Trial Outcomes & Findings for Implementation Science to Reduce the Disparity in Tobacco Treatment Among Individuals With Serious Mental Illness (NCT NCT05952401)

NCT ID: NCT05952401

Last Updated: 2025-12-16

Results Overview

This will be quantified by the proportion of patients who receive any tobacco treatment (medication and/or counseling).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

59 participants

Primary outcome timeframe

At 3 months

Results posted on

2025-12-16

Participant Flow

The study opened to participant enrollment on 02/02/2024 and closed to participant enrollment on 09/27/2024.

The study consented 73 participants and 14 were excluded after consenting due to loss of contact or not meeting all eligibility criteria prior to randomization. 59 were considered enrolled and 14 were not considered enrolled in the study per the policy of the institution.

Participant milestones

Participant milestones
Measure
Usual Care
Patients will receive general brief advice about smoking cessation at patient tobacco treatment needs assessment then receive the intervention at 3 months.
"Nudges to Quit"
Patients will receive a multilevel intervention that includes reminders to care team to increase tobacco treatment engagement.
Overall Study
STARTED
30
29
Overall Study
COMPLETED
26
28
Overall Study
NOT COMPLETED
4
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Usual Care
Patients will receive general brief advice about smoking cessation at patient tobacco treatment needs assessment then receive the intervention at 3 months.
"Nudges to Quit"
Patients will receive a multilevel intervention that includes reminders to care team to increase tobacco treatment engagement.
Overall Study
Lost to Follow-up
4
1

Baseline Characteristics

Implementation Science to Reduce the Disparity in Tobacco Treatment Among Individuals With Serious Mental Illness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care
n=30 Participants
Patients will receive general brief advice about smoking cessation at patient tobacco treatment needs assessment then receive the intervention at 3 months.
"Nudges to Quit"
n=29 Participants
Patients will receive a multilevel intervention that includes reminders to care team to increase tobacco treatment engagement.
Total
n=59 Participants
Total of all reporting groups
Age, Customized
24-40 years
6 Participants
n=6 Participants
10 Participants
n=5 Participants
16 Participants
n=5 Participants
Age, Customized
41-46 years
11 Participants
n=6 Participants
3 Participants
n=5 Participants
14 Participants
n=5 Participants
Age, Customized
47-59 years
5 Participants
n=6 Participants
9 Participants
n=5 Participants
14 Participants
n=5 Participants
Age, Customized
60-72 years
8 Participants
n=6 Participants
7 Participants
n=5 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=6 Participants
14 Participants
n=5 Participants
31 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=6 Participants
15 Participants
n=5 Participants
28 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=6 Participants
2 Participants
n=5 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=6 Participants
27 Participants
n=5 Participants
55 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=6 Participants
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=6 Participants
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=6 Participants
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=6 Participants
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
16 Participants
n=6 Participants
11 Participants
n=5 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=6 Participants
14 Participants
n=5 Participants
26 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=6 Participants
2 Participants
n=5 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=6 Participants
1 Participants
n=5 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=6 Participants
29 participants
n=5 Participants
59 participants
n=5 Participants

PRIMARY outcome

Timeframe: At 3 months

This will be quantified by the proportion of patients who receive any tobacco treatment (medication and/or counseling).

Outcome measures

Outcome measures
Measure
Usual Care
n=30 Participants
Patients will receive general brief advice about smoking cessation at patient tobacco treatment needs assessment then receive the intervention at 3 months.
"Nudges to Quit"
n=29 Participants
Patients will receive a multilevel intervention that includes reminders to care team to increase tobacco treatment engagement.
Proportion of Patients Receiving Any Tobacco Treatment
Received treatment
18 Participants
23 Participants
Proportion of Patients Receiving Any Tobacco Treatment
Did not receive treatment
12 Participants
6 Participants

SECONDARY outcome

Timeframe: At 6 months

This will be quantified by the proportion of patients who receive any tobacco treatment (medication and/or counseling).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 3 months, 6 months

This will be quantified by the proportion of current smokers in the stage of change classifications of Precontemplation, Contemplation, Preparation, or Action.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months post intervention

Population: 5 participants from the Usual Care arm and 3 participants from the "Nudges to Quit" arm are not included because the participants did not complete the 3-month assessment.

This will be quantified by the proportion of smokers with bioverified point prevalence abstinence smoking abstinence at 3 months.

Outcome measures

Outcome measures
Measure
Usual Care
n=25 Participants
Patients will receive general brief advice about smoking cessation at patient tobacco treatment needs assessment then receive the intervention at 3 months.
"Nudges to Quit"
n=26 Participants
Patients will receive a multilevel intervention that includes reminders to care team to increase tobacco treatment engagement.
Smoking Abstinence
Achieved Smoking Abstinence (<5ppm)
0 Participants
0 Participants
Smoking Abstinence
Self-Reported Smoking Abstinence, but did not Achieve Bioverified Smoking Abstinence (<5ppm)
3 Participants
0 Participants
Smoking Abstinence
Did not Self-Report Smoking Abstinence and did not Achieve Bioverified Smoking Abstinence (<5ppm)
22 Participants
26 Participants

SECONDARY outcome

Timeframe: At 3 months, 6 months

The outcome measure is abstinence (self-reported no smoking (not even a puff of a cigarette) for at least seven days prior to the assessment) over these time points.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 3 months, 6 months

The outcome measure is smoking quantity (self-reported average cigarettes smoked per day for the past 30 days prior to the assessment) over these time points.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 3 months, 6 months

This outcome measure is the number of quit attempts over these time points.

Outcome measures

Outcome data not reported

Adverse Events

Usual Care

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

"Nudges to Quit"

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

Li-Shiun Chen, M.D., MPH, ScD

Washington University School of Medicine

Phone: 314-362-3932

Results disclosure agreements

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