Clinical trial NCT01359371: Evaluation of Peer Telephone Cessation Counseling for Smokers
Official title: Evaluation of Peer Telephone Cessation Counseling for Smokers
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Smoking
Keywords: Smoking Cessation
Telephone
Hospital Volunteers
Lead sponsor: VA Office of Research and Development
Sponsor class: FED
First posted: 2011-05-24
Enrollment: 131
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Inpatient veterans at the Ann Arbor VA

Brief summary: The purpose of this study is to evaluate the peer telephone cessation counseling that has been and continues to be implemented at the Ann Arbor VA as part of the Tobacco Tactics intervention.

Detailed description: Background: As part of the nurse-administered Tobacco Tactics intervention, we developed a novel program to train veterans from Voluntary Services to provide peer telephone cessation counseling calls.

Objectives: The objective of this study is to conduct an in-depth evaluation of the volunteer peer telephone cessation counseling that has been implemented and continues to be implemented at the Ann Arbor Veterans Affairs (VA) hospital as part of the inpatient Tobacco Tactics intervention.

Methods: Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this quasi-experimental study will collect both quantitative and qualitative data to evaluate the peer telephone cessation counseling component of the Tobacco Tactics intervention. The Reach of the program will be evaluated by determining differences in the demographics, health characteristics, and smoking characteristics of those who do and do not participate in the peer telephone cessation counseling. The Effectiveness of the program will be evaluated by determining if there were differences in quit rates between those that do and do not participate in the peer telephone cessation counseling. The Adoption and Implementation of the program will be evaluated by determining the satisfaction with the counseling, reasons for nonparticipation, the type and quality of counseling actually provided, and barriers and facilitators to implementing the counseling as perceived by staff. The Maintenance of the program will be evaluated by determining the estimated costs of implementing the peer telephone cessation counseling.

Impact: The Tobacco Use/Smoking Cessation goal of the VA Substance Use Disorders (SUD) Quality Enhancement Research Initiative (QUERI) is to develop, implement and evaluate cost-effective interventions for increasing access to and use of evidence-based smoking cessation treatment. Telephone counseling has been shown to be efficacious and teaching volunteer veterans to provide this service is an option that is likely to be cost effective. Hence, evaluating the peer cessation telephone counseling program at the Ann Arbor VA will provide valuable information as to whether or not the program is a viable option for wider scale dissemination.

Eligibility criteria: Inclusion Criteria:

* The inclusion criteria: veterans who received the Tobacco Tactics intervention as an inpatient in the hospital.

Exclusion Criteria:

* The exclusion criteria: veterans who are too ill or impaired to consent.

Primary outcomes:
measure: Smoking Quit Rate by Number of Calls Received
timeFrame: 7-day point prevalence self-reported smoking quit rate 60 days after discharge
Secondary outcomes:
measure: Characteristics of Participants Stratified by High vs. Low Participation 60 Days Post Discharge
timeFrame: 60 days after discharge
measure: Participants' Attitudes About the Implementation of the Telephone Counseling
timeFrame: 60 days after discharge
measure: Cost Per Quit of Volunteer Peer Telephone Counseling
timeFrame: 60 days after discharge
Other outcomes:
Locations:
city: Ann Arbor
country: United States
facility: VA Ann Arbor Healthcare System, Ann Arbor, MI
state: Michigan
Study officials:
affiliation: VA Ann Arbor Healthcare System, Ann Arbor, MI
name: Sonia A. Duffy, PhD MS RN
role: PRINCIPAL_INVESTIGATOR
References:
citation: Duffy SA, Ewing LA, Louzon SA, Ronis DL, Jordan N, Harrod M. Evaluation and costs of volunteer telephone cessation follow-up counseling for Veteran smokers discharged from inpatient units: a quasi-experimental, mixed methods study. Tob Induc Dis. 2015 Feb 5;13(1):4. doi: 10.1186/s12971-015-0028-9. eCollection 2015.