Trial Outcomes & Findings for Tobacco Cessation Treatment Preferences Among Veteran Smokers (NCT NCT05277207)

NCT ID: NCT05277207

Last Updated: 2024-05-07

Results Overview

Post-treatment satisfaction will be measured at the 3-month follow-up. Satisfaction will be defined as a mean score greater than 3.5 on the satisfaction measure.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

30 participants

Primary outcome timeframe

Post-treatment 3-month follow-up visit (approximately three months after enrollment)

Results posted on

2024-05-07

Participant Flow

Participant milestones

Participant milestones
Measure
MESH
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tobacco Cessation Treatment Preferences Among Veteran Smokers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MESH
n=15 Participants
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
n=15 Participants
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
57.8 years
STANDARD_DEVIATION 11.6 • n=5 Participants
61.7 years
STANDARD_DEVIATION 10.2 • n=7 Participants
59.75 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-treatment 3-month follow-up visit (approximately three months after enrollment)

Population: One control participant withdrew prior to the 3-month-follow-up, resulting in 14 control group participants.

Post-treatment satisfaction will be measured at the 3-month follow-up. Satisfaction will be defined as a mean score greater than 3.5 on the satisfaction measure.

Outcome measures

Outcome measures
Measure
MESH
n=15 Participants
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
n=14 Participants
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Number of Participants Who Report Post-treatment Satisfaction
15 Participants
10 Participants

SECONDARY outcome

Timeframe: Post-treatment, approximately eight weeks after baseline visit

Treatment attendance is defined as the proportion of participants who complete at least one treatment session (via self-report for control group, via attendance logs for treatment group).

Outcome measures

Outcome measures
Measure
MESH
n=15 Participants
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
n=14 Participants
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Treatment Attendance
15 Participants
3 Participants

SECONDARY outcome

Timeframe: Post-treatment 3-month follow-up visit (approximately three months after enrollment)

Population: Therapist-rated treatment acceptability was only measured in the active treatment group.

The proportion of post-treatment acceptability scores greater than 3.5 will be reported. Post-treatment therapist acceptability will be measured at the 3-month follow-up. Acceptability will be defined as a mean score greater than 3.5 on the acceptability measure.

Outcome measures

Outcome measures
Measure
MESH
n=15 Participants
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Therapist-rated Treatment Acceptability in Active Treatment Group
14 Participants

SECONDARY outcome

Timeframe: Post-treatment, approximately eight weeks after baseline visit

Population: This outcome was only measured in active treatment recipients

The investigators will provide the proportion of participants assigned to the active treatment group who complete treatment.

Outcome measures

Outcome measures
Measure
MESH
n=15 Participants
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Proportion of Participants Who Completed Treatment in the Active Treatment Group
100 Percent pts completing treatment

Adverse Events

MESH

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Best Practice Telehealth Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
MESH
n=15 participants at risk
Participants assigned to this group will receive a treatment that includes personalized smoking cessation facilitation meetings with cognitive-behavioral therapy, personalized smoking cessation pharmacotherapy, and personalized text messaging. Personalized Smoking Cessation Facilitation Meetings: Participants will participate in 5-7 meetings in which they will receive cognitive-behavioral therapy for tobacco cessation. Personalized Smoking Cessation Pharmacotherapy: Participants may receive pharmacotherapy for smoking cessation based on VA Pharmacy Benefits Management Services guidelines. Medications may include nicotine-replacement therapy, varenicline, and/or bupropion. Personalized Text Messaging Support: If the participant has a working cell phone and is willing to receive text messages, supportive, personalized text messages will be sent to the participant starting after Session 1 and extending through 6 months post-quit using VA's Annie texting capability.
Best Practice Telehealth Group
n=15 participants at risk
Participants assigned to this group will be referred to Quit Vet (VA's quitline for stopping tobacco) and SmokefreeVET (a free text messaging program to help you quit), and will receive information about getting quit medications. SmokefreeVET: Participants will receive a referral to SmokefreeVET, a text-messaging intervention designed to help veterans prepare for and attempt quitting smoking. VA Quitline: Participants will receive a referral to VA Quitline, which is a nationally available telehealth intervention that provides assistance to veterans who wish to quit tobacco use. Quitline includes five sessions of cognitive-behavioral treatment. Education about pharmacotherapy: Participants will receive a handout that provides them with information about pharmacotherapies for tobacco cessation.
Gastrointestinal disorders
Nausea due to nicotine replacement therapy
6.7%
1/15 • Number of events 1 • 6 months
0.00%
0/15 • 6 months
Psychiatric disorders
mood symptoms related to Varenicline use
13.3%
2/15 • Number of events 2 • 6 months
0.00%
0/15 • 6 months

Additional Information

Angela Kirby

Durham VA Health Care System

Phone: 919-824-7729

Results disclosure agreements

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