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Interventions for Smoking Among Persons in Recovery (INSPIRE)

2013年5月25日 更新者:Janice Tsoh, Ph.D.、University of California, San Francisco

A Stepped-Care Intervention for Current and Former Smokers in Outpatient Chemical Dependency Treatment

Examine the efficacy of a stepped-care smoking cessation intervention for current and former smokers in chemical dependency treatment programs. We hypothesize that those who received the stepped-care intervention will be more likely to report smoking abstinence and drug or alcohol abstinence at 6 months.

研究概览

地位

完全的

条件

详细说明

The objective of the study is to document and systematically investigate the use of smoking cessation strategies targeting substance abuse outpatient smokers at various level of readiness to quit smoking. Little is known regarding the best practices in treating tobacco use among clients in drug abuse treatment and very few drug abuse treatment programs currently offer smoking cessation services. The purpose of this developmental study is to develop and pre-test a stepped-care smoking cessation intervention in an outpatient drug abuse treatment program at a managed care setting that targets both current and former smokers. The stepped-care intervention consists of various components that aim at matching the treatment needs of smokers across the whole spectrum of smoking status and readiness to quit smoking. The following specific aims will be pursued:

  1. Develop a stepped-care smoking cessation intervention targeting both current and former smokers who are admitted to an outpatient drug abuse treatment program. Special attention will be paid to former smokers, as intervention techniques for them are not well developed. Also, intervention content will be modified from that used in smoking interventions with the general population to content that is targeted at smokers who are in drug abuse treatment
  2. Pre-test the efficacy of the stepped-care smoking cessation intervention.
  3. Examine the feasibility of implementing the stepped-care smoking cessation intervention.
  4. Examine the impact of the smoking intervention on drug and alcohol use outcomes at 6-month post initiation of smoking cessation treatment.

研究类型

介入性

注册 (实际的)

75

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • California
      • Walnut Creek、California、美国、94596
        • Kaiser Permanente Central Diablo (Wlanut Creek/ Martinez)

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion Criteria:

  • men and women
  • over the age of 18
  • currently enrolled in outpatient treatment program for drug and/or alcohol use and have received minimally 30 days of continuous treatment for drug and/alcohol in any outpatient treatment program(s) for drug and/or alcohol use for at least one month
  • have regularly smoked cigarettes for at least one year in their lifetime
  • have smoked within the past 5 years

Exclusion Criteria:

  • clients with a life-threatening disease
  • currently at imminent risk of committing suicide, or currently pregnant
  • currently in treatment for nicotine dependence elsewhere
  • cannot be reached by telephone (unable to provide a phone number where the participant can be reached directly
  • non-English speakers.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
其他:1
Assessment only + referral list to State quitline and smoking cessation education classes at Kaiser
Referral list to smoking cessation classes at Kaiser and the California Smokers Helpline
实验性的:2
Participants will receive self-help information handouts, expert system intervention that includes a stage-based manual and individualized written feedback reports plus in-person brief stage-appropriate counseling at baseline and 3-month assessment. Current smokers who indicate desire to quit smoking or former smokers who indicate high cravings for cigarettes will be offered nicotine replacement medications. Participants will receive three telephone counseling sessions delivered between baseline and 3 month at weeks 2, 4 and 8. As-needed telephone check-calls will be provided to participants on and 2 days after quit date, or to participants who have quit smoking and anticipate high risk situations.
  • stage-based expert system written intervention at baseline and 3 months
  • in-person stage appropriate counseling at baseline and 3 months
  • telephone counseling sessions at weeks 2,4 and 8,
  • as-needed brief check-in calls on or 2 days after quit date for those who have set a quit date; and/or check-in calls on days with anticipated high risk situations for former smokers or those who have quit smoking during the study
  • optional NRT nicotine replacement therapy in the forms of patch, gum or lozenge for current smokers who are ready to quit smoking and/or for former smokers who report significantly strong smoking urges

研究衡量的是什么?

主要结果指标

结果测量
大体时间
CO verified self-report 7-day smoking abstinence prior to assessment
大体时间:6 months
6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Janice Tsoh, PhD、University of California, San Francisco

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2007年4月1日

初级完成 (实际的)

2008年6月1日

研究完成 (实际的)

2009年8月1日

研究注册日期

首次提交

2008年7月9日

首先提交符合 QC 标准的

2008年7月9日

首次发布 (估计)

2008年7月14日

研究记录更新

最后更新发布 (估计)

2013年5月29日

上次提交的符合 QC 标准的更新

2013年5月25日

最后验证

2013年5月1日

更多信息

与本研究相关的术语

其他研究编号

  • P50DA009253-14-DevStudy2
  • H10315-28247-03
  • P50DA009253-14 (美国 NIH 拨款/合同)

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Control的临床试验

3
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