Clinical trial NCT06051474: Treating Caregivers Who Smoke at AFCH
Official title: Treating Nicotine Addiction in Caregivers of Children at American Family Children's Hospital
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE4
Conditions: Smoking
Smoking Cessation
Lead sponsor: University of Wisconsin, Madison
Sponsor class: OTHER
First posted: 2023-09-25
Enrollment: 23
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this research study is to 1) see if a smoking cessation program is something that caregivers will use while their child is hospitalized, 2) see if caregivers think this program is something we should institute across the hospital, and 3) see if this program can help caregivers reduce their smoking.

Participants will:

* Complete a survey regarding smoking behavior and thoughts about quitting;
* Undergo a 20-minute counseling session; and,
* Use nicotine patches and mini-lozenges for 2 weeks

Detailed description: All participants will receive a one-time visit with the study physician. This visit will consist of a brief counseling session. Counseling sessions will last approximately 20 minutes and cover the 3 objectives of 1) review participants' motivation for smoking and for quitting; 2) use the information on participants' motives to provide tailored education regarding a) benefits of quitting smoking to the caregiver and the child, b) strategies to reduce nicotine withdrawal symptoms/urges to smoke during the hospitalization, and c) benefits of smoke-free home and car rules; and, 3) review smoking cessation resources.

After the counseling session, participants will be provided a 2-week supply of nicotine patches and nicotine mini-lozenges, along with instructions for their use. The study physician will review how to use the medication, dosing, benefits of use, and potential side effects of use.

Within 24 hours of discharge, participants will be contacted to complete a post-intervention survey, which will assess nicotine replacement therapy (NRT) use during the hospitalization and likelihood that the participant would recommend program implementation in the hospital. Smoking behavior during the child's hospitalization will be examined, including assessments of 1) number of cigarettes smoked per day and 2) number of times participant left the child's bedside to smoke per day. Participant's self-efficacy and interest in quitting smoking will be assessed, using the same questions from the pre-intervention survey, to assess for changes after the intervention.

Participants will be contacted 2 weeks after discharge with a link to complete the follow-up survey to again assess current smoking status, use of NRT post-hospitalization, self-efficacy and interest in quitting smoking, establishment of smoke-free home and car rules, and interest in ongoing smoking cessation treatment.

Eligibility criteria: Inclusion Criteria:

* Hospitalized child will have a 'yes' response to the screening question, "Does anyone in your household smoke"
* Hospitalized child is expected to be admitted for \>24 hours
* Caregiver is at least 18 years of age
* Participant self-identifies as the primary caregiver of the hospitalized child during the hospitalization
* Participant smokes ≥5 cigarettes per day
* Participant is willing and able to use NRT
* Participant is not currently pregnant, trying to get pregnant, or breastfeeding and willing to use acceptable birth control for duration of medication use
* Participant is willing to comply with all study procedures and be available for the duration of the study

Exclusion Criteria:

* Contraindication to NRT use (pregnancy, myocardial infarction in past 2 weeks)
* Previous reaction to the nicotine patch or mini-lozenge that prevented them from continuing to use it
* Current use of smoking cessation medications (any NRT, bupropion, varenicline)
* Caregiver's child is being cared for by study physician (Dr. Brian Williams)
* Need for an interpreter

Primary outcomes:
measure: Enrollment in study
timeFrame: Study recruitment, approximately 6 months
measure: NRT use
timeFrame: 2 weeks post-discharge
measure: Acceptability of smoking intervention
timeFrame: 2 weeks post-discharge
Secondary outcomes:
measure: Change in number of cigarettes smoked per day
timeFrame: Baseline to 2 weeks post-discharge
measure: Number of times participant left child's bedside to smoke
timeFrame: From admission to discharge, up to 4 weeks
measure: Change in self-confidence in quitting smoking
timeFrame: Baseline to 2 weeks post-discharge
measure: Change in motivation to quit smoking
timeFrame: Baseline to 2 weeks post-discharge
Other outcomes:
Locations:
city: Madison
country: United States
facility: American Family Children's Hospital
state: Wisconsin
Study officials:
affiliation: University of Wisconsin, Madison
name: Brian Williams, MD
role: PRINCIPAL_INVESTIGATOR
References: