Enhanced Care for Smoking, Cessation

1
Effectiveness
1
Safety
MUSC, Chester, SC
Enhanced Care - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Smoking, Cessation

Study Summary

This study is evaluating whether a program which helps patients quit smoking will be effective in psychiatric patients.

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Treatment Effectiveness

Study Objectives

This trial is evaluating whether Enhanced Care will improve 2 primary outcomes in patients with Smoking, Cessation. Measurement will happen over the course of Assessed 6-weeks post-discharge.

Assessed 6-weeks post-discharge
Self-reported smoking prevalence 6-weeks after hospitalization.
Self-reported use of FDA Approved Smoking Cessation Medication

Trial Safety

Trial Design

2 Treatment Groups

Basic Care Condition
Enhanced Care Condition

This trial requires 1122 total participants across 2 different treatment groups

This trial involves 2 different treatments. Enhanced Care 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.

Enhanced Care Condition
Behavioral
Basic Care Condition
Behavioral
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Enhanced Care
2010
Completed Phase 4
~1270

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: assessed 6-weeks post-discharge
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly assessed 6-weeks post-discharge for reporting.

Who is running the study

Principal Investigator
K. M. C.
Prof. Kenneth M Cummings, PhD
Medical University of South Carolina

Closest Location

MUSC - Chester, SC

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
18+ years and older
hospitalized cigarette smokers eligible for either enhanced or basic care
discharged from the hospital back to their home

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 causes smoking, cessation?

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There is a need for the development of theories and targeted interventions that aim to increase social acceptability and efficacy of messages on stopping smoking and avoiding smoking during pregnancy.

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What are the signs of smoking, cessation?

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After 3 months of cessation, some, but not all of the signs of smoking were reversible in this study. Smoking cessation is the only modifiable risk factor for cardiovascular disease.

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How many people get smoking, cessation a year in the United States?

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14.8 million Americans are smokers and 1.3 million are quitting smoking. Smoking in teenagers and young adults remains a major public health priority. New developments in treatment and cessation programs and tobacco taxation have the potential to lead to significant improvements in smoking prevalence and cessation rates.

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What is smoking, cessation?

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Smoking is an epidemic, and the fact that nearly two-thirds of the U.S. population would be harmed by the long-term health and morbidity associated with smoking underscores its importance and the need for smoking cessation to reverse the effects of smoking. At present, very few smokers, however, attempt to quit and remain abstinent in the short-term through conventional behavioral and pharmacological efforts. This article discusses the role of smoking as an addictive stimulus and cessation strategies of interest for current smokers.

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Can smoking, cessation be cured?

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The result of this study shows that treatment is not completely cure or complete cure--as can be claimed by the media--but it is a good start to curb the progress, and more importantly, to prevent the disease from progressing. Treatment should be repeated and prolonged to maintain a smoking-free lifestyle.

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What are common treatments for smoking, cessation?

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Many smokers struggle with quitting smoking, while some prefer to give up a habit they were born with, and others want to maintain smoking (i.e., to stay a smoker). In general, there are a limited number of effective treatments.\n

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What is the primary cause of smoking, cessation?

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This exploratory study highlights several possible causes for the cessation of smoking among the general Norwegian population. Most importantly, it indicates that the primary prevention to quit smoking could be based on motivational processes and that interventions should be more comprehensive and effective than the current primary preventive programmes.

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What does enhanced care usually treat?

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Given the large number of treatments often considered 'enhanced', it is not surprising to find that care providers rarely ask about patient preferences for enhanced therapies during routine follow-up consultations, even when the patient has a significant problem which cannot be solved in a single therapy. Given the benefits of enhanced care in COPD, this may be an important area of improvement. I would propose a standard approach to referrals: 'enhanced' versus'standard' care options. Referrals are most effective when they include details of patient or provider preferences, the clinical appropriateness of the treatment option, patient and/or caregiver preferences, and patient-specific and personalised recommendations to the patient.

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What are the latest developments in enhanced care for therapeutic use?

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Effective clinical research has been performed to address current and future guidelines for the implementation of ECP. However, the implementation of ECP remains challenging and further progress is needed in the development and dissemination of strategies and the availability of quality clinical evidence.

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Does enhanced care improve quality of life for those with smoking, cessation?

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Enhanced care resulted in significant increases in some of the SF36 dimensions, which may be due to improvements in general health. Findings from this review suggest that enhanced care is feasible as an adjunct to smoking, cessation treatment and supports sustained improvements in quality of life.

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How serious can smoking, cessation be?

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More than half of tobacco smokers are interested in quitting (48%) and many are attempting to quit, yet, many are unaware that their disease is caused by their habit (63%), that their problem cannot be solved by quitting alone (57%), and most will not be able to afford a cessation program (73%).

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Have there been other clinical trials involving enhanced care?

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For patients with advanced cancer who have advanced disease that has progressed to the point of requiring aggressive intervention due to treatment failure or toxicity, a well-designed and conducted clinical trial can be a successful adjunct to conventional medical therapies.

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