RecruitingNot Applicable

Leveraging Community Pharmacists to Optimize Smoking Cessation Services for Rural Smokers in Appalachia

United States768 participantsStarted 2024-03-06

Plain-language summary

The goal of this clinical trial is to evaluate the effectiveness and implementation of a pharmacist-delivered MTM (medication therapy management) approach, called QuitAid, to quitting cigarette smoking in rural Appalachia. The main questions it aims to answer are: * Is QuitAid, alone or combined with other quitting tobacco treatments, effective? * What makes QuitAid easy or hard to carry out? Is it cost effective? Is it easy to maintain? Treatment: All participants will be given at least 4 weeks of the nicotine patch. Some participants will be randomized (like the flip of a coin) to receive additional treatments (listed below). These groups will be compared to each other to see which combination works best to help them quit smoking. * Smokefree TXT - a texting program that helps people quit smoking * Tobacco quitline - 4 phone sessions to help people quit smoking * 8 weeks of NRT (nicotine replacement therapy in the form of nicotine patches or nicotine patches and lozenge) medication instead of 4 weeks * QuitAid - An MTM program given by the patient's pharmacist. This is a quitting smoking coaching program * Nicotine patch AND nicotine lozenge instead of just nicotine patches

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Study participants will be rural cigarette smokers from Virginia, Tennessee, Kentucky and North Carolina who visit one of the participating study pharmacies. Pharmacies will be located in rural geographic areas of the Central and South Central subregions of Appalachia that include Virginia, Tennessee, Kentucky and North Carolina, as defined by the USDA Rural-Urban Continuum Codes (RUCC) 4-9, Rural-Urban Commuting Area (RUCA) codes 4-10, or Frontier and Remote (FAR) areas level 4. No exclusionary criteria are based on race, gender, or age. Inclusion Criteria include: * must be 18 years of age and older * must be able to read, speak, and understand English * must report smoking at least 5 cigarettes per day for the past 6 months (regardless of non-cigarette tobacco product use) * must be willing to set a quit date within the next 30 days * must own a cell phone * must be willing and able to use NRT in the form of patch or lozenge * Not be pregnant or planning to be pregnant in the next 6 months. Exclusion Criteria include: * are pregnant women (self-reported), breastfeeding, planning to become pregnant during the next 6 months * have a medical contraindication to NRT (e.g., past 30 days, heart attack or stroke; past 6 months, serious or worsening angina, very rapid or irregular heartbeat requiring medication)

What they're measuring

Tobacco Abstinence

Timeframe: 6 months

Trial details

NCT IDNCT05660525

SponsorUniversity of Virginia

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2027-05-31

Contact for this trial

Melissa Little, PhD, MPH

434-924-1935 mal7uj@virginia.edu