CONNECT Cancer Survivors With Tobacco Treatment

Purpose

The purpose of this study is to evaluate the comparative effectiveness of two different informatics-enabled implementation strategies on increasing tobacco treatment and improving smoking cessation rates for cancer control and prevention. This will be done via a two-arm pragmatic cluster randomized trial (CRT) to test the effectiveness of nudges to change (ELEVATE-S) vs. quit-focused usual care (ELEVATE) in increasing tobacco treatment (use of medication, brief advice, or referral to external counseling) and smoking cessation.

Conditions

  • Tobacco Use
  • Tobacco Use Cessation
  • Smoking Cessation
  • Nicotine Addiction
  • Tobacco Smoking

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Criteria

Eligibility Criteria:

- Be receiving care at a participating clinic

- Report current tobacco use (assessed by the rooming staff during the index visit)

- Have a completed appointment with a participating clinic

- Be an adult (at least 18 years old).

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Randomization occurs at the clinic level. For pragmatic concerns, the investigators expect to recruit from multiple clinics and randomization will be stratified by department to minimize the clinic effect. Clinics will be randomized on a 1:1 basis to ELEVATE-S or ELEVATE. Patients within a clinic will be assigned to the same arm.
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Electronic health record-enabled evidence-based tobacco treatment (ELEVATE)
  • Behavioral: ELEVATE
    ELEVATE uses implementation strategies to support clinicians (support clinicians by revising professional roles to enable point of care tobacco treatment with a team are approach and support clinicians by providing clinical decision support tools).
Experimental
Electronic health record-enabled evidence-based tobacco treatment-Support (ELEVATE-S)
  • Behavioral: ELEVATE-S
    ELEVATE-S uses implementation strategies to support clinicians (support clinicians by revising professional roles to enable point of care tobacco treatment with a team are approach and support clinicians by providing clinical decision support tools) and implementation strategies to support patients with chronic care model-informed self-management support (patient centered flexible goals and patient-generated health data).

Recruiting Locations

Washington University in St. Louis and nearby locations

Washington University School of Medicine
St Louis 4407066, Missouri 4398678 63110
Contact:
Li-Shiun Chen, M.D., MPH, ScD
314-362-3932
li-shiun@wustl.edu

More Details

NCT ID
NCT07020273
Status
Recruiting
Sponsor
Washington University School of Medicine

Study Contact

Li-Shiun Chen, M.D., MPH, ScD
314-362-3932
li-shiun@wustl.edu