- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05683821
BREATHE 2 Clinic Stop-Smoking Treatment Outreach Study
BREATHE 2 Cluster-randomized Trial of Health System Changes to Increase Reach of Smoking Cessation Treatments
Study Overview
Status
Conditions
Intervention / Treatment
- Behavioral: Text message smoking treatment
- Drug: Nicotine replacement therapy sampling
- Combination product: Wisconsin Tobacco QuitLine Referral
- Combination product: Referral to Primary Care Provider
- Combination product: BREATHE 2 Cessation Study
- Behavioral: Additional modalities to learn about and request treatment
Detailed Description
This 2-arm cluster-randomized clinical trial will compare a standard approach to smoking cessation treatment outreach in adult primary care to an enhanced approach offering more frequent outreach, multiple ways to request treatment, and a broader array of treatment options.
The researchers hypothesize that enhanced outreach comprising quarterly messages offering both standard, person-to-person treatment options (quitline services, care from a primary care provider, phone coaching and medication through a clinical trial) and self-guided treatment options (nicotine replacement therapy sampling (2 week supplies of nicotine replacement therapies and/or enrollment in text-message based cessation support via Smokefree.gov text-message programs) will attract more adult primary care patients who smoke to treatment, and will help more participants achieve abstinence from smoking, as indicated by a change in their smoking status from current to former smoking in their electronic health records. The comparison condition is a standard outreach approach comprising a mailed letter informing participants of person-to-person treatment options (quitline services, care from a primary care provider, and/or phone coaching and medication through a clinical trial).
Up to 12,000 adult participants who receive primary care at 10 participating clinic sites and whose electronic health records suggest they smoke will receive smoking cessation treatment outreach for up to 18 months, unless they opt out of participation. Randomization will occur at the clinic site level rather than at the participant level, and an opt-out approach to recruitment will be adopted.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Danielle E McCarthy, PhD
- Phone Number: 6082655949
- Email: demccarthy@ctri.wisc.edu
Study Contact Backup
- Name: Kari Giacalone, MPH
- Phone Number: 6082644992
- Email: kgiacalone@ctri.wisc.edu
Study Locations
-
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Wisconsin
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Madison, Wisconsin, United States, 53711
- University of Wisconsin Center for Tobacco Research and Intervention
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adult age 18 years or older
- Meet criteria for inclusion on a smoking registry (based on current smoking status and/or recent diagnosis of nicotine dependence or treatment of nicotine dependence)
- Being seen in a participating clinic in the past 1-3 years, as documented in the EHR
- Having a valid address
- Not having a language other than English listed as preferred language
Exclusion Criteria:
- Invalid address
- Participant opted out of the study within 18 months of initial outreach letter (or were opted out of the study by a legally authorized representative or an activated power of attorney for health care)
- Participant clarification that they did not meet criteria for the smoking registry at the time of initial outreach
Study Plan
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 |
---|---|
Experimental: Enhanced outreach
Quarterly outreach via letter and applicable patient-preferred modalities, including e-mail and/or text messaging, offering both standard person-to-person treatment options (quitline referral, primary care provider referral, cessation counseling and treatment in a randomized clinical trial) and self-guided, remote treatment options (mailed nicotine replacement therapy samples and/or facilitated enrollment in a Smokefree.gov
texting program).
Patients in clinics assigned to this arm will also have the option to initiate treatment by phone or online.
Patients may also receive outreach calls from Tobacco Care Managers offering the person-to-person treatments at their health systems 1-30 days following a visit to a participating clinic.
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Facilitated enrollment in an NCI-sponsored text messaging program:
Participants may request:
Other Names:
Patients will be offered referral to the Wisconsin Tobacco QuitLine that offers phone counseling and nicotine replacement starter kits (2 week supplies) to people ready to quit smoking, in addition to web-based, text messaging, and mailed support, at no cost to Wisconsin residents.
Patients who want to talk to their Primary Care Providers about quitting smoking will be encouraged to make an appointment with their provider to receive smoking cessation counseling and to discuss pharmacotherapy options.
Patients who are interested in participating in a separate randomized controlled trial of smoking cessation treatment will be invited to learn about and complete an eligibility screening and consent process for the trial.
Those who enter the study receive both counseling and pharmacotherapy.
Participants in Enhanced Outreach arm clinics will have the option to request e-mail and/or text message communication regarding their smoking treatment options, and to initiate treatment via phone or online survey.
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Active Comparator: Standard outreach
One mailed letter at study initiation outlining available person-to-person treatment options (quitline referral, primary care provider referral, cessation counseling and treatment in a randomized clinical trial) and how to initiate treatment by phone.
Patients may also receive outreach calls from Tobacco Care Managers offering the person-to-person treatments at their health systems 1-30 days following a visit to a participating clinic.
|
Patients will be offered referral to the Wisconsin Tobacco QuitLine that offers phone counseling and nicotine replacement starter kits (2 week supplies) to people ready to quit smoking, in addition to web-based, text messaging, and mailed support, at no cost to Wisconsin residents.
Patients who want to talk to their Primary Care Providers about quitting smoking will be encouraged to make an appointment with their provider to receive smoking cessation counseling and to discuss pharmacotherapy options.
Patients who are interested in participating in a separate randomized controlled trial of smoking cessation treatment will be invited to learn about and complete an eligibility screening and consent process for the trial.
Those who enter the study receive both counseling and pharmacotherapy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Smoking treatment initiation within 12 months of enrollment
Time Frame: Up to 12 months
|
The proportion of study participants who initiate smoking treatment, as recorded in the electronic health record.
Rates of smoking treatment initiation will be compared in the Enhanced Outreach and Standard Outreach arms.
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Up to 12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Smoking treatment initiation within 18 months of enrollment
Time Frame: Up to 18 months
|
The proportion of study participants who initiate smoking treatment, as recorded in the electronic health record.
Rates of smoking treatment initiation will be compared in the Enhanced Outreach and Standard Outreach arms.
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Up to 18 months
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Conversion from current smoking to former smoking
Time Frame: 12 and 18 months after study enrollment
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Quitting smoking as indicated by a change in smoking status from current to former smoking, as recorded in the electronic health record.
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12 and 18 months after study enrollment
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Cost per quit attempt
Time Frame: Up to 18 months
|
Estimated costs per assisted quit attempt initiated will be computed.
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Up to 18 months
|
Cost per quit
Time Frame: Up to 18 months
|
Estimated costs per successful attempt (conversion to former smoking status) will be computed.
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Up to 18 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Danielle E McCarthy, PhD, University of Wisconsin, Madison
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022-0973
- A534253 (Other Identifier: UW Madison)
- SMPH/MEDICINE/GEN INT MD (Other Identifier: UW Madison)
- 2P01CA180945-06 (U.S. NIH Grant/Contract)
- Protocol Version 07/11/2022 (Other Identifier: UW Madison)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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