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Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial

BACKGROUND: Cigarette smoking among adults in the USA is a leading cause of preventable death worldwide, even though there has been a decline in prevalence since 2005. The addictive nature of nicotine is the chief reason smokers continue to use tobacco. Although the majority of smokers report a desi...

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Autores principales: Baskerville, Wave-Ananda, Friedman, Theodore C., Hurley, Brian, Hsieh, Susan, Dixon, Tasha, Mtume, Norma, Lee, Martin L., Rodriguez, Luz, Lopez, Briana, Ray, Lara A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811740/
https://www.ncbi.nlm.nih.gov/pubmed/35115017
http://dx.doi.org/10.1186/s13063-022-06023-3
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author Baskerville, Wave-Ananda
Friedman, Theodore C.
Hurley, Brian
Hsieh, Susan
Dixon, Tasha
Mtume, Norma
Lee, Martin L.
Rodriguez, Luz
Lopez, Briana
Ray, Lara A.
author_facet Baskerville, Wave-Ananda
Friedman, Theodore C.
Hurley, Brian
Hsieh, Susan
Dixon, Tasha
Mtume, Norma
Lee, Martin L.
Rodriguez, Luz
Lopez, Briana
Ray, Lara A.
author_sort Baskerville, Wave-Ananda
collection PubMed
description BACKGROUND: Cigarette smoking among adults in the USA is a leading cause of preventable death worldwide, even though there has been a decline in prevalence since 2005. The addictive nature of nicotine is the chief reason smokers continue to use tobacco. Although the majority of smokers report a desire to quit smoking, a small minority who attempt to quit achieve long-term cessation. Combined, smoking cessation best practices include coordinated medication and behavioral treatments. However, these treatments are not currently adequately delivered to Medi-Cal beneficiaries in the publicly funded patient-centered medical homes (PCMHs) and community mental health clinics operated by Los Angeles County (LAC)-Department of Health Services (LACDHS) and LAC-Department of Mental Health (LACDMH). METHODS: This is a 5-year implementation, cluster-randomized comparative effectiveness trial that will support the implementation of smoking cessation services delivered in LAC-LACDHS-operated outpatient primary care clinics and in LAC-LACDMH-operated community mental health clinics. We will enroll 1000 participants from clinics that will offer smoking cessation services and 200 from clinics that will offer treatment as usual. Participants will be asked to complete assessments at baseline, 3 months, 6 months, and 12 months. The assessments will include self-reports on smoking history, anxiety, stress, quality of life, and participant satisfaction. Participants who are assigned to clinics that provide smoking cessation services will also be asked about the frequency of their participation in the smoking cessation services during the 12-month period. DISCUSSION: This study will evaluate the effectiveness and feasibility of implementing smoking cessation services in outpatient primary care and community mental health clinics. It will also determine if there will be higher rates of smoking cessation in the implementation sites as compared to the sites with treatment as usual. If the implementation proves to be effective, the plan is to sustain these services using a workflow we will develop in the LAC-operated sites. This would lead to ameliorating the significant smoking cessation treatment gaps among those served within the LAC Health Agency departments. TRIAL REGISTRATION: ClinicalTrials.gov NCT04717544 “Embedding comprehensive smoking cessation programs into community clinics.” Registered on January 22, 2021 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13063-022-06023-3.
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spelling pubmed-88117402022-02-03 Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial Baskerville, Wave-Ananda Friedman, Theodore C. Hurley, Brian Hsieh, Susan Dixon, Tasha Mtume, Norma Lee, Martin L. Rodriguez, Luz Lopez, Briana Ray, Lara A. Trials Study Protocol BACKGROUND: Cigarette smoking among adults in the USA is a leading cause of preventable death worldwide, even though there has been a decline in prevalence since 2005. The addictive nature of nicotine is the chief reason smokers continue to use tobacco. Although the majority of smokers report a desire to quit smoking, a small minority who attempt to quit achieve long-term cessation. Combined, smoking cessation best practices include coordinated medication and behavioral treatments. However, these treatments are not currently adequately delivered to Medi-Cal beneficiaries in the publicly funded patient-centered medical homes (PCMHs) and community mental health clinics operated by Los Angeles County (LAC)-Department of Health Services (LACDHS) and LAC-Department of Mental Health (LACDMH). METHODS: This is a 5-year implementation, cluster-randomized comparative effectiveness trial that will support the implementation of smoking cessation services delivered in LAC-LACDHS-operated outpatient primary care clinics and in LAC-LACDMH-operated community mental health clinics. We will enroll 1000 participants from clinics that will offer smoking cessation services and 200 from clinics that will offer treatment as usual. Participants will be asked to complete assessments at baseline, 3 months, 6 months, and 12 months. The assessments will include self-reports on smoking history, anxiety, stress, quality of life, and participant satisfaction. Participants who are assigned to clinics that provide smoking cessation services will also be asked about the frequency of their participation in the smoking cessation services during the 12-month period. DISCUSSION: This study will evaluate the effectiveness and feasibility of implementing smoking cessation services in outpatient primary care and community mental health clinics. It will also determine if there will be higher rates of smoking cessation in the implementation sites as compared to the sites with treatment as usual. If the implementation proves to be effective, the plan is to sustain these services using a workflow we will develop in the LAC-operated sites. This would lead to ameliorating the significant smoking cessation treatment gaps among those served within the LAC Health Agency departments. TRIAL REGISTRATION: ClinicalTrials.gov NCT04717544 “Embedding comprehensive smoking cessation programs into community clinics.” Registered on January 22, 2021 SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13063-022-06023-3. BioMed Central 2022-02-03 /pmc/articles/PMC8811740/ /pubmed/35115017 http://dx.doi.org/10.1186/s13063-022-06023-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Baskerville, Wave-Ananda
Friedman, Theodore C.
Hurley, Brian
Hsieh, Susan
Dixon, Tasha
Mtume, Norma
Lee, Martin L.
Rodriguez, Luz
Lopez, Briana
Ray, Lara A.
Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
title Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
title_full Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
title_fullStr Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
title_full_unstemmed Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
title_short Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
title_sort embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8811740/
https://www.ncbi.nlm.nih.gov/pubmed/35115017
http://dx.doi.org/10.1186/s13063-022-06023-3
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