此页面是自动翻译的,不保证翻译的准确性。请参阅 英文版 对于源文本。

Implementation of Smoking Cessation Within NCI Community Oncology Research Program (NCORP) Sites (OaSiS)

2022年7月20日 更新者:Wake Forest University Health Sciences

Implementation Of Smoking Cessation Services Within NCI NCORP Community Sites With Organized Lung Cancer Screening Programs

Evaluate a multi-faceted training program to improve short-term smoking cessation rates (<14 days post-visit) and short (3 months) and sustained abstinence (6 months) among 1,114 enrolled smokers who present for low-dose computed tomography (LDCT) lung cancer screening in 26 community-based practices.

研究概览

地位

完全的

条件

详细说明

We utilize an effectiveness-implementation hybrid design, employing a cluster, randomized control trial of community-based NCORP sites to study the effectiveness of a multi-faceted intervention to improve smoking cessation among lung cancer screening patients, as well as dissemination and implementation (D&I) science to optimize and accelerate translation of findings into clinical practice. We will: (1) Evaluate a multi-faceted training program to improve short-term smoking cessation rates (1-week post-visit) and sustained abstinence (6 months) among 1,114 enrolled smokers (557 in each trial arm) who present for LDCT lung cancer screening in community-based lung cancer screening practices; (2) Characterize the adoption and adaptation of the evidence-based tobacco cessation strategies in 26 community-based LDCT lung cancer screening programs; and (3) Develop and evaluate an implementation toolkit for integrating evidence-based tobacco cessation strategies in community-based LDCT lung cancer screening programs. Qualitative data will be collected from key informants at participating screening programs during and after intervention implementation. Quantitative survey data (baseline, <14 days, 3 months, and 6 months) and saliva specimens (6 months only) will be collected from smoking patients receiving screening within these programs.

研究类型

介入性

注册 (实际的)

1094

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

    • Delaware
      • Newark、Delaware、美国、19713
        • Helen F Graham Cancer Center
    • Georgia
      • Augusta、Georgia、美国、30912
        • Augusta University Medical Center
      • Savannah、Georgia、美国、31405
        • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
    • Hawaii
      • Honolulu、Hawaii、美国、96859
        • Tripler Army Medical Center
    • Illinois
      • Mount Vernon、Illinois、美国、62864
        • Good Samaritan Regional Health Center
      • Urbana、Illinois、美国、61801
        • Carle Cancer Center
    • Iowa
      • Ames、Iowa、美国、50010
        • McFarland Clinic PC - Ames
      • Des Moines、Iowa、美国、50314
        • Mercy Medical Center - Des Moines
    • Louisiana
      • Shreveport、Louisiana、美国、71103
        • LSU Health Sciences Center at Shreveport
    • Michigan
      • Ann Arbor、Michigan、美国、48106
        • Saint Joseph Mercy Hospital
      • Grand Rapids、Michigan、美国、49503
        • Spectrum Health at Butterworth Campus
      • Royal Oak、Michigan、美国、48073
        • William Beaumont Hospital-Royal Oak
    • Minnesota
      • Waconia、Minnesota、美国、55387
        • Ridgeview Medical Center
    • Missouri
      • Ballwin、Missouri、美国、63011
        • Saint Louis Cancer and Breast Institute-Ballwin
      • Bolivar、Missouri、美国、65613
        • Central Care Cancer Center - Bolivar
      • Branson、Missouri、美国、65616
        • Cox Cancer Center Branson
      • Joplin、Missouri、美国、64804
        • Freeman Health System
      • Joplin、Missouri、美国、64804
        • Mercy Hospital Joplin
      • Rolla、Missouri、美国、65401
        • Delbert Day Cancer Institute at PCRMC
      • Rolla、Missouri、美国、65401
        • Mercy Clinic-Rolla-Cancer and Hematology
      • Saint Louis、Missouri、美国、63131
        • Missouri Baptist Medical Center
      • Saint Louis、Missouri、美国、63141
        • Mercy Hospital Saint Louis
      • Saint Louis、Missouri、美国、63109
        • Saint Louis Cancer and Breast Institute-South City
      • Springfield、Missouri、美国、65807
        • CoxHealth South Hospital
      • Springfield、Missouri、美国、65804
        • Mercy Hospital Springfield
      • Washington、Missouri、美国、63090
        • Mercy Hospital Washington
    • Nevada
      • Las Vegas、Nevada、美国、89102
        • University Medical Center of Southern Nevada
      • Reno、Nevada、美国、89503
        • Saint Mary's Regional Medical Center
    • New York
      • Bronx、New York、美国、10467
        • Montefiore Medical Center - Moses Campus
    • North Carolina
      • Winston-Salem、North Carolina、美国、27103
        • Novant Health Forsyth Medical Center
    • North Dakota
      • Fargo、North Dakota、美国、58122
        • Sanford Roger Maris Cancer Center
      • Fargo、North Dakota、美国、58103
        • Sanford South University Medical Center
    • Ohio
      • Chillicothe、Ohio、美国、45601
        • Adena Regional Medical Center
    • Oklahoma
      • Oklahoma City、Oklahoma、美国、73120
        • Mercy Hospital Oklahoma City
    • Pennsylvania
      • Danville、Pennsylvania、美国、17822
        • Geisinger Medical Center
    • South Carolina
      • Boiling Springs、South Carolina、美国、29316
        • Prisma Health Cancer Institute - Spartanburg
      • Clinton、South Carolina、美国、29325
        • Prisma Health Cancer Institute - Laurens
      • Easley、South Carolina、美国、29640
        • Prisma Health Cancer Institute - Easley
      • Greenville、South Carolina、美国、29605
        • Prisma Health Cancer Institute - Faris
      • Greenville、South Carolina、美国、29615
        • Prisma Health Cancer Institute - Eastside
      • Greenville、South Carolina、美国、29605
        • Prisma Health Cancer Institute - Butternut
      • Greenville、South Carolina、美国、29605
        • Prisma Health Greenville Memorial Hospital
      • Greer、South Carolina、美国、29650
        • Prisma Health Cancer Institute - Greer
      • Seneca、South Carolina、美国、29672
        • Prisma Health Cancer Institute - Seneca
    • Tennessee
      • Memphis、Tennessee、美国、38120
        • Baptist Memorial Hospital and Cancer Center-Memphis
    • Virginia
      • Richmond、Virginia、美国、23235
        • VCU Massey Cancer Center at Stony Point
      • Richmond、Virginia、美国、23298
        • Virginia Commonwealth University/Massey Cancer Center
    • Wisconsin
      • La Crosse、Wisconsin、美国、54601
        • Gundersen Lutheran Medical Center
      • Milwaukee、Wisconsin、美国、53215
        • Aurora Saint Luke's Medical Center

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

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Agrees to have NCORP research personnel serve as the study liaison and another person to serve as the cessation program champion.
  • Agrees to participate in all aspects of the intervention, randomization, and evaluation.
  • Agrees to participate in a confidential 1-on-1 semi-structured interview with the research team.
  • Agrees to have the interview taped, transcribed and qualitatively analyzed.
  • Age ≥18 years
  • Potential participants will be screened using the following question: "Do you smoke cigarettes every day, some days, or not at all?" (BRFSS). A current smoker is anyone responds "every day" or "some days".

Exclusion Criteria:

  • Current use (previous 30 days) of a tobacco dependence treatment including bupropion, varenicline, and nicotine replacement
  • Individuals who use e-cigarettes and who are not smoking cigarettes. Dual users (those who use both e-cigarettes and cigarettes) will still be included in the trial.
  • The presence of a physical or cognitive impairment that would prevent a person from engaging in survey research (such as blindness, deafness, or dementia).
  • Individual has already completed the intended LDCT lung cancer screening for this study.
  • Non-English speaking participants.

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:卫生服务研究
  • 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
实验性的:Intervention

Training of Lung Cancer Screening Personnel on implementation of the United States Public Health Service (US PHS) Guidelines for Smoking Cessation and Performance Coaching during Implementation Phase of the Study

Data collection from Patients: demographics, health status, smoking history, quitting behavior, perceptions of lung cancer risk and worry, impact of screening on tobacco use behavior, and exposure to the intervention. (baseline, <14 days, 3 months, and 6 months)

Training of Lung Cancer Screening Personnel on implementation of the US PHS Guidelines for Smoking Cessation and Performance Coaching during Implementation Phase of the Study

Each site will have a coaching team: two members of our research team including an expert in tobacco cessation and an expert in lung cancer screening. Active coaching includes six, 1-1 ½ hour video exchanges among program sites and coaching teams, once every 4-6 weeks over an 8-month implementation phase. One week prior to the call, each site will be prompted with an email to inform the coaching team of any challenges associated with implementation.

无干预:Usual Care

No training or performance coaching calls on personnel, just usual clinic practice.

Data collection from Patients: demographics, health status, smoking history, quitting behavior, perceptions of lung cancer risk and worry, impact of screening on tobacco use behavior, and exposure to the intervention. (baseline, <14 days, 3 months, and 6 months)

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Percentage of Patients With 7-day Sustained Smoking Abstinence Reported in the Patient Survey
大体时间:6 months (after baseline)
7-day sustained smoking abstinence will be measured by the question "Have you smoked a cigarette (or other tobacco products), even a puff, in the last 7 days?" in patient survey.
6 months (after baseline)

次要结果测量

结果测量
措施说明
大体时间
Salivary Cotinine Test for Non-Smokers
大体时间:6 months (after baseline)
7-day Sustained Smoking abstinence will be validated using a salivary cotinine test in non smokers. Abstinence will be determined by percentage of smokers whose tests come back negative for cotinine. Low levels of cotinine less than 15 milligrams per milliliter (mg/mL) would suggest true smoking cessation and levels higher than or equal to 15 mg/mL would suggest they are still smoking.
6 months (after baseline)
Short-term Smoking Abstinence - Patient Survey
大体时间:3 months (after baseline)
Short-tem smoking abstinence will be measured as part of the patient survey as the percentage of patients who report that they have not smoked.
3 months (after baseline)
Total Number of Services Participant Reported Received at 14 Days
大体时间:<= 14 days after baseline
Fidelity to the intervention will be measured by a patient survey that asks patients if they received up to 18 cessation services during the screening visit. This is the total each participant reported receiving and can range from 0 to 18, with higher values representing more services.
<= 14 days after baseline

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

  • 学习椅:Kristie Foley, PhD、Wake Forest University Health Sciences

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

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 (实际的)

2018年6月1日

初级完成 (实际的)

2021年2月22日

研究完成 (实际的)

2021年2月22日

研究注册日期

首次提交

2017年9月19日

首先提交符合 QC 标准的

2017年9月19日

首次发布 (实际的)

2017年9月25日

研究记录更新

最后更新发布 (实际的)

2022年7月25日

上次提交的符合 QC 标准的更新

2022年7月20日

最后验证

2022年7月1日

更多信息

与本研究相关的术语

其他研究编号

  • IRB00040071
  • 1R01CA207158-01 (美国 NIH 拨款/合同)
  • REBAWF-20817CD (其他标识符:NCI)
  • NCI-2017-01669 (注册表标识符:NCI CTRP)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

是的

IPD 计划说明

Wake Forest (WF) NCORP Research Base (RB) is committed to following the NIH Statement on Sharing Research Data (http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-032.html). As of July 2018, the WF NCORP RB signed an agreement with NCI to contribute de-identified data and data dictionaries from clinical trials conducted through our RB to the NCI National Clinical Trials Network (NCTN)/NCORP data archive within 6 months of primary and non-primary publications of phase II/III and phase III trials (https://nctn-data-archive.nci.nih.gov/). This will become the primary means for sharing raw data and we will adhere to the guidelines spelled out in the NCTN/NCORP Data Archive Usage Guide.

IPD 共享时间框架

see NIH policy

IPD 共享访问标准

request using uniform resource locator (URL) below

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

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.

订阅