This phase II clinical trial evaluates proactive smoking cessation electronic visits (e-visits) within primary care to address cancer disparities in rural areas. Rural residents are both more likely to smoke cigarettes and less likely to quit than their urban counterparts. Consequently, individuals in rural areas have a higher incidence of tobacco-associated cancers. Comprehensive smoking cessation treatment strategies are needed to increase utilization of evidence-based treatment, improve cessation outcomes, and ultimately decrease cancer incidence among rural smokers. Primary care offers a ripe opportunity to deliver cessation treatment to rural smokers. Using an e-visit for smoking cessation, which is an online questionnaire completed within patient portal also known as MyChart, without need for a doctor’s appointment, has the potential to automate best practice guidelines for cessation treatment to ensure that all smokers receive an evidence-based intervention. Information gained from this trial will allow researchers to determine whether primary care e-visits could help address cancer disparities in rural areas.
Additional locations may be listed on ClinicalTrials.gov for NCT05764759.
Locations matching your search criteria
United States
South Carolina
Charleston
Medical University of South CarolinaStatus: Active
Contact: Jennifer Dahne
Phone: 843-876-2280
Florence
MUSC Health Florence Medical CenterStatus: Active
Contact: Jennifer Dahne
Phone: 843-876-2280
Lancaster
MUSC Health Lancaster Medical CenterStatus: Active
Contact: Jennifer Dahne
Phone: 843-876-2280
Mullins
MUSC Health Marion Medical CenterStatus: Active
Contact: Jennifer Dahne
Phone: 843-876-2280
PRIMARY OBJECTIVE:
I. To comprehensively assess effectiveness of a proactive electronic visit (e-visit) for smoking cessation relative to treatment as usual (TAU) while simultaneously evaluating implementation when delivered across rural primary care settings.
II. To examine the effectiveness of the smoking cessation e-visit versus (vs.) TAU for smoking cessation across seven rural (Rural-Urban Commuting Area codes 4-10) primary care practices in South Carolina.
III. Evaluate e-visit implementation outcomes across rural South Carolina primary care settings at patient, provider, and organizational levels.
OUTLINE: For Aim I, all divisions will begin the trial assigned to TAU and will transition to e-visit according to randomization order. Individual clinics (seven total) will be assigned to treatment based on their divisional affiliation. Participants will be recruited within clinics and assigned to 1 of 2 groups.
GROUP I (AIM I): Patients complete smoking cessation e-visit via My-Chart at baseline and 1-month follow-up and receive referral to psychosocial counseling on study. Patients may also receive cessation medication complete questionnaires on study.
GROUP II (AIM I): Patients receive standard of care smoking cessation information and complete questionnaires on study.
AIM II: Patients, providers, and stakeholders complete key informant interviews on study.
Lead OrganizationMedical University of South Carolina
Principal InvestigatorJennifer Dahne
