Assessment of a Teachable Moment for Smoking Cessation

Study Overview
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Brief Summary
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A teachable moment (TM) refers to life events or transitions, such as physician visits, early detection screening feedback, pregnancy, and hospitalization for, and diagnosis of, disease, that inspire health behavior change. Despite strong intuitive appeal of the TM concept and over 150 studies of interventions implemented in a TM, there has been little investigation of the influence of TMs for smoking, particularly for promoting smoking cessation among those indirectly affected by a TM (e.g., relatives of cancer patients). This prospective observational study using a matched-group design will assess whether a lung cancer diagnosis increases enrollment in a smoking cessation program and cessation, and reduces smoking, among the patient's relatives/spouse who smoke. We will compare enrollment in a cessation program and cessation and smoking rates in 2 groups of smokers: 1) relatives/spouses of newly-diagnosed lung cancer patients, and 2) relatives/spouses of patients with an orthopedic condition. We will also explore mediators and moderators of a lung cancer diagnosis as a TM. This study could clarify the TM concept for smoking cessation, shed light on the underlying mechanisms of TMs, and guide future development and implementation of TM-based smoking cessation interventions.

Official Title
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Assessment of a Teachable Moment for Smoking Cessation

Conditions
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Nicotine Dependence

Intervention / Treatment
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* Drug: Transdermal nicotine patch


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A relative (i.e., sibling, parent, child, grandparent, aunt, uncle, cousin) or spouse of a newly-diagnosed lung or head and neck cancer patient or orthopedic patient (e.g., arthritis, bone and joint infection, foot and ankle conditions, hand, wrist, and elbow conditions such as carpal tunnel syndrome, shoulder and elbow conditions, such as rotator cuff injury, and knee conditions, such as ligament damage repair); A regular smoker (i.e., smoke 10 cigarettes/day on average); Able to use NRT (see contraindications under Key Exclusion Criteria); Age 18 or older (to use NRT); and Living within  50 miles of PENN (to allow for meetings at PENN). Exclusion Criteria: Cannot communicate in English; Have current alcohol abuse/dependence; Are or have been diagnosed with cancer, asthma, HIV, emphysema, or COPD; Have a current medical problem for which NRT is contraindicated such as uncontrolled hypertension (> 150 over 90), unstable angina, heart attack or stroke within the past 6 months, and liver and/or kidney failure in the last 6-months; Currently use monoamine oxidase inhibitors or benzodiazepines, anti-psychotics, and antidepressants, including bupropion; Are allergic to adhesive tape or latex, and Are a female who is pregnant or nursing.

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1<br>Relatives of Cancer Patients | Drug: Transdermal nicotine patch<br>* 8 weeks; 4 weeks of 21mg, 2 weeks of 14mg, and 2 weeks of 7mg.<br>|
| 2<br>Relatives of Orthopedic Patients | Drug: Transdermal nicotine patch<br>* 8 weeks; 4 weeks of 21mg, 2 weeks of 14mg, and 2 weeks of 7mg.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Accrual Rate (Eligibility Visit) | Show rate to eligibility visit | week zero | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking Cessation Rate |  | week nine | 
| Show Rate at First Treatment Session |  | week one | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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smoking, teachable moment, cancer