Abstinence Reinforcement Therapy (ART) for Rural Veteran Smokers
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Purpose
The primary goal of the current study is to evaluate the effectiveness of a combined tele-health and contingency management (CM) intervention that investigators are calling Abstinence Reinforcement Therapy (ART). Proposed is a comparative effectiveness trial with a two-group design in which 300 Veteran smokers will be randomized to either:
ABSTINENCE REINFORCEMENT THERAPY (ART) a proactive tele-health intervention that combines guideline based cognitive-behavioral telephone counseling (TC), a tele-medicine clinic for access to nicotine replacement (NRT), and intensive behavioral therapy through mobile contingency management.
TELE-HEALTH FOR SMOKING CESSATION a proactive tele-health intervention that will provide controls for therapist, medication, time and attention effects. The tele-health intervention provides the same guideline based cognitive-behavioral smoking cessation telephone counseling (TC), and tele-medicine clinic for access to NRT as in the ART intervention.
| Condition | Intervention |
|---|---|
|
Veteran Smoking Cessation |
Behavioral: Abstinence Reinforcement Therapy (ART) Behavioral: Telephone Counseling and NRT |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Abstinence Reinforcement Therapy (ART) for Rural Veteran Smokers |
- Primary outcome measure will be quality-adjusted life years (QALYs). The QALY is a standardized effectiveness measure that allows for the comparison of the value of a particular intervention to a broad range of other potential health care investments [ Time Frame: 12 month post treatment ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 300 |
| Study Start Date: | June 2013 |
| Estimated Study Completion Date: | October 2016 |
| Estimated Primary Completion Date: | October 2016 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm 1
Abstinence Reinforcement Therapy (ART)
|
Behavioral: Abstinence Reinforcement Therapy (ART)
Veterans randomized to the intervention will receive cognitive-behavioral telephone counseling (TC), a tele-medicine clinic for access to nicotine replacement (NRT), and mobile contingency management (mCM)
Other Name: Intervention
|
|
Arm 2
Telephone Counseling
|
Behavioral: Telephone Counseling and NRT
Veterans randomized to the control group will receive cognitive-behavioral telephone counseling (TC) and a tele-medicine clinic for access to nicotine replacement (NRT)
Other Name: Control
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Enrolled in the Durham VA for ongoing care.
- Current smokers planning to quit smoking in the next 30 days.
Exclusion Criteria:
- Active diagnosis of psychosis documented in the medical record.
- Does not have access to a telephone.
- Severely impaired hearing or speech (Veterans must be able to respond to phone calls).
Contacts and Locations| Contact: Lauren Hair | lauren.hair@va.gov | |
| Contact: Patrick S Calhoun, PhD | (919) 286-6936 | patrick.calhoun2@va.gov |
| United States, North Carolina | |
| Durham VA Medical Center | Not yet recruiting |
| Durham, North Carolina, United States, 27705 | |
| Contact: Dana C Tucker 919-286-0411 ext 5741 dana.tucker@va.gov | |
| Contact: Susan B Armstrong (919) 286-6936 beth.armstrong@va.gov | |
| Sub-Investigator: Jean C Beckham, PhD | |
| Sub-Investigator: Jennifer M Gierisch, BS MPH PhD | |
| Sub-Investigator: Maren K. Olsen, PhD | |
| Sub-Investigator: Matthew L. Maciejewski, PhD | |
| Principal Investigator: Patrick S. Calhoun, PhD | |
| Principal Investigator: | Patrick S. Calhoun, PhD | Department of Veterans Affairs |
More Information
No publications provided
| Responsible Party: | Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT01723163 History of Changes |
| Other Study ID Numbers: | IIR 12-365 |
| Study First Received: | November 5, 2012 |
| Last Updated: | April 10, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by Department of Veterans Affairs:
|
veteran smoking cessation |
Additional relevant MeSH terms:
|
Smoking Habits |
ClinicalTrials.gov processed this record on June 18, 2013