[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100583802":3},{"organization":4,"armGroups":7,"interventions":103,"overallOfficials":146,"centralContacts":151,"locations":158,"responsibleParty":175,"collaborators":177,"id":181,"slug":182,"hasResults":183,"nctId":184,"briefTitle":185,"officialTitle":186,"acronym":187,"eligibilityCriteria":188,"healthyVolunteers":183,"sex":189,"minAge":190,"maxAge":109,"enrollmentInfo":191,"targetDuration":109,"studyType":194,"phases":195,"briefSummary":197,"conditions":198,"keywords":109,"overallStatus":161,"whyStopped":109,"lastUpdateSubmitDate":204,"lastUpdatePostDateStruct":205,"startDateStruct":208,"completionDateStruct":210,"leadSponsor":212,"locationsCount":213},{"fullName":5,"class":6},"University of Utah","OTHER",[8,13,21,26,31,36,41,46,50,54,58,62,67,71,75,79,83,87,91,95,99],{"label":9,"type":6,"description":10,"interventionNames":11},"1: Clinic Level Intervention Only","Patients who enrolled in Quit Services within 4 weeks after the clinical encounter will not be randomized to patient level conditions.\n\nClinic Level: AAC - Tobacco, AAC - SDOH Bundled\u002FNon-Bundled: NA PRN\u002FRPN: NA Dose: NA",[12],"Behavioral: Clinic Level: AAC - SDOH, AAC - Tobacco",{"label":14,"type":15,"description":16,"interventionNames":17},"2: Non-Bundled, RPN, CA1","EXPERIMENTAL","Patients who do not enroll Quit Services within 4 weeks after their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive a single proactive outreach from the CA (CA1) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: RPN Dose: CA1",[18,19,20],"Behavioral: Non-Bundled","Behavioral: Dose 1","Behavioral: RPN",{"label":22,"type":15,"description":23,"interventionNames":24},"3: Non-Bundled, RPN, CA3","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: RPN Dose: CA3",[18,25,20],"Behavioral: Dose 3",{"label":27,"type":15,"description":28,"interventionNames":29},"4: Non-Bundled, RPN, CA6","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: RPN Dose: CA6",[18,30,20],"Behavioral: Dose 6",{"label":32,"type":15,"description":33,"interventionNames":34},"5: Non-Bundled, RPN, CA9","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: RPN Dose: CA9",[18,35,20],"Behavioral: Dose 9",{"label":37,"type":15,"description":38,"interventionNames":39},"6: Non-Bundled, RPN, CA12","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive twelve proactive outreach opportunities from the CA (CA12) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: RPN Dose: CA12",[18,40,20],"Behavioral: Dose 12",{"label":42,"type":15,"description":43,"interventionNames":44},"7: Non-Bundled, PPN Dose, CA1","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive one proactive outreach opportunity from the CA (CA1) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: PPN Dose: CA1",[18,19,45],"Behavioral: PPN",{"label":47,"type":15,"description":48,"interventionNames":49},"8: Non-Bundled, PPN Dose, CA3","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: PPN Dose: CA3",[18,25,45],{"label":51,"type":15,"description":52,"interventionNames":53},"9: Non-Bundled, PPN Dose, CA6","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: PPN Dose: CA6",[18,30,45],{"label":55,"type":15,"description":56,"interventionNames":57},"10: Non-Bundled, PPN Dose, CA9","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: PPN Dose: CA9",[18,35,45],{"label":59,"type":15,"description":60,"interventionNames":61},"11: Non-Bundled, PPN Dose, CA12","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive twelve proactive outreach opportunities from the CA (CA12) with content that focuses solely on enrolling in Quit Services (Non-Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Non-Bundled PRN\u002FRPN: PPN Dose: CA12",[18,40,45],{"label":63,"type":15,"description":64,"interventionNames":65},"12: Bundled, RPN, CA1","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive one proactive outreach opportunity from the CA (CA1) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: RPN Dose: CA1",[66,19,20],"Behavioral: Bundled",{"label":68,"type":15,"description":69,"interventionNames":70},"13: Bundled, RPN, CA3","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: RPN Dose: CA3",[66,25,20],{"label":72,"type":15,"description":73,"interventionNames":74},"14: Bundled, RPN, CA6","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: RPN Dose: CA6",[66,30,20],{"label":76,"type":15,"description":77,"interventionNames":78},"15: Bundled, RPN, CA9","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: RPN Dose: CA9",[66,35,20],{"label":80,"type":15,"description":81,"interventionNames":82},"16: Bundled, RPN, CA12","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive 12 proactive outreach opportunities from the CA (CA12) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will have the opportunity to request calls from a patient navigator (RPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: RPN Dose: CA12",[66,40,20],{"label":84,"type":15,"description":85,"interventionNames":86},"17: Bundled, PPN, CA1","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive one proactive outreach opportunity from the CA (CA1) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: PPN Dose: CA1",[66,19,45],{"label":88,"type":15,"description":89,"interventionNames":90},"18: Bundled, PPN, CA3","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive three proactive outreach opportunities from the CA (CA3) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: PPN Dose: CA3",[66,25,45],{"label":92,"type":15,"description":93,"interventionNames":94},"19: Bundled, PPN, CA6","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive six proactive outreach opportunities from the CA (CA6) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: PPN Dose: CA6",[66,30,45],{"label":96,"type":15,"description":97,"interventionNames":98},"20: Bundled, PPN, CA9","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive nine proactive outreach opportunities from the CA (CA9) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: PPN Dose: CA9",[66,35,45],{"label":100,"type":15,"description":101,"interventionNames":102},"21: Bundled, PPN, CA12","Patients who do not enroll Quit Services within 4 weeks of their clinical encounter will be randomized to receive patient-level strategies.\n\nPatients will receive twelve proactive outreach opportunities from the CA (CA12) with content that focuses on enrolling in Quit Services and addressing SDOH (Bundled), and will receive proactive calls from a patient navigator (PPN).\n\nBundled\u002FNon-Bundled: Bundled PRN\u002FRPN: PPN Dose: CA12",[66,40,45],[104,110,114,118,122,126,130,134,138,142],{"type":105,"name":106,"description":107,"armGroupLabels":108,"otherNames":109},"BEHAVIORAL","Clinic Level: AAC - SDOH, AAC - Tobacco","Ask-Advise-Connect (AAC) is a health information technology (HIT) implementation strategy that consists of EHR-based point-of-care supports for the assessment of tobacco use and Social Drivers of Health (SDOH).",[9],null,{"type":105,"name":111,"description":112,"armGroupLabels":113,"otherNames":109},"Non-Bundled","All patient level strategies will address only the content of increasing reach of the Utah Tobacco Quit Services.",[55,59,14,22,27,32,37,42,47,51],{"type":105,"name":115,"description":116,"armGroupLabels":117,"otherNames":109},"Bundled","All patient level strategies will address the content of increasing reach of the Utah Tobacco Quit Services and SDOH.",[63,68,72,76,80,84,88,92,96,100],{"type":105,"name":119,"description":120,"armGroupLabels":121,"otherNames":109},"Dose 1","The number of proactive outreach opportunities for CA the patient receives. Patient will receive 1 opportunity for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.",[63,84,14,42],{"type":105,"name":123,"description":124,"armGroupLabels":125,"otherNames":109},"Dose 3","The number of proactive outreach opportunities for CA the patient receives. Patient will receive 3 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.",[68,88,22,47],{"type":105,"name":127,"description":128,"armGroupLabels":129,"otherNames":109},"Dose 6","The number of proactive outreach opportunities for CA the patient receives. Patient will receive 6 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.",[72,92,27,51],{"type":105,"name":131,"description":132,"armGroupLabels":133,"otherNames":109},"Dose 9","The number of proactive outreach opportunities for CA the patient receives. Patient will receive 9 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.",[55,76,96,32],{"type":105,"name":135,"description":136,"armGroupLabels":137,"otherNames":109},"Dose 12","The number of proactive outreach opportunities for CA the patient receives. Patient will receive 12 opportunities for CA, over 12 months following a patient's initial clinic visit, that includes a simple one-touch response to directly connect to the Quit Services or the CHW.",[59,80,100,37],{"type":105,"name":139,"description":140,"armGroupLabels":141,"otherNames":109},"RPN","Reactive Patient Navigation Only (RPN): Patient can request to speak to a CHW, over 12 months following a patient's initial clinic visit, at any time.",[63,68,72,76,80,14,22,27,32,37],{"type":105,"name":143,"description":144,"armGroupLabels":145,"otherNames":109},"PPN","Proactive Patient Navigation (PPN): Patient is proactively called, over 12 months following a patient's initial clinic visit, by a CHW up to 4 times.",[55,59,84,88,92,96,100,42,47,51],[147],{"name":148,"affiliation":149,"role":150},"Chelsey Schlechter, MPH, PhD","Huntsman Cancer Institute\u002F University of Utah","PRINCIPAL_INVESTIGATOR",[152,157],{"name":153,"role":154,"phone":155,"phoneExt":109,"email":156},"Chelsey Schlechter, PhD","CONTACT","801-213-5704","chelsey.schlechter@hci.utah.edu",{"name":148,"role":154,"phone":155,"phoneExt":109,"email":156},[159],{"facility":160,"status":161,"city":162,"state":163,"zip":164,"country":165,"countryCode":166,"cosmosGeoPoint":167,"geoPoint":172,"contacts":173},"Huntsman Cancer Institute at the University of Utah","RECRUITING","Salt Lake City","Utah","84112","United States","US",{"type":168,"coordinates":169},"Point",[170,171],-111.89105,40.76078,{"lat":171,"lon":170},[174],{"name":153,"role":154,"phone":155,"phoneExt":109,"email":156},{"type":176,"investigatorFullName":109,"investigatorTitle":109,"investigatorAffiliation":109,"oldNameTitle":109,"oldOrganization":109},"SPONSOR",[178],{"name":179,"class":180},"National Cancer Institute (NCI)","NIH","100583802","reach-through-equitable-implementation-in-utah-100583802",false,"NCT06881069","Reach Through Equitable Implementation in Utah","Reach Through Equitable Implementation in Utah (REI-UT)","REI-UT","Inclusion Criteria:\n\n* ≥ 18 years of age\n* Speak English or Spanish\n* Currently use tobacco\n* Live in a persistent poverty census tract\n* Present at participating clinics\n* Valid cell phone number in the electronic health record (EHR)\n* Electronic health records indicate they have not opted out of receiving text contact from the clinic\n\nExclusion Criteria:\n\n* Opt-out of study","ALL","18 Years",{"count":192,"type":193},1560,"ESTIMATED","INTERVENTIONAL",[196],"NA","The goal of this pragmatic, multilevel Type III Hybrid Effectiveness-Implementation trial is to increase the reach of existing evidence-based interventions (EBIs) for tobacco cessation and to mitigate the impact of adverse Social Drivers of Health (SDOH) among safety-net healthcare system patients who live in persistent poverty (PP) census tracts.\n\nAim 1: Test the ability of patient-level Conversational Agents (CA) \\& Patient Navigation (PN) dissemination strategies to increase the Reach (primary outcome) of evidence-based tobacco cessation treatment delivered via the Utah Tobacco and Nicotine Quit Services (Quit Services) among Community Health Center (CHC) patients who use tobacco and live in persistent poverty census tracts. Secondary analyses will examine the outcome of Reach of services for SDOH among these patients and will evaluate both 1) patient-level CA and PN dissemination strategies and 2) a clinic-level implementation strategy using a pre-post design.\n\nAim 2: Explore contextual factors (e.g., clinic size, patient composition, rurality, patient demographics) related to the Reach, Adoption, Implementation, and potential Maintenance of strategies.\n\nAim 3: Determine the cost-effectiveness of clinic and patient-level strategies based on Quit Services enrollment and service receipt for SDOH.\n\nThis trial implements a clinic-level implementation strategy, Ask-Advise-Connect (AAC), to address tobacco cessation and needs around social drivers of health for patients in all participating clinics. Eligible patients who are not enrolled in Quit Services four weeks after the clinical encounter, will receive text messages from a chatbot offering information and connections to the Quit Services and patient navigation support from a Community Health Worker.",[199,200,201,202,203],"Tobacco Use Cessation","Tobacco Use","Tobacco Smoking","Tobacco Chewing","Tobacco Dependence","2025-03-11",{"date":206,"type":207},"2025-03-18","ACTUAL",{"date":209,"type":207},"2025-02-13",{"date":211,"type":193},"2028-01-30",{"name":5,"class":6},1]