About this trial
The tobacco use burden in Lebanon is exceptionally high: 35% of adults are current cigarette smokers and 39% are current waterpipe smokers. Although the World Health Organization endorses evidence-based interventions for population-level tobacco dependence treatment, recommended treatments are not integrated as a routine part of primary care in Lebanon, as is the case in other low-resource settings. The objective of this proposal is to evaluate the comparative effectiveness of promising multi-component interventions for implementing evidence-based cessation treatment in Lebanon's national system of primary health care centers.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18+
A current daily cigarette smoker and/or a regular waterpipe smoker (smokes at least 1-2 times/week).
Not pregnant
Reachable by phone
Disqualifiers
Patients who use other tobacco products including vape exclusively.
Any patient below 18 years old.
Cigarette smokers who do not smoke on daily basis.
Waterpipe smokers who smoke less than once/weekly
Trial design
Parallel
Treatments tested in this trial
Educational materials
BehavioralPatient educational materials to address insufficient knowledge about harms of tobacco use and cessation.
Phone counseling
BehavioralCessation counseling to address insufficient patient self-efficacy and motivation.
Nicotine Replacement Therapy
DrugNicotine patches to address nicotine withdrawal symptoms in patients.
Provider training
BehavioralProvider training to address insufficient knowledge and self-efficacy to deliver AAA/AAC to patients.
Electronic reminders
BehavioralElectronic reminders to address the lack of integration of AAA/AAC into practice.
Treatment groups
Trial outcomes
Primary outcomes
7-day smoking abstinence
Carbon monoxide confirmed-abstinence from smoking in the last 7 days days prior to assessment
Other outcomes
Self-reported abstinence
Continuous abstinence, quit attempts, smoking reduction
Sponsors and contacts
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University of Florida
Lead sponsor
National Cancer Institute (NCI)
Collaborator