Optimizing Tobacco Dependence Treatment in the Emergency Department

• Status: Completed
• Trial end date: 2019-08-14
• Target enrollment: 0
• Participant gender: All

Summary

The investigators propose an innovative full-factorial design in a cohort of 1056 adult smokers in an urban emergency department (ED), to test the efficacy of four key intervention components: motivational interviewing, medication, quitline referral, and texting. At the trial's completion, a mixed-methods approach will be used to identify the components that were efficacious within the proposed cost constraint, along with feasibility and acceptability to providers and subjects. The investigators will then assemble an intervention that maximizes efficacy, given a cost-effectiveness constraint and findings from a qualitative analysis.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Yale University
• Collaborators: National Cancer Institute (NCI); National Institutes of Health (NIH)
• Treatments: Nicotine

Criteria

Inclusion Criteria:

• 18 years or older

• have smoked >= 100 cigarettes lifetime

• describe themselves as every or some day smokers

• smoke at least 5 cigarettes/day

• own a cellphone with texting capability

• are able to give written informed consent

Exclusion Criteria:

• Inability to read or understand English

• currently receiving formal tobacco dependence treatment

• life-threatening or unstable medical, surgical, or psychobehavioral condition

• unable to provide at least one collateral contact

• live out-of-state

• leaving the ED against medical advice

• pregnant (self-report or urine testing), nursing, or trying to conceive.