Developing a Scalable Tobacco Cessation Program for Cancer Survivors and Caregivers

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Florida

About this trial

Given the challenges to delivering tobacco cessation treatment in oncology care and the unique challenges faced by individuals attempting to quit tobacco after a cancer diagnosis, scalable cessation programs that are tailored to the experiences of cancer survivors that also integrate caregiver/family support are needed. To address this need, this study will use an intervention that consists of two primary strategies: 1) a tailored cessation program for cancer survivors and family members/caregivers who use tobacco and 2) healthcare provider training.

Healthcare providers will receive training on the AAC model (Ask patients about tobacco use, Advise patients to quit, Connect patients to cessation resources), including materials focused on tobacco cessation in cancer care from the CDC, as well as a brief evidence-based communication skills training based on the C-LEAR (Counsel, Listen, Empathize, Answer, Recommend) approach.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Current self-reported user of any tobacco/nicotine product at time of baseline screening assessment (e.g., cigarettes, e-cigarettes, cigars, dip/chew) in the past month.

Any history of cancer diagnosis. Subjects currently receiving cancer-related treatments are eligible for enrollment.

Receiving care from the participating UF Health clinics (Medical Oncology, Urology, and Radiation Oncology).

Capable of completing study requirements

Disqualifiers

Patients unable to complete the sessions because of language, travel or technology barriers

Prisoners or subjects who are involuntarily incarcerated, or subjects who are compulsorily detained for treatment of either a psychiatric or physical illness.

Participants unable to complete the sessions because of language, travel or technology barriers

Prisoners or subjects who are involuntarily incarcerated, or subjects who are compulsorily detained for treatment of either a psychiatric or physical illness.

Trial design

Design model

Single group

Treatments tested in this trial

  • Nicotine cessation program

    Behavioral

    All participants will complete a nicotine cessation program designed by Area Health Education Center (AHEC). The focus is on known tobacco cessation techniques and motivations to quit with additional focuses on cancer survivors and caregivers. The program consists of 4 sessions (each session is approximately 60 minutes long) that will be delivered by a Tobacco Treatment Specialist by either videoconference or by telephone. Dyad enrollees (i.e., cancer survivors and their caregiver/family member) will complete sessions together. Participants will also be eligible for free nicotine replacement therapy while on study if medically appropriate.

Treatment groups

204 Participants
are divided into 1 treatment group
Group A: Nicotine Cessation ProgramExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Program reach for cancer survivors

Determine the reach of the nicotine cessation program used in this study for cancer survivors. This is defined as the proportion of eligible patients enrolled (i.e., agreed to participate and consented) during the study period.

Time frame
Baseline

Secondary outcomes

1

Program reach for caregivers/family members of cancer survivors

Determine the reach of the nicotine cessation program used in this study for caregivers/family members of cancer survivors. This is defined as the proportion of enrolled cancer survivors who also have a family member/caregiver enrolled.

Time frame
Baseline
2

Program effectiveness in tobacco cessation

Determine the effectiveness of the nicotine cessation program used in this study in tobacco cessation. Tobacco cessation will be measured by self-reported 7-day point prevalence abstinence (i.e., no use of any tobacco product over the previous 7 days).

Time frame
Either 1 week after nicotine cessation program completion or 8 weeks after baseline assessment for participants who do not complete the program sessions
3

Program effectiveness in tobacco cessation

Determine the effectiveness of the nicotine cessation program used in this study in tobacco cessation. Tobacco cessation will be measured by self-reported 7-day point prevalence abstinence (i.e., no use of any tobacco product over the previous 7 days).

Time frame
Either 3 months after nicotine cessation program completion or 5 months after baseline assessment for participants who do not complete the program sessions
4

Clinic-level adoption of the study intervention

Determine the clinic-level adoption of the study intervention, which is defined as the proportion of eligible patients enrolled by clinic

Time frame
18 months

Other outcomes

Sponsors and contacts

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