Promoting Smoking Cessation in Lung Cancer Screening Through Proactive Treatment (PROACT)

  • STATUS
    Recruiting
  • End date
    Feb 28, 2023
  • participants needed
    540
  • sponsor
    VA Office of Research and Development
Updated on 14 February 2022
cancer
smoking cessation
lung cancer
lung cancer screening
lung carcinoma
smoking cessation therapy

Summary

This pragmatic trial will evaluate the value of routinely providing proactive smoking cessation support to current smokers as a part of participating in lung cancer screening within Veterans Health Administration.

Description

This trial is a pragmatic randomized trial targeting the care of current smokers who are participating in lung cancer screening at two VA sites. Primary care providers at these sites will be randomized, and half will be offered tools to help integrate proactive smoking cessation support into the lung cancer screening process. Key proactive elements include proactive telephone outreach to all current smokers by a VA Quitline counselor that follows mailed results letters, and providing providers guidance in offering proactive cessation medication support as part of the lung cancer screening process.

Details
Condition Smoking Reduction, Tobacco Use, Tobacco Smoking, Tomography, Lung Diseases, Lung Neoplasms
Treatment Note & unsigned order to provider about cessation medication prescription, Proactive Telephone Counseling from VA Quitline, Unsigned note to provider about cessation medication prescription
Clinical Study IdentifierNCT03612804
SponsorVA Office of Research and Development
Last Modified on14 February 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Providers who schedule patients for a lung cancer screening at either of the two VA sites
Patients who participate in lung cancer screening and are current smokers at the time of scheduling their screening exam

Exclusion Criteria

Providers who currently systematically prescribe cessation support medication to all current smokers will be excluded
Patients with urgent findings requiring biopsy/immediate attention on the screening CT will be excluded
Patients with a prior diagnosis of lung cancer or who are receiving active therapy for any cancer, except skin cancer, will be excluded
Patients previously diagnosed with cognitive impairment, dementia, or severe behavioral disorders, or have an indication in chart review of difficulty communicating or participating in telephone counseling sessions will be excluded
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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