Implementation of Tobacco Cessation Programming at Community Behavioral Health Sites

Purpose

The goal of this study is to: partner with Respiratory Health Association and determine barriers and unmet smoking cessation treatment needs from leaders in behavioral health organizations, treatment programs and adults who smoke (AWS) in Chicago. This will be accomplished by establishing a community advisory board (CAB) and pilot testing a community-informed smoking cessation treatment within a community behavioral health organization to determine its feasibility after addressing implementation issues.

Conditions

  • Nicotine Use Disorder
  • Smoking Cessation
  • Smoking Cessation Intervention

Eligibility

Eligible Ages
Between 18 Years and 26 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Identify as someone who currently smokes combustible cigarettes (at least 1 cigarette per day) on each day for the past month - Report interest in quitting cigarettes (at least 6/10 scale in interest of quitting) - Age 18 or older, ability to understand the English language, willing and able to provide informed consent - Stable residence and contact information throughout the follow up period

Exclusion Criteria

  • Non-daily or intermittent cigarette use - No interest in quitting smoking - Unstable residence/not staying in Chicago for duration of study period - Current untreated severe substance use disorder (with the exception of tobacco use) or past-year serious untreated psychiatric illness (e.g. schizophrenia, bipolar disorder, obsessive compulsive disorder, unspecified psychosis, past-year suicide attempt)

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Pilot Intervention
The participants in this arm will take part in a pilot test of a community-targeted smoking cessation treatment. This treatment will be evidence-based smoking treatment using cognitive behavioral and motivational strategies implemented according to findings from Phase 1 of this study. The original intervention has four core sessions that will be modified accordingly to fit community needs. Participants will complete pre- and post-session questionnaires regarding their smoking status, quit attempts, use of smoking cessation aids, and other surveys.
  • Behavioral: Enhanced Courage to Quit
    Participants will engage in a version of the smoking cessation treatment "Courage to Quit" that has been optimized for implementation in community behavioral health clinics. The group will run over a period of 3 months, where participants will learn behavioral and cognitive skills for smoking cessation and/or reduction. Special attention will be given to the unique needs of the community, such as technology options or more flexible treatment models. The goal of this intervention is to prove that it is feasible to implement, and can create enhanced engagement and smoking outcomes for adults who smoke (AWS) and have fewer socioeconomic resources.

Recruiting Locations

The University of Chicago
Chicago, Illinois 60637
Contact:
Emma I. Brett, PhD
773-834-5341
ebrett@bsd.uchicago.edu

More Details

Status
Recruiting
Sponsor
University of Chicago

Study Contact

Emma Brett, PhD
773-834-5341
ebrett@bsd.uchicago.edu

Detailed Description

The purpose of the proposed study is to determine barriers and unmet smoking cessation treatment needs from leaders in behavioral health organizations, behavioral health treatment providers, and community members in Chicago and pilot test a community-informed, targeted rolling smoking cessation treatment within a community organization. The research team and the Respiratory Health Association (RHA) will work together to identify community sites that could derive possible benefit from adopting and implementing the targeted treatment. Aim 1: Develop a Community Advisory Board (CAB) comprised of providers, community members, and organization leadership. Aim 2: Use a mixed-methods approach to understand barriers, facilitators, and unmet treatment needs regarding smoking cessation treatment within the community. Aim 3: Pilot test the targeted smoking cessation treatment across a 3-month period at one community site through partnership with Respiratory Health Association. Hypothesis: The targeted intervention will demonstrate feasibility and acceptability.