Telephone Care Coordination for Smokers in VA Mental Health Clinics

Smoking Clinical Trial

— TeleQuit MH  

Official title:

Telephone Care Coordination for Smokers in Mental Health Clinics

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00724308
• Other study ID #: SDP 07-034
• Status: Completed
• Phase: N/A
• Start date: November 2009
• Est. completion date: September 2013

Study information

• Verified date: October 2020
• Source: VA Office of Research and Development
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to evaluate whether a smoking cessation telephone care coordination program is effective and feasible in VA Mental Health Clinics.

Description:

Smoking is the leading preventable cause of death in the United States and is a particular problem among VA users and among persons with a diagnosed mental illness. The prevalence of smoking among VA mental health patients has remained high, in part because smoking cessation treatment rates have remained low. Telephone-based counseling represents the most feasible approach to increasing smoking cessation treatment among VA patients. The approach used in this study has been used very effectively in a primary care-based population that includes a large percentage of mental health patients. This project would target the program specifically at patients seen in VA Mental Health Clinics.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 577
• Est. completion date: September 2013
• Est. primary completion date: October 2012
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Smokers who are referred from Mental Health Clinics in VA VISNs 1 and 3.
• Patients must have access to a telephone and a regular mailing address.

Exclusion Criteria:

• No access to a telephone
• no mailing address
• not receiving care from a VISN 1 or VISN 3 Mental Health provider

Related Conditions & MeSH terms

• Smoking

Intervention

Other:
• Telephone Care Coordination
The telephone care coordination program involves the following steps: (1) brief counseling and referral from a mental health provider; (2) prescribing and mailing of smoking cessation medications; (3) proactive multi-call counseling from TeleQuit MH study counselors; and (4) follow-up at 2 and 6 months to check the patient's smoking status.
• Telephone Care Coordination with state Quitline
The telephone care coordination program involves the following steps: (1) brief counseling and referral from a mental health provider; (2) prescribing and mailing of smoking cessation medications; (3) proactive multi-call counseling from the patient's state "Quitline"; and (4) follow-up at 2 and 6 months to check the patient's smoking status.

Locations

Country	Name	City	State
United States	Manhattan Campus of the VA NY Harbor Healthcare System, New York, NY	New York	New York

Sponsors (1)

Lead Sponsor	Collaborator
VA Office of Research and Development

Country where clinical trial is conducted

United States, 

References & Publications (2)

Rogers E, Fernandez S, Gillespie C, Smelson D, Hagedorn HJ, Elbel B, Kalman D, Axtmayer A, Kurowski K, Sherman SE. Telephone care coordination for smokers in VA mental health clinics: protocol for a hybrid type-2 effectiveness-implementation trial. Addict — View Citation

Rogers ES, Gillespie C, Zabar S, Sherman SE. Using standardized patients to train telephone counselors for a clinical trial. BMC Res Notes. 2014 Jun 5;7:341. doi: 10.1186/1756-0500-7-341. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Long-term Smoking Abstinence (30-day Point Prevalence Abstinence)		6 months after enrollment
Secondary	30-day Point Prevalence Abstinence Rate at 2-months (i.e., End of Treatment)		2 months after enrollment
Secondary	Quit Attempt Rate		2 and 6 months after enrollment
Secondary	Rate of Use of Smoking Cessation Medications (i.e., Treatment Rate)		2 and 6 months after enrollment
Secondary	VA Site-level Performance Rates on the VA Tobacco Performance Measures		Quarterly after study implementation