Integrated Smoking Cessation Treatment for Smokers With Serious Mental Illness

Summary

The overall aim of this study is to test the effect of academic detailing (i.e. provider-level educational intervention focused on evidence-based smoking cessation treatment for those with psychiatric illness) and community health worker (CHW) support on the provision and utilization of standard of care smoking cessation treatment to those with serious mental illness (SMI) and smoking cessation rates for adults with SMI who smoke.

Conditions

• Cigarette Smoking
• Schizophrenia
• Bipolar Disorder
• Depressive Disorder, Major
• Smoking Cessation

Interventions

OTHER

Academic Detailing

Academic detailing (AD) is a targeted continuing medical education (CME) strategy that adapts social marketing techniques, using mixed interactive and didactic formats in individual and group settings integrated into the practice setting to promote beneficial changes in medical care. AD helps clinicians understand and adopt targeted evidence-based practices and is one of the few Continuing Medical Education (CME) interventions that has consistently demonstrated improved alignment of physician prescribing behavior with evidence-based practice.

OTHER

Community Health Worker

Community Health Worker (CHW) The CHW will offer to support patients and prescribers in health promotion and preventive care in general and specifically to support communication between the primary care provider and patient regarding smoking status, smoking cessation, and to aid implementation of any smoking cessation treatments recommended by prescribers. CHWs will complete the standard CHW certificate training program in general preventive medicine, available through the Boston Public Health Commission. CHWs will then receive the additional specialized training.

OTHER

Treatment as Usual (TAU)

Usual care (TAU) for adults with SMI in Massachusetts consists of rehabilitation services publicly funded by the state and traditional fee for service outpatient medical and psychiatric care. Importantly, medical care is not programmatically integrated with the psychiatric rehabilitation services.

Sponsors & Collaborators

• Bay Cove Human Services

  collaborator OTHER

• Brigham and Women's Hospital

  collaborator OTHER

• University of Massachusetts, Amherst

  collaborator OTHER

• Vinfen

  collaborator INDUSTRY

• Massachusetts General Hospital

  lead OTHER

Principal Investigators

• A Eden Evins, MD, MPH · Massachusetts General Hospital

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2016-07-14

Primary Completion

2020-02-02

Completion

2021-01-12

Countries

• United States

Study Locations