An Interprofessional Intervention to Reduce Smoking Rates

Study Overview
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Brief Summary
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The purpose of this study is to test the effectiveness of an experimental process to aid Spanish-speaking patients in quitting smoking with the help of pharmacists and behavioral health psychologist trainees and clinicians.

Official Title
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An Interprofessional Intervention With Behavioral Health and Pharmacy Trainees to Reduce Smoking Rates at a Free Health Clinic in Richmond

Conditions
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Smoking, Cigarette

Intervention / Treatment
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* Behavioral: Pharmacy and Behavioral Health Team
* Behavioral: Motivational Interviewing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Spanish-speaking Uninsured Current cigarette smoker Exclusion Criteria: Pregnant or breastfeeding Heart attack or stroke in the last 3 months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 89 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: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Ready to Quit<br>Current patients who speak Spanish, smoke cigarettes, and are ready to quit will be included. The intervention includes an interdisciplinary team approach using pharmacy and behavioral health trainees to provide smoking cessation services. | Behavioral: Pharmacy and Behavioral Health Team<br>* An interdisciplinary approach using medications through pharmacy support and counseling through behavioral health team members will be used to improve smoking cessation rates.<br>|
| Other: Not Ready to Quit<br>Current patients who speak Spanish, smoke cigarettes, and are not ready to quit will be included. The intervention includes an interdisciplinary team approach using pharmacy and behavioral health trainees to provide smoking cessation services. | Behavioral: Motivational Interviewing<br>* Patients not ready to quit will be offered motivational interviewing to increase readiness to quit.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in smoking abstinence | Smoking abstinence will be measured by breath carbon monoxide level | Baseline to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Readiness to Quit Smoking | Improvement in readiness to quit will be measured by the quit ladder | Baseline to 6 months | 
| Change in Nicotine Dependence | Nicotine dependence will be measured by the Fagerstrom scale | Baseline to 6 months | 
| Change in Number of Cigarettes Smoked | Change in the number of cigarettes smoked will be measured by patient reported values | Baseline to 6 months | 
| Change Carbon Monoxide Levels | Measured by Carbon Monoxide Meter | Baseline to 6 months |