About this trial
This study is recruiting Veterans who currently smoke cigarettes and support persons who are nominated by the Veterans. The purpose of this study is to assist Veterans with smoking cessation by asking Veterans to choose a support person who will assist them with the quitting process, or who may assist them with the quitting process once the Veteran is ready to quit smoking sometime in the future. Study staff will assess how much or how little social support during the Veteran's quitting process is helpful to the Veteran. This information will help us come up with new ways to help Veterans quit smoking that are better tailored to their needs.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Smoked 1 cigarettes over the past 30 days, even a puff
If using other tobacco or nicotine products, cigarettes are the main product used
Able to identify one adult family member or friend (SP) with whom they have contact (of any form) at least 3 times per week who will enroll Veteran Support Person Inclusion Criteria
Willing to support the Veteran smoker
Disqualifiers
Have used cessation medications or a stop smoking program within the past 3 months
Have no valid phone contact information
Trial design
Parallel
Treatments tested in this trial
Support Person Coaching Call
BehavioralSupport person participants assigned to the intervention group will additionally receive a 1-call coaching session about 15-25 minutes in duration on how to support their Veteran smoker. The session will be delivered by research staff by phone or video call. Support persons in the intervention group and the control/no intervention group will receive existing written material resources on support strategies to stop smoking, and resources on how to stop smoking by postal mail or email.
SP written materials
BehavioralWritten materials covering tips on effective supportive strategies for smoking cessation
Written Smoking Cessation Materials
BehavioralWritten materials on resource and referral information for VHA and non-VHA EBCT options
Treatment groups
Trial outcomes
Primary outcomes
Use of Any Evidence-Based Cessation Treatments (EBCTs)
The primary outcome will be use of any EBCT assessed at the 6 month follow-up: medication, behavioral intervention, or combination using both self-report and VHA administrative data. Data will be extracted from the VA Corporate Data Warehouse (CDW) to assess VA treatment use. VA outpatient prescription records will be used to assess receipt and amount of pharmacotherapy (bupropion, varenicline, nicotine replacement therapy (NRT)) and VA outpatient encounters associated with smoking cessation will be assed using stop codes (i.e., 707 and 708) and/or diagnoses treated for nicotine dependence (i.e., ICD10-F17.XX) to assess behavioral interventions. Use of QuitVET, SmokefreeVET, Department of Defense (DoD) and non-VHA treatment use will be assessed using self-report.
Secondary outcomes
Biochemically confirmed 7-day point prevalence cigarette smoking abstinence
For this trial, the focus with respect to abstinence is on combustible cigarette smoking. The investigators will assess self-reported 7-day point-prevalence abstinence 6-months and obtain biochemical verification at 6 months, defined as a negative carbon monoxide (CO) breath test (0-6 ppm) or negative salivary cotinine (\< 30 ng/ml). Biochemical verification will be obtained using expired CO by mailing an iCO Smokerlyzer®, a small, portable, handheld breath CO monitor that connects to a mobile device or tablet, as the primary modality because carbon monoxide is not confounded by use of NRT, smokeless tobacco or e-cigarettes.
Use of Any Evidence-Based Cessation Treatments (EBCTs)
use of any EBCT: medication, behavioral intervention, or combination using both self-report and VHA administrative data
Self-reported 7-day point prevalence cigarette smoking abstinence
Any cigarette smoking in the past 7 days, even a puff
Self-reported 7-day point prevalence cigarette smoking abstinence
Any cigarette smoking in the past 7 days, even a puff
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