Telephone Care Coordination for Smokers in VA Mental Health Clinics (TeleQuit MH)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00724308
First received: July 23, 2008
Last updated: April 9, 2014
Last verified: April 2014
  Purpose

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.


Condition Intervention
Smoking
Other: Telephone Care Coordination
Other: Telephone Care Coordination with state Quitline

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Telephone Care Coordination for Smokers in Mental Health Clinics

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • Long-term smoking abstinence (30-day point prevalence abstinence) and the rate of program adoption by mental health providers and patients [ Time Frame: 6 months after enrollment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • 30-day point prevalence abstinence rate at 2-months (i.e., end of treatment) [ Time Frame: 2 months after enrollment ] [ Designated as safety issue: No ]
  • Quit attempt rate [ Time Frame: 2 and 6 months after enrollment ] [ Designated as safety issue: No ]
  • Rate of use of smoking cessation medications (i.e., treatment rate) [ Time Frame: 2 and 6 months after enrollment ] [ Designated as safety issue: No ]
  • VA site-level performance rates on the VA tobacco performance measures [ Time Frame: Quarterly after study implementation ] [ Designated as safety issue: No ]

Enrollment: 1206
Study Start Date: November 2009
Study Completion Date: September 2013
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm 1
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.
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.
Experimental: Arm 2
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 smoking cessation "Quitline"; and (4) follow-up at 2 and 6 months to check the patient's smoking status.
Other: 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.

Detailed 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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00724308

Locations
United States, New York
New York, NY
New York, New York, United States, 10010
Sponsors and Collaborators
Investigators
Principal Investigator: Scott E Sherman, MD MPH New York, NY
  More Information

Publications:
Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00724308     History of Changes
Other Study ID Numbers: SDP 07-034
Study First Received: July 23, 2008
Last Updated: April 9, 2014
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
Smoking
Smoking Cessation
Tobacco
Mental Health

Additional relevant MeSH terms:
Smoking
Habits

ClinicalTrials.gov processed this record on April 23, 2014