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OpenTrials
Completed

NCT Number: NCT00714896

Interventions for Smoking Among Persons in Recovery

Examine the efficacy of a stepped-care smoking cessation intervention for current and former smokers in chemical dependency treatment programs. We hypothesize that those who received the stepped-care intervention will be more likely to report smoking abstinence and drug or alcohol abstinence at 6 months.

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Key information

Conditions

Smoking Cessation Behavior Chemically-Induced Disorders Health Behavior Mental Disorders Substance-Related Disorders Tobacco Use Disorder

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaiser Permanente Central Diablo (Wlanut Creek/ Martinez)

Walnut Creek, California, 94596, United States

About this study

The objective of the study is to document and systematically investigate the use of smoking cessation strategies targeting substance abuse outpatient smokers at various level of readiness to quit smoking. Little is known regarding the best practices in treating tobacco use among clients in drug abuse treatment and very few drug abuse treatment programs currently offer smoking cessation services. The purpose of this developmental study is to develop and pre-test a stepped-care smoking cessation intervention in an outpatient drug abuse treatment program at a managed care setting that targets both current and former smokers. The stepped-care intervention consists of various components that aim at matching the treatment needs of smokers across the whole spectrum of smoking status and readiness to quit smoking. The following specific aims will be pursued:

  • Develop a stepped-care smoking cessation intervention targeting both current and former smokers who are admitted to an outpatient drug abuse treatment program. Special attention will be paid to former smokers, as intervention techniques for them are not well developed. Also, intervention content will be modified from that used in smoking interventions with the general population to content that is targeted at smokers who are in drug abuse treatment
  • Pre-test the efficacy of the stepped-care smoking cessation intervention.
  • Examine the feasibility of implementing the stepped-care smoking cessation intervention.
  • Examine the impact of the smoking intervention on drug and alcohol use outcomes at 6-month post initiation of smoking cessation treatment.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • men and women
  • over the age of 18
  • currently enrolled in outpatient treatment program for drug and/or alcohol use and have received minimally 30 days of continuous treatment for drug and/alcohol in any outpatient treatment program(s) for drug and/or alcohol use for at least one month
  • have regularly smoked cigarettes for at least one year in their lifetime
  • have smoked within the past 5 years

Exclusion criteria

  • clients with a life-threatening disease
  • currently at imminent risk of committing suicide, or currently pregnant
  • currently in treatment for nicotine dependence elsewhere
  • cannot be reached by telephone (unable to provide a phone number where the participant can be reached directly
  • non-English speakers.

Treatment and study plan

Stepped-care

Behavioral
  • stage-based expert system written intervention at baseline and 3 months
  • in-person stage appropriate counseling at baseline and 3 months
  • telephone counseling sessions at weeks 2,4 and 8,
  • as-needed brief check-in calls on or 2 days after quit date for those who have set a quit date; and/or check-in calls on days with anticipated high risk situations for former smokers or those who have quit smoking during the study
  • optional NRT nicotine replacement therapy in the forms of patch, gum or lozenge for current smokers who are ready to quit smoking and/or for former smokers who report significantly strong smoking urges

Control

Behavioral

Referral list to smoking cessation classes at Kaiser and the California Smokers Helpline

Primary outcomes

  1. CO verified self-report 7-day smoking abstinence prior to assessment

    Time frame: 6 months

Sponsors and collaborators

Lead sponsor

University of California, San Francisco

Other

Collaborators

  • Kaiser Permanente
  • National Institute on Drug Abuse (NIDA)

Registry information

Official study title

A Stepped-Care Intervention for Current and Former Smokers in Outpatient Chemical Dependency Treatment

Acronym: INSPIRE

Important dates

Study start
2007
Primary completion
2008
Study completion
2009
First posted
Jul 14, 2008
Registry last updated
May 29, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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