Tobacco Tactics Website for Veteran Smokers

Study Overview
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Brief Summary
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The purpose of this study is to develop an evidence-based Tobacco Tactics website tailored to veterans based on an intervention tested in the VA.

Detailed Description
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Despite the detrimental effects of smoking, approximately 33% of veterans continue to smoke compared to approximately 21% of the general population. While efficacious cessation interventions are available, implementation of cessation interventions remains a challenge and new intervention strategies are needed to reach veterans. VA cessation providers recently met in Atlanta and one recommendation was to develop a cessation website for veterans. The evidence-based Tobacco Tactics website will be designed, pre-tested, and pilot tested as an intervention to assist veteran smokers to quit smoking. The efficacy of the website will then be tested in a subsequent randomized control trial (RCT). If the website proves efficacious, it would decrease morbidity and mortality among veterans, decrease face-to-face cessation intervention time for providers, and reach veterans in areas all over the country, perhaps through the VA My Healthy Vet website. This is a Phase 1 behavioral clinical trial designed to develop and pilot test a web-based Tobacco Tactics intervention tailored to veteran smokers. First, we will outline the specific content areas to be addressed. Second, we will develop the Tobacco Tactics intervention with our web designer in accordance with VA Web Operations. Third, a member of the research team will go through the website with the 5 veteran smokers obtaining feedback and noting any problems that occur. Fourth, with human studies approval, we will pilot test the impact of the intervention with 9 veteran smokers recruited to quit smoking using the Tobacco Tactics website. A research nurse will: be available by phone to answer any questions; collect qualitative data on veterans use of the Tobacco Tactics website; and, note the 30 day quit rate. Formative evaluation during pre-testing will include qualitative feedback on the: ability to accomplish tasks; ability to accomplish goals with skill and speed; ability to operate the system; and satisfaction. For the 9 veteran smokers that actually try to use the Tobacco Tactics website to quit smoking, we will be able to determine: the number of times they signed onto the website; the time spent on the website; and the number of times each module was accessed. Impact evaluation will be the 30 day quit rates of the 9 veteran smokers that agree to use the website.

Official Title
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Tobacco Tactics Website for Veteran Smokers

Conditions
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Smoking

Intervention / Treatment
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* Behavioral: Tobacco Tactics website


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Veteran, Screen Positive for Current Smoking, Greater than 18 Years of Age, Access to the Internet Exclusion Criteria: Non-English Speaking, Have Unstable Physical or Psychiatric/Mental Conditions

Ages Eligible for Study
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Minimum Age: 18 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tobacco Tactics Website<br>Nine veteran smokers who will pilot test the Tobacco Tactics website | Behavioral: Tobacco Tactics website<br>* Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self Reported 30 Day Smoking Quit Rate | Impact evaluation was the 30-day quit rates of the 9 veteran smokers that agreed to use the website. | 30 days post intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Feedback to Evaluate the Website | Formative evaluation during pre-testing included qualitative feedback on the: 1) ability to accomplish tasks; 2) ability to accomplish goals with skill and speed; 3) ability to operate the system; and 4) satisfaction. For the 9 veteran smokers that actually tried to use the Tobacco Tactics website to quit smoking, we were able to determine: 1) the number of times they signed onto the website; 2) the time spent on the website; and 3) the number of times each module was accessed. | 30 days post intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Smoking Cessation, Internet, Intervention Studies, Health Services Accessibility