Treatment for Tobacco Smoking Behavior

Phase-Based Estimates
1
Effectiveness
1
Safety
Johns Hopkins, Baltimore, MD
Eligibility
18+
All Sexes
Eligible conditions
Tobacco Smoking Behavior

Study Summary

This study is evaluating 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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Treatment Effectiveness

Study Objectives

This trial is evaluating whether Treatment will improve 2 primary outcomes, 10 secondary outcomes, and 1 other outcome in patients with Tobacco Smoking Behavior. Measurement will happen over the course of Baseline, 12 months.

Baseline, 12 months
Change in acceptability of evidence-based practices based on adaptation of Acceptability of Intervention Measure
Change in acceptability of implementation intervention based on adaptation of Acceptability of Intervention Measure
Change in appropriateness of evidence-based practices based on adaptation of the Intervention Appropriateness Measure
Change in appropriateness of implementation intervention based on adaptation of the Intervention Appropriateness Measure
Change in delivery of evidence-based smoking cessation treatment: assessment of smoking status
Change in delivery of evidence-based smoking cessation treatment: assessment of willingness to quit
Change in delivery of evidence-based smoking cessation treatment: receipt of behavioral counseling
Change in delivery of evidence-based smoking cessation treatment: receipt of pharmacotherapy
Change in feasibility of evidence-based practices based on adaptation of the Feasibility of Intervention Measure
Change in feasibility of implementation intervention based on adaptation of the Feasibility of Intervention Measure
Change in provider knowledge of smoking cessation treatment as assessed by a 16-item scale
Change in provider self-efficacy to deliver evidence-based smoking cessation treatment as assessed by a 32-item instrument
Change in tobacco smoking abstinence

Trial Safety

Trial Design

1 Treatment Groups

Control

This trial requires 6220 total participants across 1 different treatment groups

This trial involves a single treatment. Treatment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 12 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 12 months for reporting.

Closest Location

Johns Hopkins - Baltimore, MD

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 2 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The study population consisted of patients who were receiving care at community mental health clinics. show original
, who provide services to a largely uninsured population The study population consists of community mental health clinic staff and providers who provide services to a largely uninsured population. show original

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is tobacco smoking behavior?

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Recent findings suggests that the prevalence of tobacco smoking behavior among youth who are smokers in the United States is significantly lower than in several other industrialized nations. Recent findings is the first to demonstrate the association between tobacco smoking and mental health.

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How many people get tobacco smoking behavior a year in the United States?

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Approximately 100,000 adolescents try to smoke cigarettes at some point in their life. Half of this subgroup will experience a regular smoking habit. The remaining 50% will be current or former smokers, but they will diminish their consumption at some point in their life. Overall, approximately 40% will try smoking tobacco regularly and approximately 20% will be regular smokers.

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Can tobacco smoking behavior be cured?

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The study provides no evidence on whether tobacco smoking behavior can be cured, but indicates that smoking can be managed to reduce smoking-related health loss.

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What are the signs of tobacco smoking behavior?

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Tobacco smoking behavior in general and more specific behavior such as binge drinking and tobacco smoking during a specific day are associated with negative social and economic effects.

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What causes tobacco smoking behavior?

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Tobacco smoking can result from a variety of internal and external influences, and these factors vary during childhood. Smoking prevention would focus on reducing exposure to peers and family, with additional support for cessation services during adolescence.

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What are common treatments for tobacco smoking behavior?

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The evidence supports the view that brief interventions can improve behavior change outcomes and can be effective in smokers who are either abstinent or are only slightly nicotine dependent. In addition, smoking cessation can result in improvement or stabilization of several chronic health conditions. Finally, there is good evidence that tailored telephone-enhanced quit lines, delivered by trained counselors, can encourage smokers to quit without being offered medications to help them quit.

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What is treatment?

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The goal of tobacco treatment is to reduce the risk of cancer and to prolong life. To accomplish those goals, the tobacco industry is promoting a tobacco use culture that promotes habitual smoking through both nicotine analogues and nicotine-containing nicotine replacement therapies (nicotinic NRTs), such as nicotine patches, gum, and smoking cessation aids. The use of nNRT and nicotine PPRs for smoking cessation can be lifesaving and has been proven effective in clinical research. Although some have questioned whether there is an ethical issue concerning the use of nicotine NRTs for smoking cessation, the use of smoking cessation in these products has been proven successful in research and is widely accepted in the medical literature.

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What does treatment usually treat?

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For many women with chronic tinnitus, there is no'standard' treatment. For some women, tinnitus is managed through counselling and relaxation techniques. Treatment may also include medication. The type, dosage and frequency of drug use depends on the side effects the medication causes and the individual tinnitus problem. There are more than 20 over-the-counter medications available to help some tinnitus cases, and only nine that work for most people. It is easy to obtain your prescriptions from a local chemist or pharmacy, but you do not usually need to take them as prescribed. This is a summary of the treatment regimes used in the two clinical studies.

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Does treatment improve quality of life for those with tobacco smoking behavior?

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This preliminary study suggests that a 12-week smoking cessation program with intensive counseling is a successful and cost-effective option in improving the QOL of people who smoke.

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How serious can tobacco smoking behavior be?

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The seriousness of tobacco smoking behavior in adolescents is significant. This should be taken into consideration during the tobacco health messages used for prevention and reduction of adolescent tobacco use.

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Who should consider clinical trials for tobacco smoking behavior?

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Many individuals with a history of cigarette smoking should consider participation in clinical trials of potential treatments as a way to improve their smoking behavior.

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What is the latest research for tobacco smoking behavior?

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There has been steady, recent growth in the tobacco industry and concerns about the negative effects of tobacco smoking on the health of people, especially on their children. This growth has been fueled by a combination of more marketing, less government interference, and a less regulated environment (including rising taxes on and other revenue loss from tobacco products). Because children tend to develop smoke tolerance, they are more sensitive to the addictiveness and the detrimental effects of more smoking, but they are less likely than adults to curtail their smoking; so the tobacco industry's efforts to attract new and adult customers are likely to have a more lasting impact. There is also a lack of reliable, comparative-control research on the behavioral effects of e-cigarette use in children and adolescents.

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