Tobacco Use Disorder Clinical Trial
Official title:
Adapting Smoking Cessation Interventions for the Outpatient Oncology Setting
This randomized clinical trial studies enhanced quitline intervention in smoking cessation for patients with non-metastatic lung cancer. Stop-smoking plans suggested by doctors may help patients with early-stage cancer quit smoking
PRIMARY OBJECTIVES:
I. To demonstrate the feasibility of delivering an enhanced quitline-based smoking cessation
intervention to lung cancer patients in the outpatient oncology setting.
SECONDARY OBJECTIVES:
I. To gather preliminary outcome data for an enhanced quitline-based smoking cessation
intervention adapted to the outpatient oncology setting to support future grant applications.
II. To evaluate change in primary patient reported outcomes, including quality of life
(quantified by the Functional Assessment of Cancer Therapy - Lung [FACT-L] and the European
Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer
Module [EORTC QLQ LC13]), perceived life stress (quantified by the Perceived Stress Scale),
and depression (quantified by the Center for Epidemiological Studies Short Depression Scale
[CESD-10]), in lung cancer patients in the intervention and control conditions (control arm
closed to accrual as of 3/6/2012) from baseline to 3-months following randomization.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM I (closed to accrual as of 3/6/2012): Patients receive a personalized letter from their
physician with advice to quit smoking and a copy of the National Cancer Institute's "Cleaning
the Air" smoking cessation booklet.
ARM II: Patients receive a personalized letter and a smoking cessation booklet. Patients also
receive an 8-week supply of nicotine replacement patches and undergo a counseling session
over 30-45 minutes with a trained nurse or midlevel provider that focuses on the benefits of
quitting smoking for cancer patients and addresses cancer-specific concerns about smoking
cessation. Patients also undergo a quitline-based smoking cessation intervention comprising 5
individual 25- to 30-minute telephone counseling sessions and unlimited inbound phone-based
access to Quit Coaches over 8-11 weeks, mailed written materials, and an interactive online
program.
After completion of study treatment, patients are followed up at 3 months.
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