Trial Outcomes & Findings for A Randomized Trial of Medi-Cal Beneficiaries Calling the California Smokers' Helpline (NCT NCT01502306)

NCT ID: NCT01502306

Last Updated: 2020-02-13

Results Overview

At a given point in time (in this case, 7 months after program registration), quitline participants are asked whether they have used cigarettes or other forms of tobacco in the past 30 days. Those who reply that they have not used tobacco in the past 30 days are considered to have quit.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

3816 participants

Primary outcome timeframe

7 months post enrollment

Results posted on

2020-02-13

Participant Flow

Recruitment was between July 2012 and May 2013

Participant milestones

Participant milestones
Measure
Telephone Counseling
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling begins immediately after intake, if the client is available for a 30-minute session or by appointment at the clients' convenience. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. The follow-up calls (about 10 minutes) will be scheduled as follows: a reminder call if the quit date is more than one week out for the initial counseling, on the quit date, 4-7 days after the quit date, and 10-14 days after the quit date.
Phone Counseling & Nicotine Patches
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients the day after the screening intake. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Nicotine patches: Clients will be screened for contraindications to nicotine patch use, and a doctor's approval will be necessary before patches are sent if a contraindication exists.
Phone Counseling, NRT and Incentives
One-on-one, proactive telephone counseling to quit smoking; The counseling addresses behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Gift cards (to one of 4 major chains) are $20 for the first counseling session and $10 for each additional one (up to five sessions total). Incentive: They will be given their choice of gift cards from one of 4 major business chains: Wal-Mart, Target, Vons/Safeway, or Ralph's/Kroger card.
Overall Study
STARTED
1004
1405
1407
Overall Study
COMPLETED
1004
1405
1407
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Randomized Trial of Medi-Cal Beneficiaries Calling the California Smokers' Helpline

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phone Counseling & Nicotine Patches
n=1405 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients the day after the screening intake. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Nicotine patches: Clients will be screened for contraindications to nicotine patch use, and a doctor's approval will be necessary before patches are sent if a contraindication exists.
Telephone Counseling
n=1004 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling begins immediately after intake, if the client is available for a 30-minute session or by appointment at the clients' convenience. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. The follow-up calls (about 10 minutes) will be scheduled as follows: a reminder call if the quit date is more than one week out for the initial counseling, on the quit date, 4-7 days after the quit date, and 10-14 days after the quit date.
Phone Counseling, NRT and Incentives
n=1407 Participants
One-on-one, proactive telephone counseling to quit smoking; The counseling addresses behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Gift cards (to one of 4 major chains) are $20 for the first counseling session and $10 for each additional one (up to five sessions total). Incentive: They will be given their choice of gift cards from one of 4 major business chains: Wal-Mart, Target, Vons/Safeway, or Ralph's/Kroger card.
Total
n=3816 Participants
Total of all reporting groups
Age, Customized
18-24
67 Participants
n=7 Participants
53 Participants
n=5 Participants
63 Participants
n=5 Participants
183 Participants
n=4 Participants
Age, Customized
25-44
515 Participants
n=7 Participants
355 Participants
n=5 Participants
499 Participants
n=5 Participants
1369 Participants
n=4 Participants
Age, Customized
45-64
743 Participants
n=7 Participants
550 Participants
n=5 Participants
761 Participants
n=5 Participants
2054 Participants
n=4 Participants
Age, Customized
>=65
80 Participants
n=7 Participants
46 Participants
n=5 Participants
84 Participants
n=5 Participants
210 Participants
n=4 Participants
Sex: Female, Male
Female
955 Participants
n=7 Participants
675 Participants
n=5 Participants
953 Participants
n=5 Participants
2583 Participants
n=4 Participants
Sex: Female, Male
Male
450 Participants
n=7 Participants
329 Participants
n=5 Participants
454 Participants
n=5 Participants
1233 Participants
n=4 Participants
Race/Ethnicity, Customized
White
819 Participants
n=7 Participants
616 Participants
n=5 Participants
819 Participants
n=5 Participants
2254 Participants
n=4 Participants
Race/Ethnicity, Customized
Black
275 Participants
n=7 Participants
159 Participants
n=5 Participants
283 Participants
n=5 Participants
717 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic
142 Participants
n=7 Participants
91 Participants
n=5 Participants
138 Participants
n=5 Participants
371 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian/Pacific Islander
24 Participants
n=7 Participants
19 Participants
n=5 Participants
16 Participants
n=5 Participants
59 Participants
n=4 Participants
Race/Ethnicity, Customized
American Indian
38 Participants
n=7 Participants
19 Participants
n=5 Participants
31 Participants
n=5 Participants
88 Participants
n=4 Participants
Race/Ethnicity, Customized
Multi-Racial
103 Participants
n=7 Participants
99 Participants
n=5 Participants
114 Participants
n=5 Participants
316 Participants
n=4 Participants
Race/Ethnicity, Customized
Other
4 Participants
n=7 Participants
1 Participants
n=5 Participants
6 Participants
n=5 Participants
11 Participants
n=4 Participants
Education
<= 12
844 Participants
n=7 Participants
590 Participants
n=5 Participants
823 Participants
n=5 Participants
2257 Participants
n=4 Participants
Education
>12
561 Participants
n=7 Participants
414 Participants
n=5 Participants
584 Participants
n=5 Participants
1559 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 7 months post enrollment

Population: Number of participants analyzed reflects the number of participants the quitline was able to reach at 7-months

At a given point in time (in this case, 7 months after program registration), quitline participants are asked whether they have used cigarettes or other forms of tobacco in the past 30 days. Those who reply that they have not used tobacco in the past 30 days are considered to have quit.

Outcome measures

Outcome measures
Measure
Telephone Counseling
n=639 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling begins immediately after intake, if the client is available for a 30-minute session or by appointment at the clients' convenience. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. The follow-up calls (about 10 minutes) will be scheduled as follows: a reminder call if the quit date is more than one week out for the initial counseling, on the quit date, 4-7 days after the quit date, and 10-14 days after the quit date.
Phone Counseling & Nicotine Patches
n=919 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients the day after the screening intake. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Nicotine patches: Clients will be screened for contraindications to nicotine patch use, and a doctor's approval will be necessary before patches are sent if a contraindication exists.
Phone Counseling, NRT and Incentives
n=958 Participants
One-on-one, proactive telephone counseling to quit smoking; The counseling addresses behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Gift cards (to one of 4 major chains) are $20 for the first counseling session and $10 for each additional one (up to five sessions total). Incentive: They will be given their choice of gift cards from one of 4 major business chains: Wal-Mart, Target, Vons/Safeway, or Ralph's/Kroger card.
30-day Abstinence
168 Participants
237 Participants
302 Participants

SECONDARY outcome

Timeframe: 2 months post enrollment

Population: Number of participants analyzed reflects the number of participants the quitline was able to reach at 2-months

At a given point in time (in this case, 2 months after program registration), quitline participants are asked whether they made a quit attempt (attempt at quitting smoking) and how long they made it.

Outcome measures

Outcome measures
Measure
Telephone Counseling
n=789 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling begins immediately after intake, if the client is available for a 30-minute session or by appointment at the clients' convenience. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. The follow-up calls (about 10 minutes) will be scheduled as follows: a reminder call if the quit date is more than one week out for the initial counseling, on the quit date, 4-7 days after the quit date, and 10-14 days after the quit date.
Phone Counseling & Nicotine Patches
n=1093 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients the day after the screening intake. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Nicotine patches: Clients will be screened for contraindications to nicotine patch use, and a doctor's approval will be necessary before patches are sent if a contraindication exists.
Phone Counseling, NRT and Incentives
n=1143 Participants
One-on-one, proactive telephone counseling to quit smoking; The counseling addresses behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Gift cards (to one of 4 major chains) are $20 for the first counseling session and $10 for each additional one (up to five sessions total). Incentive: They will be given their choice of gift cards from one of 4 major business chains: Wal-Mart, Target, Vons/Safeway, or Ralph's/Kroger card.
Percentage of Smokers Making a 24-hour Quit Attempt
546 Participants
847 Participants
962 Participants

SECONDARY outcome

Timeframe: 7-months post enrollment

Population: Number of participants analyzed reflects the number of participants the quitline was able to reach at 7-months

Not smoking since the quit date

Outcome measures

Outcome measures
Measure
Telephone Counseling
n=639 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling begins immediately after intake, if the client is available for a 30-minute session or by appointment at the clients' convenience. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. The follow-up calls (about 10 minutes) will be scheduled as follows: a reminder call if the quit date is more than one week out for the initial counseling, on the quit date, 4-7 days after the quit date, and 10-14 days after the quit date.
Phone Counseling & Nicotine Patches
n=919 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients the day after the screening intake. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Nicotine patches: Clients will be screened for contraindications to nicotine patch use, and a doctor's approval will be necessary before patches are sent if a contraindication exists.
Phone Counseling, NRT and Incentives
n=958 Participants
One-on-one, proactive telephone counseling to quit smoking; The counseling addresses behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Gift cards (to one of 4 major chains) are $20 for the first counseling session and $10 for each additional one (up to five sessions total). Incentive: They will be given their choice of gift cards from one of 4 major business chains: Wal-Mart, Target, Vons/Safeway, or Ralph's/Kroger card.
Continuous Abstinence Rates for Those Who Made Quit Attempts
90 Participants
145 Participants
185 Participants

SECONDARY outcome

Timeframe: 7-months post enrollment

Population: Number of participants analyzed reflects the number of participants the quitline was able to reach at 7-months

Seven-day point prevalence abstinence is a measure of, in this case, tobacco cessation outcomes for quitlines. At a given point in time (in this case, 7 months after program registration), quitline participants are asked whether they have used cigarettes or other forms of tobacco in the past 7 days.

Outcome measures

Outcome measures
Measure
Telephone Counseling
n=639 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling begins immediately after intake, if the client is available for a 30-minute session or by appointment at the clients' convenience. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. The follow-up calls (about 10 minutes) will be scheduled as follows: a reminder call if the quit date is more than one week out for the initial counseling, on the quit date, 4-7 days after the quit date, and 10-14 days after the quit date.
Phone Counseling & Nicotine Patches
n=919 Participants
One-on-one, proactive telephone counseling to quit smoking; The content of the counseling addresses both behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients the day after the screening intake. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Nicotine patches: Clients will be screened for contraindications to nicotine patch use, and a doctor's approval will be necessary before patches are sent if a contraindication exists.
Phone Counseling, NRT and Incentives
n=958 Participants
One-on-one, proactive telephone counseling to quit smoking; The counseling addresses behavioral and cognitive issues that the individual smoker faces in his/her attempt to quit. Counseling includes a comprehensive pre-quit session (to include motivation, planning, setting of a quit date and the discussion of quitting aids including nicotine patch use) plus up to four proactive follow-up calls. Nicotine patches (four weeks' worth) are sent directly to clients. Dosage is 21 mg if smoking 11 or more per day, 14 mg if smoking 6-10 per day and 7mg if smoking \<6 per day. Gift cards (to one of 4 major chains) are $20 for the first counseling session and $10 for each additional one (up to five sessions total). Incentive: They will be given their choice of gift cards from one of 4 major business chains: Wal-Mart, Target, Vons/Safeway, or Ralph's/Kroger card.
7-day Prevalence.
162 Participants
231 Participants
298 Participants

Adverse Events

Telephone Counseling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Phone Counseling & Nicotine Patches

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Phone Counseling, NRT and Incentives

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Principal Investigator

UCSD

Phone: 8583001056

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place