E-Visit for COPD and Smoking Cessation

Study Overview
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Brief Summary
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The goal of this work is to develop, refine, and pilot test an electronic visit (e-visit) to: 1) deliver smoking cessation treatment to adults at risk for COPD and 2) to improve rates of COPD early detection and accurate diagnosis. The investigators will conduct a pilot RCT of the COPD/smoking cessation e-visit as compared to treatment as usual (TAU), with primary objective to provide effect size estimates for a larger RCT.

Official Title
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Development and Testing of an Electronic Visit for COPD Early Detection and Smoking Cessation

Conditions
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Pulmonary Disease, Chronic Obstructive, Cigarette Smoking, Telemedicine

Intervention / Treatment
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* Behavioral: smoking cessation, early COPD detection, electronic visit
* Other: Treatment As Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: current cigarette smoker, enrolled in MUSC's Epic MyChart program or willing to sign up for MyChart, possess a valid e-mail address that is checked daily, English fluency, and owner of an iOS or Android-compatible smartphone and a webcam-enabled device Exclusion Criteria: COPD on a patient's problem list within Epic.

Ages Eligible for Study
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Minimum Age: 40 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: COPD/smoking cessation electronic visit (e-visit)<br>This group will be sent 1) an invitation to complete an electronic visit (e-visit) focused on cigarette smoking, quitting smoking, and respiratory symptoms, 2) an invitation to complete a follow-up e-visit one-month after the initial e-visit, and if needed, 3) a home spirometry test with instructions on how to video themselves completing a lung functioning test via the device within an additional e-visit. | Behavioral: smoking cessation, early COPD detection, electronic visit<br>* electronic visits (e-visits) for smoking cessation and early detection of chronic obstructive pulmonary disease (COPD)<br>|
| Active Comparator: Treatment as Usual (TAU)<br>This group will be provided information about the state quitline and about the importance of quitting smoking and it will be recommended that they contact their PCP to schedule a medical visit to discuss quitting smoking. | Other: Treatment As Usual<br>* Information about the state quitline and about the importance of quitting smoking and a recommendation to contact one's PCP to schedule a medical visit to discuss quitting smoking<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evidence-based cessation treatment utilization | participants in both groups will be queried for use of a smoking cessation medication since the last assessment | Baseline through Month 3 | 
| Quit attempts | quit attempts will be assessed at each follow-up using a timeline followback for the last 6-months at baseline and since prior follow-up for each subsequent assessment | Baseline through Month 3 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| E-visit acceptability and feasibility | the percentage of patients who complete the initial and follow-up e-visits | Baseline through Month 3 |