Improving Quitline Support Study
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 6/27/2018 |
| Start Date: | June 7, 2018 |
| End Date: | May 2022 |
Improving Quitline Support Study: Optimizing Remotely Delivered Smoking Cessation Services for Low-Income Smokers
This study seeks to evaluate ways to improve outcomes for low-education, uninsured or
Medicaid-eligible smokers who do not successfully quit with standard telephone quit line
treatment. The study will use an efficient factorial study design to evaluate four
evidence-based strategies to improve follow-up care offered by the Wisconsin Tobacco Quit
Line (WTQL) to socioeconomically disadvantaged callers who report smoking four months
following initial WTQL treatment comprising a single counseling call and 2-week supply of a
single nicotine replacement therapy. These strategies include: increasing the intensity of
nicotine replacement medication (among those medically cleared to use such medications),
increasing the intensity of WTQL counseling, helping callers enroll in an evidence-based
smoking cessation texting support program (SmokefreeTXT), and offering moderate financial
incentives for engagement in counseling and SmokefreeTXT.
Medicaid-eligible smokers who do not successfully quit with standard telephone quit line
treatment. The study will use an efficient factorial study design to evaluate four
evidence-based strategies to improve follow-up care offered by the Wisconsin Tobacco Quit
Line (WTQL) to socioeconomically disadvantaged callers who report smoking four months
following initial WTQL treatment comprising a single counseling call and 2-week supply of a
single nicotine replacement therapy. These strategies include: increasing the intensity of
nicotine replacement medication (among those medically cleared to use such medications),
increasing the intensity of WTQL counseling, helping callers enroll in an evidence-based
smoking cessation texting support program (SmokefreeTXT), and offering moderate financial
incentives for engagement in counseling and SmokefreeTXT.
This study seeks to evaluate ways to improve outcomes for low-education, uninsured or
Medicaid-eligible smokers who do not successfully quit with standard telephone quit line
treatment. The study will use an efficient factorial study design to evaluate four
evidence-based strategies to improve follow-up care offered by the Wisconsin Tobacco Quit
Line (WTQL) to socioeconomically disadvantaged callers who report smoking four months
following initial WTQL treatment comprising a single counseling call and 2-week supply of a
single nicotine replacement therapy. The four factors (strategies) to be studied include: (1)
Quit line counseling intensity (1 vs 4 proactive calls); (2) Nicotine replacement therapy
(NRT) intensity (Patch for 2 weeks vs Patch+Lozenge for 4 weeks); (3) SmokefreeTXT text
messages (proactive enrollment vs none); and (4) financial incentives for treatment
engagement (vs none). The study design is a fully-crossed 4-factor factorial design. The
primary aim is: Assessment of the main and interactive effects of the four treatment factors
on biochemically-confirmed 7-day point-prevalence abstinence at the 6-month followup.
Secondary aims include testing: (1) self-reported abstinence at 12 weeks post-quit; (2)
continuous abstinence between 1 and 6 months; (3) cost-effectiveness; and (4) moderators of
treatment engagement and mediators of treatment effectiveness on 6-month abstinence.
Medicaid-eligible smokers who do not successfully quit with standard telephone quit line
treatment. The study will use an efficient factorial study design to evaluate four
evidence-based strategies to improve follow-up care offered by the Wisconsin Tobacco Quit
Line (WTQL) to socioeconomically disadvantaged callers who report smoking four months
following initial WTQL treatment comprising a single counseling call and 2-week supply of a
single nicotine replacement therapy. The four factors (strategies) to be studied include: (1)
Quit line counseling intensity (1 vs 4 proactive calls); (2) Nicotine replacement therapy
(NRT) intensity (Patch for 2 weeks vs Patch+Lozenge for 4 weeks); (3) SmokefreeTXT text
messages (proactive enrollment vs none); and (4) financial incentives for treatment
engagement (vs none). The study design is a fully-crossed 4-factor factorial design. The
primary aim is: Assessment of the main and interactive effects of the four treatment factors
on biochemically-confirmed 7-day point-prevalence abstinence at the 6-month followup.
Secondary aims include testing: (1) self-reported abstinence at 12 weeks post-quit; (2)
continuous abstinence between 1 and 6 months; (3) cost-effectiveness; and (4) moderators of
treatment engagement and mediators of treatment effectiveness on 6-month abstinence.
Inclusion Criteria:
1. Uninsured, covered by BadgerCareWisconsin or another Medicaid program, or has no more
than a high school education
2. Lives in Wisconsin
3. Age 18 or older
4. English speaking
5. Must provide a unique telephone number not already registered in the Wisconsin Tobacco
Quit Line (WTQL) database for this study (to prevent duplicate enrollment and to
ensure that only one person per household enrolls)
6. Must have completed standard WTQL treatment including at least one counseling call
4-18 months prior to study recruitment
7. Reported smoking at least 6 of the last 7 days at the WTQL follow-up enrollment call
(4-18 months after completing standard WTQL treatment), with at least 5 cigarettes
smoked on 1 or more days
8. Willing to set a new quit day within 2 weeks
Exclusion Criteria:
1. Pregnancy, breastfeeding, or planning to become pregnant in the next 6 months at the
time of study enrollment
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