Computer Delivered and Community Health Worker Supported Smoking Cessation Intervention

Study Overview
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Brief Summary
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The prevalence of tobacco smoking is high among persons with HIV (PWH). The investigators are piloting a two session computer-delivered intervention (CBI) with linkage to a community health worker (CHW) among hospitalized PWH with tobacco use 1a) To determine feasibility and acceptability of delivering this intervention and 2a) To determine intervention effect on 1) readiness to quit smoking and confidence in ability to quit smoking 2) uptake of smoking cessation therapy

Official Title
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Computer Delivered and Community Health Worker Supported Smoking Cessation Intervention for Hospitalized Persons With HIV

Conditions
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Tobacco Smoking

Intervention / Treatment
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* Behavioral: CBI-CHW
* Other: Standard Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age >=18, A patient admitted to the Johns Hopkins Hospital Smoked >100 cigarettes in their lifetime Current smoker English speaking Exclusion Criteria: Contraindication to nicotine replacement therapy including unstable angina and acute coronary syndrome

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CBI + CHW<br>2 Session Computer Delivered Intervention with use of Nicotine Replacement Therapy and Community Health Worker Follow Up | Behavioral: CBI-CHW<br>* 2 sessions of computer delivered counseling + nicotine replacement therapy and CHW follow up post hospitalization up to twice weekly for up to 8 weeks<br>|
| Other: Routine Care<br>Routine Tobacco Cessation Advice to Stop Smoking and Nicotine Replacement Therapy as offered by the inpatient team | Other: Standard Care<br>* Standard tobacco treatment care offered by the inpatient care<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intervention Feasibility as assessed by the Feasibility of Intervention Measure | 4 item scale, maximum score of 20 with higher score indicating greater feasibility | 3 months | 
| Intervention Acceptability as assessed by the Acceptability of an Intervention Measure | Noted as continuous score on 4 item scale, maximum value of 20 with higher score indicating greater acceptability | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Readiness to quit smoking as assessed by a Visual analog scale | Score of 10=Ready to Quit, Score of 1=Not ready to quit. Scale is from 1-10 | immediately post intervention | 
| Uptake of nicotine replacement therapy | Dichotomous yes/no. | immediately post intervention | 
| Continued use of nicotine replacement therapy 1 month post intervention | Dichotomous yes/no. | 30 days post intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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HIV