Tailored Tobacco Quitline for Rural Veterans

Summary

The proposed work is designed to help increase access to tobacco cessation services among rural veterans and to develop more effective treatment services that better address comorbid issues commonly experienced by rural smokers. The objectives are:

1. Study the feasibility of an individually-tailored telephone intervention for rural smokers.
2. Examine the impact of the intervention on tobacco use outcomes.
3. Evaluate the effect of the intervention on issues commonly experienced by rural smokers including depressive symptoms, alcohol use, and weight gain.

Conditions

• Cigarette Smoking

Interventions

DRUG

Nicotine replacement therapy - transdermal nicotine patch

Medication selection will be determined based on individual participant preferences, medical history, and contraindications.

BEHAVIORAL

Tailored behavioral intervention

Participants will receive a standard six session cognitive behavioral intervention for smoking cessation combined with supplemental treatment modules based on individual need and preference.

BEHAVIORAL

Tobacco quit line referral

Participants assigned to this condition will receive a referral to their state tobacco quit line. The specific behavioral treatment that is provided will differ slightly depending upon the services available through the participant's state of residence.

DRUG

Nicotine replacement therapy - nicotine gum

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

DRUG

Nicotine replacement therapy - nicotine lozenge

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

DRUG

Bupropion Sustained Release

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

DRUG

Varenicline

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

DRUG

Combination pharmacotherapy - transdermal nicotine patch + nicotine gum

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

DRUG

Combination pharmacotherapy - transdermal nicotine patch + nicotine lozenge

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

DRUG

Combination pharmacotherapy - transdermal nicotine patch + bupropion

Medication selection will be determined based on individual participant preferences, medical history, and contraindications

BEHAVIORAL

Alcohol use risk reduction

Participants engaging in risky alcohol use may receive this six-session telephone-based behavioral intervention for reducing alcohol use.

BEHAVIORAL

Behavioral activation for the treatment of depression

Participants with elevated depressive symptoms may receive this six-session telephone-based behavioral activation intervention.

BEHAVIORAL

Behavioral management of post-cessation weight gain

Participants with concerns about gaining weight after quitting smoking may receive this six-session telephone-based behavioral self-management intervention designed to help attenuate post-cessation weight gain.

Sponsors & Collaborators

• US Department of Veterans Affairs

  collaborator FED

• Iowa City Veterans Affairs Medical Center

  lead FED

Principal Investigators

• Mark VanderWeg, PhD · VRHRC-CR

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

99 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2012-06-30

Primary Completion

2013-06-30

Completion

2013-06-30

Countries

• United States

Study Locations