Clinical trial NCT00714896: Interventions for Smoking Among Persons in Recovery
Official title: A Stepped-Care Intervention for Current and Former Smokers in Outpatient Chemical Dependency Treatment
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Smoking Cessation
Keywords: smoking cessation
nicotine dependence
stage-based intervention
nicotine replacement medications
counseling
substance abuse treatment
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: Kaiser Permanente
name: National Institute on Drug Abuse (NIDA)
First posted: 2008-07-14
Enrollment: 75
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Examine the efficacy of a stepped-care smoking cessation intervention for current and former smokers in chemical dependency treatment programs. We hypothesize that those who received the stepped-care intervention will be more likely to report smoking abstinence and drug or alcohol abstinence at 6 months.

Detailed description: The objective of the study is to document and systematically investigate the use of smoking cessation strategies targeting substance abuse outpatient smokers at various level of readiness to quit smoking. Little is known regarding the best practices in treating tobacco use among clients in drug abuse treatment and very few drug abuse treatment programs currently offer smoking cessation services. The purpose of this developmental study is to develop and pre-test a stepped-care smoking cessation intervention in an outpatient drug abuse treatment program at a managed care setting that targets both current and former smokers. The stepped-care intervention consists of various components that aim at matching the treatment needs of smokers across the whole spectrum of smoking status and readiness to quit smoking. The following specific aims will be pursued:

1. Develop a stepped-care smoking cessation intervention targeting both current and former smokers who are admitted to an outpatient drug abuse treatment program. Special attention will be paid to former smokers, as intervention techniques for them are not well developed. Also, intervention content will be modified from that used in smoking interventions with the general population to content that is targeted at smokers who are in drug abuse treatment
2. Pre-test the efficacy of the stepped-care smoking cessation intervention.
3. Examine the feasibility of implementing the stepped-care smoking cessation intervention.
4. Examine the impact of the smoking intervention on drug and alcohol use outcomes at 6-month post initiation of smoking cessation treatment.

Eligibility criteria: Inclusion Criteria:

* men and women
* over the age of 18
* currently enrolled in outpatient treatment program for drug and/or alcohol use and have received minimally 30 days of continuous treatment for drug and/alcohol in any outpatient treatment program(s) for drug and/or alcohol use for at least one month
* have regularly smoked cigarettes for at least one year in their lifetime
* have smoked within the past 5 years

Exclusion Criteria:

* clients with a life-threatening disease
* currently at imminent risk of committing suicide, or currently pregnant
* currently in treatment for nicotine dependence elsewhere
* cannot be reached by telephone (unable to provide a phone number where the participant can be reached directly
* non-English speakers.

Primary outcomes:
measure: CO verified self-report 7-day smoking abstinence prior to assessment
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Walnut Creek
country: United States
facility: Kaiser Permanente Central Diablo (Wlanut Creek/ Martinez)
state: California
Study officials:
affiliation: University of California, San Francisco
name: Janice Tsoh, PhD
role: PRINCIPAL_INVESTIGATOR
References: