CLINICAL TRIAL

Interactive Mobile Doctor (iMD) for Tobacco Dependence

Waitlist Available · 18+ · All Sexes · San Francisco, CA

This study is evaluating whether a video educational tool can help people quit smoking during radiation treatment.

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About the trial for Tobacco Dependence

Eligible Conditions
Tobacco Dependence · Malignancies · Tobacco Use Disorder · Tobacco Use Cessation

Treatment Groups

This trial involves 2 different treatments. Interactive Mobile Doctor (iMD) 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.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Interactive Mobile Doctor (iMD)
OTHER
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.

Eligibility

This trial is for patients born any sex aged 18 and older. There are 5 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Being able to understand the study procedures and to comply with them throughout the entire study. show original
I'm starting the CT simulation procedure for radiation therapy or currently receiving radiation treatment for cancer at a University of California, San Francisco location. show original
I have not smoked cigarettes, used e-cigarettes, or any other tobacco product in the past 12 months. show original
You can order alcohol if you are 18 or older. show original
The ability of an individual or legal guardian/representative to understand a written informed consent document, and the willingness to sign it. show original
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: Up to 9 months
Screening: ~3 weeks
Treatment: Varies
Reporting: Up to 9 months
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: Up to 9 months.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Interactive Mobile Doctor (iMD) will improve 4 primary outcomes and 2 secondary outcomes in patients with Tobacco Dependence. Measurement will happen over the course of Up to 3 months.

Median scores on the perceived helpfulness of the iMD program
UP TO 3 MONTHS
The perceived helpfulness of the iMD program will be measured using a 5-point likert scale a a response to the question provided to the participants who are assigned to the iMD arm which rates the helpfulness of the intervention as 1='Somewhat helpful" to 5="Very helpful
UP TO 3 MONTHS
Proportions of participants with reported abstinence
UP TO 3 MONTHS
Proportions of participants with self-report + biochemically verified tobacco abstinence (salivary cotinine or exhaled CO)
UP TO 3 MONTHS
Proportion of iMD participants who complete 2 or more sessions
UP TO 3 MONTHS
The proportion of participants enrolled in the iMD arm who complete at least 2 or more of the iMD sessions will be reported.
UP TO 3 MONTHS
Proportion of participants assigned to iMD intervention with a response to referral question
UP TO 3 MONTHS
The proportion of participants assigned to iMD intervention who have a recorded response to the question on referral to a smoking cessation treatment service/ resource will be reported.
UP TO 3 MONTHS
Proportion of eligible individuals who consent to enroll in the study
UP TO 6 MONTHS
The proportion of participants who consent to enroll from the total number who are approached for eligibility will be reported.
UP TO 6 MONTHS
Proportion of iMD participants who indicate requests of referral for smoking cessation
UP TO 9 MONTHS
The investigators will estimate impacts of iMD on yield referral requests (when participants respond "Yes" to be referred for smoking cessation related services) for participants assigned to the iMD program
UP TO 9 MONTHS

Patient Q & A Section

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

Is interactive mobile doctor (imd) typically used in combination with any other treatments?

This large analysis illustrates that the addition of imd to existing treatment options is used in combination with conventional treatments for nicotine dependence in smokers.

Anonymous Patient Answer

Can tobacco dependence be cured?

The concept of tobacco dependence as a non-curable disease is not supported and some progress has occurred in understanding the processes involved in addiction and relapse. These may serve as the basis for designing new, more effective and less harmful treatments. However the degree of tobacco dependence in which cigarette smokers are able to control will remain a challenging and contentious issue.

Anonymous Patient Answer

What is tobacco dependence?

The current study demonstrated the presence of several symptoms associated with tobacco dependence in this group of smokers. It is necessary to develop a tobacco dependence rehabilitation program.

Anonymous Patient Answer

What are the signs of tobacco dependence?

Most signs reported by smokers, who were diagnosed with tobacco dependence, were related to smoking for comfort rather than smoking for enjoyment, and were not in the presence of a cigarette in the past 12 months. Given the low likelihood of a formal diagnosis of tobacco dependence, additional research into signs of dependence is warranted, in order to identify individuals more susceptible to dependence.

Anonymous Patient Answer

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

[2% of the US population gets tobacco dependence each year. In the US, tobacco dependence is the most prevalent form of alcohol or drug related problem. The majority and the strongest predisposing factor for tobacco dependence are smoking (65%) and alcohol use (33%) for men (41% and 33%) and [sic] women (43% and 27%) respectively\n

Anonymous Patient Answer

What are common treatments for tobacco dependence?

The majority of tobacco users seeking treatment have mild to moderate use. One method is to provide education about the dependence on nicotine and to enhance understanding of risks of use. For people who are interested in stopping or cutting down use, pharmacological options should be considered. Those who do not want pharmacotherapy and seek counseling for cessation are usually interested in behavioral and psychological interventions that are effective in promoting abstinence.

Anonymous Patient Answer

What causes tobacco dependence?

These experiments show that one of the cellular pathways for nicotine-induced addiction can be inhibited by two other psychoactive drugs-one that is primarily a stimulant and the other that is a monoamine reuptake inhibitor. The dependence produced by nicotine seems to be due to the activation of a second cellular pathway not inhibited by the other drugs, and not solely due to the activation of the same neural pathways which lead to the high anxiety and depression produced by nicotine.

Anonymous Patient Answer

What is interactive mobile doctor (imd)?

The Internet is being used widely in the United States, but we have yet to see extensive use of mobile devices to connect patients to health professionals. In the US in 2001, about 37% of health-care expenditures in the Medicare/Medicaid and Private Insurance sectors were attributable to physician office visits. [49 (37)%] According to a study, the total economic costs of this type of visit [10(8.4)% of total healthcare expenses by age, 13(10.2)% of total healthcare expenses by payer, 2002 Medicare population study] were more than $11 billion over 5 years.

Anonymous Patient Answer

What is the latest research for tobacco dependence?

A complex interplay exists among genetics, the immune system, and the body's nervous system in relation to the development of tobacco dependence. The molecular mechanisms are not yet understood; it is known that the immune system is very responsive to stressors and tobacco dependence is a stressor. As discussed in greater detail in the next section, stressors may be related or causative in this disease. It is also probable that stressors, like tobacco dependence, can be associated with changes in the immune system and, in the latter case, in the CNS. Tobacco dependence and stressors may be related, both directly and by virtue of their influencing the immune system, or of their changing the neural circuitry.

Anonymous Patient Answer

Have there been any new discoveries for treating tobacco dependence?

There is ongoing research to identify new targets in the pathophysiology of tobacco dependence. Furthermore, there are studies evaluating pharmacological interventions that have not reached a reliable decision at the end stage of clinical trials. These new discoveries may be the ultimate treatment for tobacco dependence.

Anonymous Patient Answer

How does interactive mobile doctor (imd) work?

Patient satisfaction was higher in the multimodal format in all study conditions with comparable improvement regardless of the modality of health-related behavior counseling. Future studies should determine the long-term effectiveness of health-related behavior counseling over the short term and evaluate long-term patient satisfaction with the new method of health-related behavior counseling for all other medical interventions.

Anonymous Patient Answer
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