Please select the eligibility criteria that correspond to the clinical trial below.
Title: CSP #519 - Integrating Practice Guidelines for Smoking Cessation Into Mental Health Care for PTSD (SCP)
Brief Summary: The primary study objective is to conduct a prospective, randomized controlled clinical trial that compares the effectiveness of two approaches for delivering smoking cessation treatment for veterans with posttraumatic stress disorder (PTSD). An approach where smoking cessation treatment is integrated into mental health care for PTSD and delivered by mental health providers (experimental condition) will be compared to specialized smoking cessation clinic referral (VA's usual standard of care).

Secondary study objectives are to (a) compare the cost outcomes and cost-effectiveness of IC versus USC, (b) identify treatment process variables that explain (mediate) observed differences in smoking abstinence rates for the two study conditions, and (c) determine whether cessation from smoking is associated with worsening of symptoms of PTSD and/or depression.


Options:
A: Inclusion Criteria:

* Receive a minimum of four mental health treatment sessions from the SOPP that span at least a 1-month interval
* SOPP treatment plan must indicate intent to deliver ongoing PTSD care for at least 1 year, including visits at least once per month
* Diagnosis of PTSD resulting from military trauma using DSM-IV criteria
* Current nicotine use, smoking greater at least 10 cigarettes per day for at least 16 of the past 30 days prior to randomization
* Demonstrated motivation to quit smoking

Exclusion Criteria:

* Use of smokeless tobacco or smoke pipes or cigars
* Any psychotic disorder that is not in remission
* Bipolar disorder that is not in remission
* Any substance dependence disorder that is not in remission (current substance abuse disorder and substance dependence disorder in remission for more than 1 month are not exclusions)
* Imminent risk for suicide or violence, as determined during routine assessment by SOPP clinical staff
* Severe psychiatric symptoms or psychosocial instability likely to prevent participation in the study protocol (i.e., attendance at scheduled sessions, ability to read study materials, and/or ability to comprehend interventions), as determined during routine assessment by SOPP clinical staff
* Gross impairment from organic mental disorder, as determined during routine assessment by SOPP clinical staff
B: Inclusion Criteria:

* Adult dental patient presenting for an exam visit whose most recent history reports the patient is a smoker. Patients had to agree to the phone survey.

Exclusion Criteria:

* Research opt out list
* Patients who discontinued the survey prior to completion(considered withdrawals)
C: DISEASE CHARACTERISTICS:

* Parents or guardians meeting the following criteria:

  * Self-identified as smokers on the baseline survey
  * Must have a child who is seen by a pediatrician in a participating practice

    * Child must not have a medically emergent condition that requires transfer outside the practice for immediate medical intervention
  * Must be present at the child's healthcare visit
* Pediatric practice meeting the following criteria:

  * Participates in the Pediatric Research in Office Settings (PROS) network
  * Practice manager and a majority of pediatricians are willing to implement a tobacco control strategy for parental smokers
  * Cares for at least 2,000 families
  * Located in a geographically distinct location to minimize contamination effects of the intervention

    * No practices at the same geographic location

PATIENT CHARACTERISTICS:

* Have a telephone at home (parent or guardian)
* Able to speak English (parent or guardian)
* Have a working fax machine (practice)

PRIOR CONCURRENT THERAPY:

* No prior enrollment in this study during a previous visit to the pediatric healthcare clinician (parent or guardian)
* No prior participation in phase II focus groups or other pilot tobacco control studies (practice)
* No active enrollment of patients onto other PROS trials (practice)
D: Inclusion Criteria:

* Smokers
* Accept participation and follow-up by phone interviews for 2 years

Exclusion Criteria:

* Terminal illness
* Active addictive behaviours or important health problems

Answer: A