide test
|
7 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reach
Time Frame: 24 weeks (study completion)
|
Percentage of current smokers engaged in an intervention
|
24 weeks (study completion)
|
Fidelity of intervention
Time Frame: 24 weeks (study completion)
|
The extent to which an intervention is implemented as intended.
This will be collected via interviews with patients and providers.
|
24 weeks (study completion)
|
Fidelity of intervention
Time Frame: 24 weeks (study completion)
|
The extent to which an intervention is implemented as intended.
This will be collected via surveys.
|
24 weeks (study completion)
|
Perceived barriers to the outcomes
Time Frame: 24 weeks (study completion)
|
Using the implementation tracking checklist, provider perceptions of barriers faced in completion of intervention steps will be monitored.
These will be collected via interviews with patients.
|
24 weeks (study completion)
|
Perceived barriers to the outcomes
Time Frame: 24 weeks (study completion)
|
Using the implementation tracking checklist, provider perceptions of barriers faced in completion of intervention steps will be monitored.
These will be collected via interviews with providers.
|
24 weeks (study completion)
|
Acceptability of intervention
Time Frame: 24 weeks (study completion)
|
The perception among stakeholders that the treatment is agreeable or satisfactory.
This will be collected via interviews with patients and providers.
|
24 weeks (study completion)
|
Acceptability of intervention
Time Frame: 24 weeks (study completion)
|
The perception among stakeholders that the treatment is agreeable or satisfactory.
This will be collected via surveys.
|
24 weeks (study completion)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 1, 2021
Primary Completion (Estimated)
September 30, 2025
Study Completion (Estimated)
December 23, 2025
Study Registration Dates
First Submitted
May 4, 2021
First Submitted That Met QC Criteria
August 17, 2021
First Posted (Actual)
August 24, 2021
Study Record Updates
Last Update Posted (Actual)
November 30, 2023
Last Update Submitted That Met QC Criteria
November 28, 2023
Last Verified
November 1, 2023
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 00107332
- R01CA261232 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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