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Completed

NCT Number: NCT04796961

Promoting Evidenced-Based Tobacco Smoking Cessation Treatment in Community Mental Health Clinics

This pilot study will examine whether an implementation intervention will improve delivery of evidence-based treatment for tobacco smoking cessation for patients in community mental health clinics.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Johns Hopkins

Baltimore, Maryland, 21287, United States

About this study

In this pilot study, the investigators will work with community mental health clinical and pilot test an implementation intervention to improve mental health providers' delivery of evidence-based tobacco smoking cessation treatment in community mental health clinics.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • study population: community mental health clinic staff and providers

Exclusion criteria

  • None

Treatment and study plan

Implementation Intervention

Other

The implementation intervention involves training, coaching, expert consultation, organizational strategy meetings.

Primary outcomes

  1. Provider (Staff) Knowledge of Smoking Cessation Treatment as Assessed by a 16-item Scale

    Time frame: Baseline, 12 months

    Knowledge of evidence-based smoking cessation treatment: 16-item scale developed by our team. Items are true/false and score reflects number answered correctly. Average score range 0-16 with a higher score signifies an increased knowledge of smoking cessation treatment.

  2. Provider Self-efficacy to Deliver Evidence-based Smoking Cessation Treatment

    Time frame: Baseline, 12 months

    Self-efficacy for a four components of the smoking cessation intervention were evaluated using an instrument adapted from Compeau and Higgins' task-focused self-efficacy scale. Responses for items are on a Likert scale of 1-10. Average score range 1-10 and higher scores signify greater self-efficacy for the smoking cessation task.

Secondary outcomes

  1. Number of Clients Recieved Smoking Status Assessment

    Time frame: Baseline through 12 months

    Assessment of smoking status measured by clinic documentation during client visits with the number below indicating the number of clients who had a smoking status assessment during the 12 month study period.

  2. Number of Clients Willing to Quit Smoking That Received a Willingness to Quit Assessment

    Time frame: Baseline through 12 months

    Assessment of willingness to quit measured by clinic documentation during client visits, with the number below indicating the number of clients who reported smoking during a smoking status assessment who had a willingness to quit assessment during the 12 month study period.

  3. Number of Clients Interested in Quitting Smoking Who Received Smoking Cessation Behavioral Counseling

    Time frame: Baseline through 12 months

    Receipt of behavioral counseling measured by clinic documentation during client visits, with the number below indicating the number of clients interested in quitting smoking that reported smoking during a smoking status assessment who staff reported as receiving behavioral counseling during the 12 months study period.

    Data is reported in two groups based upon whether the client had a recorded interest in quitting smoking or not, and only includes clients who reported smoking at some point during the study period. Clients can be reported in both groups if they responded differently to this question at two points over the course of the 12 months.

  4. Number of Clients Interested in Quitting Smoking That Received Smoking Cessation Pharmacotherapy

    Time frame: Baseline through 12 months

    Measured by clinic documentation during client visits with the number below indicating the number of clients interested in quitting smoking, that reported smoking during a smoking status assessment who staff reported as receiving smoking cessation pharmacotherapy during the 12 months study period.

    Clients can be reported in both groups (Interested in quitting, not interested in quitting) if they responded differently to this question at two points over the course of the 12 months.

  5. Acceptability of Evidence-based Practices Based on Adaptation of Acceptability of Intervention Measure

    Time frame: Post Training (up to 2 weeks), 12 months

    An adaptation of the Acceptability of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater acceptability.

  6. Appropriateness of Evidence-based Practices Based on Adaptation of the Intervention Appropriateness Measure

    Time frame: Post Training (up to 2 weeks), 12 Months

    An adaptation of the Intervention Appropriateness Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness.

  7. Feasibility of Evidence-based Practices Based on Adaptation of the Feasibility of Intervention Measure

    Time frame: Post Training (up to 2 weeks), 12 Months

    An adaptation of the Feasibility of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater feasibility.

  8. Acceptability of Implementation Intervention Based on Adaptation of Acceptability of Intervention Measure

    Time frame: Post Training (up to 2 weeks), 12 Months

    An adaptation of the Acceptability of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater acceptability.

  9. Appropriateness of Implementation Intervention Based on Adaptation of the Intervention Appropriateness Measure

    Time frame: Post Training (up to 2 weeks), 12 Months

    An adaptation of the Intervention Appropriateness Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater appropriateness.

  10. Feasibility of Implementation Intervention Based on Adaptation of the Feasibility of Intervention Measure

    Time frame: Post Training (up to 2 weeks), 12 Months

    An adaptation of the Feasibility of Intervention Measure was used. Each of the items will be measured on a 5-point Likert scale, where 1=completely disagree and 5=completely agree. An average score is calculated by summing responses across all four items and dividing by the total number of items. The average score ranges from 1-5. A higher score signifies greater feasibility.

Other outcomes

  1. Change in Tobacco Smoking Abstinence

    Time frame: Baseline, 12 Months

    7-day patient abstinence reported in medical record

Sponsors and collaborators

Lead sponsor

Johns Hopkins University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Acronym: IMPACT

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Mar 15, 2021
Registry last updated
Sep 3, 2025

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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