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N/A N=5,123 Randomized Health Services Research

Proactive Tobacco Treatment for Veterans

Smoking Cessation · Smoking Tobacco

Enrolled (actual)
5,123
Serious AEs
0.0%
Results posted
Jan 2015
Primary outcome: Primary: Self-reported, Smoking Abstinence Rate: 6-month Prolonged Abstinence — 10.9; 13.5 percentage of participants — p=.02

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Proactive Outreach with choice of telephone or in-person smoking cessation services (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
US Department of Veterans Affairs
Primary completion
Dec 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Self-reported, Smoking Abstinence Rate: 6-month Prolonged Abstinence
10.9; 13.5 .02 sig
SECONDARY
Treatment Utilization Rates for Counseling and/or Pharmacotherapy
2.2; 12.7; 6; 5.5; 39; 41.1 <.001 sig
SECONDARY
7-day Point Prevalence Abstinence
15.1; 17.1 0.13

Summary

Tobacco use is the leading cause of premature death in the United States and disproportionately affects Veterans and certain racial/ethnic minority groups. Most smokers are interested in quitting; however, current tobacco use treatment approaches are reactive and require smokers to initiate treatment or depend on the provider to initiate smoking cessation care. As a result, most smokers do not receive comprehensive, evidence-based treatment for tobacco use that includes intensive behavioral counseling along with pharmacotherapy. Proactive tobacco treatment integrates population-based treatment (i.e., proactive outreach) and individual-level treatment (i.e., smoking cessation counseling and pharmacotherapy) to address both patient and provider barriers to comprehensive care.

Eligibility Criteria

Inclusion Criteria

  • Current smoker, identified by tobacco use clinical reminder.

Exclusion Criteria

  • ICD-9 diagnosis of dementia (290.xx or 331.xx).
  • Greater than 10 VA mental health clinic visits in past 12 months.
  • Missing phone number or mailing address.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00608426). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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