Trial Outcomes & Findings for Proactive Outreach for Smoking Treatment (NCT NCT04988477)

NCT ID: NCT04988477

Last Updated: 2025-12-08

Results Overview

number of participants who reported 7-day point prevalence smoking abstinence (no smoking past 7 days) and a expired air CO value of \<6ppm in study 3 only

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

94 participants

Primary outcome timeframe

1 year post baseline

Results posted on

2025-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
Study 3
This is a single arm pre-post trial. Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 1
Single Interview regarding feasibility and acceptability of delivering chronic care management for smoking cessation in community mental health centers
Study 2
Quarterly brief provider interventions and a single proactive outreach call to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: brief provider intervention (the 5As) quarterly over 3 months and one outreach call over 3 months.
Overall Study
STARTED
49
25
20
Overall Study
COMPLETED
41
23
20
Overall Study
NOT COMPLETED
8
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Study 3
This is a single arm pre-post trial. Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 1
Single Interview regarding feasibility and acceptability of delivering chronic care management for smoking cessation in community mental health centers
Study 2
Quarterly brief provider interventions and a single proactive outreach call to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: brief provider intervention (the 5As) quarterly over 3 months and one outreach call over 3 months.
Overall Study
Death
1
0
0
Overall Study
Lost to Follow-up
5
2
0
Overall Study
Withdrawal by Subject
2
0
0

Baseline Characteristics

Demographics were not collected in Study 1; age only collected for 48 patients in study 3

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Study 3
n=49 Participants
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 2
n=25 Participants
Quarterly brief provider interventions and a single proactive outreach call to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: brief provider intervention (the 5As) quarterly over 3 months and one outreach call over 3 months.
Study 1
n=20 Participants
Single interview regarding feasibility and acceptability of delivering chronic care management for smoking cessation in community mental health centers.
Total
n=94 Participants
Total of all reporting groups
Age, Continuous
41.23 years
STANDARD_DEVIATION 11.88 • n=48 Participants • Demographics were not collected in Study 1; age only collected for 48 patients in study 3
48.64 years
STANDARD_DEVIATION 12.14 • n=25 Participants • Demographics were not collected in Study 1; age only collected for 48 patients in study 3
43.93 years
STANDARD_DEVIATION 12.37 • n=73 Participants • Demographics were not collected in Study 1; age only collected for 48 patients in study 3
Sex: Female, Male
Female
32 Participants
n=49 Participants • Demographics were not collected in study 1
17 Participants
n=25 Participants • Demographics were not collected in study 1
49 Participants
n=74 Participants • Demographics were not collected in study 1
Sex: Female, Male
Male
17 Participants
n=49 Participants • Demographics were not collected in study 1
8 Participants
n=25 Participants • Demographics were not collected in study 1
25 Participants
n=74 Participants • Demographics were not collected in study 1
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=49 Participants • Demographics were not collected in Study 1
0 Participants
n=25 Participants • Demographics were not collected in Study 1
0 Participants
n=74 Participants • Demographics were not collected in Study 1
Ethnicity (NIH/OMB)
Not Hispanic or Latino
49 Participants
n=49 Participants • Demographics were not collected in Study 1
25 Participants
n=25 Participants • Demographics were not collected in Study 1
74 Participants
n=74 Participants • Demographics were not collected in Study 1
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=49 Participants • Demographics were not collected in Study 1
0 Participants
n=25 Participants • Demographics were not collected in Study 1
0 Participants
n=74 Participants • Demographics were not collected in Study 1
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=49 Participants • demographics were not collected in Study 1
2 Participants
n=25 Participants • demographics were not collected in Study 1
3 Participants
n=74 Participants • demographics were not collected in Study 1
Race (NIH/OMB)
Asian
0 Participants
n=49 Participants • demographics were not collected in Study 1
0 Participants
n=25 Participants • demographics were not collected in Study 1
0 Participants
n=74 Participants • demographics were not collected in Study 1
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=49 Participants • demographics were not collected in Study 1
0 Participants
n=25 Participants • demographics were not collected in Study 1
0 Participants
n=74 Participants • demographics were not collected in Study 1
Race (NIH/OMB)
Black or African American
3 Participants
n=49 Participants • demographics were not collected in Study 1
1 Participants
n=25 Participants • demographics were not collected in Study 1
4 Participants
n=74 Participants • demographics were not collected in Study 1
Race (NIH/OMB)
White
44 Participants
n=49 Participants • demographics were not collected in Study 1
22 Participants
n=25 Participants • demographics were not collected in Study 1
66 Participants
n=74 Participants • demographics were not collected in Study 1
Race (NIH/OMB)
More than one race
1 Participants
n=49 Participants • demographics were not collected in Study 1
0 Participants
n=25 Participants • demographics were not collected in Study 1
1 Participants
n=74 Participants • demographics were not collected in Study 1
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=49 Participants • demographics were not collected in Study 1
0 Participants
n=25 Participants • demographics were not collected in Study 1
0 Participants
n=74 Participants • demographics were not collected in Study 1
Region of Enrollment
United States
49 Participants
n=49 Participants
25 Participants
n=25 Participants
20 Participants
n=20 Participants
94 Participants
n=94 Participants
cigarettes per day
15.35 cigarettes per day
STANDARD_DEVIATION 8.97 • n=49 Participants • Cigarettes per day was not collected in Study 1
16.67 cigarettes per day
STANDARD_DEVIATION 10.07 • n=25 Participants • Cigarettes per day was not collected in Study 1
15.92 cigarettes per day
STANDARD_DEVIATION 9.30 • n=74 Participants • Cigarettes per day was not collected in Study 1

PRIMARY outcome

Timeframe: 1 year post baseline

Population: Participants who completed baseline data and were alive at follow-up (1 participant died and so data was not analyzed)

number of participants who reported 7-day point prevalence smoking abstinence (no smoking past 7 days) and a expired air CO value of \<6ppm in study 3 only

Outcome measures

Outcome measures
Measure
Study 1
n=48 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 3: Smoking Abstinence
3 Participants

PRIMARY outcome

Timeframe: interview (up to 30 minutes at study visit)

Population: Interview participants including patients, providers, and leaders at community mental health centers

Number of participants who reported the proposed intervention was feasible

Outcome measures

Outcome measures
Measure
Study 1
n=20 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 1: Perceived Feasibility of Intervention
17 Participants

PRIMARY outcome

Timeframe: interview (up to 30 minutes at study visit)

Population: patients, providers, and leaders at a community mental healthcare center

number of participants who agreed the proposed intervention was acceptable.

Outcome measures

Outcome measures
Measure
Study 1
n=20 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 1: Perceived Acceptability of Intervention
18 Participants

PRIMARY outcome

Timeframe: baseline

Population: patients in a community mental healthcare center who smoke cigarettes

Number of participants recruited (goal for study 2=25; goal for study 3=50)

Outcome measures

Outcome measures
Measure
Study 1
n=25 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
n=49 Participants
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Studies 2 & 3: Feasibility of Recruitment
25 Participants
49 Participants

PRIMARY outcome

Timeframe: 3 months post enrollment

Population: This measure was the primary outcome of the chronic care for tobacco use (study 3) and the pilot trial (study 2) only. The recruitment target for study 2 was 25, the recruitment target for study 3 was 50.

% of participants completing follow-up in studies 2 \& 3

Outcome measures

Outcome measures
Measure
Study 1
n=49 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
n=23 Participants
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Studies 2 & 3: Feasibility of Retention
41 Participants
23 Participants

PRIMARY outcome

Timeframe: 3 months post enrollment

Population: Patients and providers from a community mental health center who participated in the study

Number of participants who perceived that the intervention was acceptable drawn from qualitative reports of intervention acceptability from selected patients (N=5) and providers and leaders (N=4)

Outcome measures

Outcome measures
Measure
Study 1
n=9 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 2: Perceived Acceptability of Intervention
8 Participants

SECONDARY outcome

Timeframe: 1 year post baseline

Population: Participants who completed baseline and were alive at the 12 month follow-up (1 participant died during the follow up period and so the did not contribute outcome data).

30 day prolonged abstinence (no smoking past 30 days prior to 1 year follow-up)

Outcome measures

Outcome measures
Measure
Study 1
n=48 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 3: Smoking Abstinence
3 Participants

SECONDARY outcome

Timeframe: 1 year post-baseline

Population: Participants who completed baseline assessment.

Number of 24 hour intentional quit attempts

Outcome measures

Outcome measures
Measure
Study 1
n=49 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 3: Quit Attempts
3.07 quit attempts
Standard Deviation 4.46

SECONDARY outcome

Timeframe: 12 months post baseline

Population: participants who were alive at the 12 month follow-up (1 person died and so their data was not used)

number of cigarettes smoked per day in study 3

Outcome measures

Outcome measures
Measure
Study 1
n=48 Participants
Participants were interviewed about current smoking cessation practices in their organization and feasibility and acceptability of planned study interventions
Study 3
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 3 months.
Study 3: Cigarettes Per Day
10.56 cigarettes per day
Standard Deviation 12.02

Adverse Events

Study 3: Chronic care for tobacco use

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

Study 2: Pilot trial

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Study 1: Interview study

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Study 3: Chronic care for tobacco use
n=49 participants at risk
Quarterly brief provider interventions about tobacco and 3 quarterly proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication. Chronic care management: Quarterly brief provider intervention (the 5As) and 3 quarterly outreach calls over 9 months.
Study 2: Pilot trial
n=25 participants at risk
Provider brief provider interventions about tobacco and 1 proactive outreach calls to connect patients to telephone cessation counseling and facilitate obtaining cessation medication.
Study 1: Interview study
n=20 participants at risk
patients, providers, and leaders were interviewed about study feasibility/acceptability
Injury, poisoning and procedural complications
Inpatient Hospitalization
2.0%
1/49 • Number of events 1 • 15 months
Adverse events were not systematically collected. However, if participants reported an adverse event or serious adverse event during follow-up phone calls it was documented. Additionally, if a participant was not available for follow-up due to a serious adverse event or death, that was recorded.
0.00%
0/25 • 15 months
Adverse events were not systematically collected. However, if participants reported an adverse event or serious adverse event during follow-up phone calls it was documented. Additionally, if a participant was not available for follow-up due to a serious adverse event or death, that was recorded.
0.00%
0/20 • 15 months
Adverse events were not systematically collected. However, if participants reported an adverse event or serious adverse event during follow-up phone calls it was documented. Additionally, if a participant was not available for follow-up due to a serious adverse event or death, that was recorded.

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sandra Japuntich

Hennepin Healthcare Research Institute

Phone: 6128736856

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place