Intensive Referral to Reduce Smoking in Probationers

Study Overview
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Brief Summary
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The purpose of this study is to determine if Intensive Referral Intervention increases motivation to quit cigarette smoking and quitting-related behaviors in probationers and also to determine if Intensive Referral Intervention improves short-term substance use outcomes in probationers with substance use disorder.

Detailed Description
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This is a longitudinal study of adults on probation who have a Substance Use Disorder (SUD) and smoke cigarettes. One-half of probation officers will be trained in the Intensive Referral Intervention (IRI) while one-half will deliver Standard Practice which is to encourage support group attendance. Research staff will assess fidelity to the IRI in trained probation officers. The investigators propose to enroll 150 probationers over a four month period and complete 3 and 6-month follow-up interviews to assess smoking and substance use measures.

Official Title
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Intensive Referral to Reduce Smoking in Probationers

Conditions
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Smoking Cessation, Substance Use Disorder

Intervention / Treatment
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* Behavioral: Intensive Referral Intervention Group
* Behavioral: Standard Practice Facilitated Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: CBR-MH Probationers in Douglas County, NE SUD daily cigarette smoker Exclusion Criteria: Under guardianship unwilling to provide personal contact information unable to pass Mini-Cog

Ages Eligible for Study
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Minimum Age: 19 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: Intensive Referral Intervention Group<br>Intensive Referral Intervention will by done by trained probation officers | Behavioral: Intensive Referral Intervention Group<br>* The Intensive Referral Intervention Group will review a series of pamphlets regarding participation in 12-step meetings as well as smoking cessation that will be presented in a group setting to probationers in 3 sessions.<br>|
| Active Comparator: Standard Practice Facilitated Group<br>Standard Current Practice will be provided by untrained probation officers | Behavioral: Standard Practice Facilitated Group<br>* The Standard Practice Facilitated Group will receive 3 sessions of the current standard practice for facilitated groups.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motivation measured by Fagerstrom Test | Increased Motivation to quit cigarette smoking in probationers as indicated by change in Fagerstrom Test for Nicotine Dependence | 6 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Timeline Follow-back Calendar | Improved short term substance use outcomes as indicated by change in Timeline Follow-back Calendar | 6 Months |