Interactive Mobile Doctor (iMD) for Asian Smokers

Smoking Cessation Clinical Trial

— iMD  

Official title:

Interactive Mobile Doctor (iMD) for Asian Smokers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02966132
• Other study ID #: TRDRP 24AT-1301
• Secondary ID: 24AT-1300
• Status: Completed
• Phase: N/A
• Start date: November 2016
• Est. completion date: September 2019

Study information

• Verified date: May 2020
• Source: University of California, San Francisco
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary aim of the proposed study is to conduct a randomized controlled trial (RCT) to evaluate the efficacy of the Interactive Mobile Doctor (iMD) intervention targeting 150 Chinese-, Korean- or Vietnamese-speaking male patients who smoke daily and have a scheduled clinic visit at Asian Health Services primary care.

Description:

The Asian American population is the fast-growing racial group during 2000 and 2010. Smoking prevalence among that Vietnamese (43%), Chinese (32%), and Korean (27%) men who spoke limited English are disproportionately higher than that of men of all races combined (17%). Thus, some Asian groups, including Chinese, Korean and Vietnamese, have an unequal burden of tobacco-related diseases. Asian Health Services (AHS) is a federally-qualified health center in Alameda County, California, providing services in English and 12 different Asian languages. The vast majority of the patients are Chinese, Vietnamese, and Korean with low income. Because of high smoking rates and associated health impacts on patients and their families, promoting smoking cessation is a health priority for AHS. The Vietnamese Community Health Promotion Project (VCHPP) at UCSF has conducted numerous intervention studies to promote smoking cessation among Asian Americans. Given the shared research interest, AHS and VCHPP have partnered to address smoking in Asian Americans. The partners received a TRDRP pilot Community-Academic Research Award grant to develop an interactive "Mobile Doctor" (iMD) intervention in Korean and Vietnamese languages that delivers video education tailored to patient's responses on a computer tablet during the clinic visit to enhance patient-provider discussion of tobacco use. The primary goal of the proposed study is to evaluate the iMD intervention with an expansion to the Chinese language in its efficacy to promote patient-provider discussion and quitting smoking in Chinese, Korean, and Vietnamese male smokers. The study will enroll 150 AHS Chinese-, Korean- or Vietnamese-speaking patients who smoke daily and have a scheduled clinic visit. Participants will then be assigned (by chance) into either receiving 1) iMD on tobacco or 2) video education on nutrition and physical activity recommendations. Participants will be assessed at: before the scheduled intervention visit, immediately after or within one week of the intervention visit, and 6 months following the intervention visit. Additional data will be obtained from EHR. The investigators anticipate that, when compared to participants receiving usual care alone, those who receive the iMD will be more likely to receive physician advice on their tobacco use both at their intervention visit and at one visit following the intervention visit within 6 months as documented in EHR; and at 6 months follow-up, those receiving the iMD will be more likely to report having been able to quit smoking for at least one day during the study period, and to have reported having quit smoking for at least 7 days with their abstinence status verified using a saliva sample. The long-term goal is to understand effective ways to enhance patient-provider communication in tobacco use and to leverage each clinic encounter in promoting smoking cessation among patients in community health settings.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 172
• Est. completion date: September 2019
• Est. primary completion date: June 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Male
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• age 18 or older;

• male;

• English, Chinese- (Cantonese), Korean- or Vietnamese-speaking;

• self-identified as ethnic Chinese, Korean, Vietnamese or Asian

• current smoker as identified by EHR;

• have an already scheduled provider visit at Asian Health Services;

• smoke at least 1 cigarette daily in the last 7 days; and

• unwilling or unavailable to participate the in study procedures (e.g., to complete a brief post-visit survey right after the visit or by phone) according to the group assignment

Exclusion Criteria:

• Have vision and/or hearing difficulty that prevents the participant from viewing or hearing the intervention video messages and/or completing the assessment in person or by telephone

Related Conditions & MeSH terms

• Smoking Cessation

Intervention

Behavioral:
• iMD
Interactive video education delivered on a tablet computer
• NPA

Locations

Country	Name	City	State
United States	Asian Health Services	Oakland	California

Sponsors (2)

Lead Sponsor	Collaborator
University of California, San Francisco	Asian Health Services

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	abstinence	7-day point prevalent smoking abstinence biochemically verified by salivary cotinine	6-month
Primary	quite attempt	self-reported 24-hour quit attempts	6-month
Secondary	patient-provider discussion	self-reported by patient whether discussion on tobacco use took place at the intervention clinical encounter	immediate post-intervention
Secondary	EHR documented 5As	EHR progress notes documenting delivery of the clinical guideline	immediate post-intervention