Comparing Population Cessation Services
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Purpose
If the treatment combining Motivation Enhancement, Reduction Counseling, Nicotine Replacement Therapy and Transtheoretical tailored interventions produces an increasing treatment trajectory, it will produce unprecedented impacts with unmotivated smokers specifically and population cessation generally. These recruitment and intervention strategies require limited resources from health care providers and could be readily disseminable to other health care systems for application with populations of smokers, especially unmotivated smokers who have been understudied and underserved.
| Condition | Intervention |
|---|---|
|
Cancer |
Behavioral: TTM Tailored Behavioral: Motivational Enhancement Therapy Behavioral: Integrated Treatment |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Single Blind (Investigator) Primary Purpose: Prevention |
| Official Title: | Comparing Population Cessation Services With Emphasis on Unmotivated Smokers |
- Smoking cessation (quit) rate [ Time Frame: 24 months ] [ Designated as safety issue: No ]Self-report point prevalence abstinence
| Enrollment: | 2500 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: TTM Tailored |
Behavioral: TTM Tailored
This treatment is tailored on three occasions (baseline, 6, and 24 weeks) on each of the 14 TTM variables. This treatment provides both normative and ipsative feedback on each of the variables found to predict progress across specific stages
Other Name: TTM Expert System
|
| Experimental: Motivational Enhancement Therapy |
Behavioral: Motivational Enhancement Therapy
This intervention will be driven by the manual developed by Carpenter et al. (2004) based on the USPHS recommendations for smokers not motivated to quit and for those who become ready to set a quit date.
Other Name: MET
|
| Experimental: Integrated Treatment |
Behavioral: Integrated Treatment
This enhanced condition would combine MET, Reduction Counseling and NRT and TTM Tailoring.
Other Name: Combined treatment
|
Detailed Description:
This proposal addresses major gaps in research for nicotine addiction treatments for entire populations of smokers and for the 80% who are not motivated to quit. Nicotine addiction is just like other drug addictions in terms of breaking the addiction cycle. Researchers and providers differ on whether treatment emphasis should be on clinician-based counseling, biologically-based medications, computer-based tailored communications or a combination of these. There is a lack of comparative research on population treatments to compare effectiveness, cost-effectiveness and enhancement of quality of life. Such comparative research would provide health care systems and providers with evidence on how to best serve entire populations of smokers, especially unmotivated smokers who are seriously underserved. This research will compare the four most highly recommended treatments: 1. Motivation Enhancement Therapy (MET) plus NRT; 2.Tailored communications based on the Transtheoretical Model (TTM), and 3. The combination of these treatments.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- smoker
Exclusion Criteria:
- pregnancy
Contacts and Locations| United States, Rhode Island | |
| University of Rhode Island | |
| Kingston, Rhode Island, United States, 02881 | |
| Principal Investigator: | James O Prochaska, Ph.D. | Univeristy of Rhode Island |
More Information
No publications provided
| Responsible Party: | James O. Prochaska, Professor, University of Rhode Island |
| ClinicalTrials.gov Identifier: | NCT01566994 History of Changes |
| Other Study ID Numbers: | DA022291 |
| Study First Received: | January 31, 2012 |
| Last Updated: | April 4, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Rhode Island:
|
smoking cessation |
ClinicalTrials.gov processed this record on June 17, 2013