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Embedding comprehensive smoking cessation programs into community clinics: study protocol for a cluster-randomized

Wave-Ananda Baskerville1, Theodore C Friedman2,3,4, Brian Hurley3,4

  • 1Department of Psychology, University of California, Los Angles, Los Angeles, CA, USA.

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Summary
This summary is machine-generated.

This study implements and evaluates smoking cessation services in community clinics. Findings will inform strategies to reduce smoking treatment gaps for underserved populations.

Keywords:
Cigarette useCommunity clinicsSmokingSmoking cessation programsTreatment

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Area of Science:

  • Public Health
  • Implementation Science
  • Clinical Trials

Background:

  • Cigarette smoking remains a leading cause of preventable death in the USA, driven by nicotine addiction.
  • Despite high quit attempt rates, long-term smoking cessation success is low.
  • Existing cessation treatments are not adequately delivered to vulnerable populations in Los Angeles County (LAC) clinics.

Purpose of the Study:

  • To evaluate the effectiveness and feasibility of implementing comprehensive smoking cessation services.
  • To compare smoking cessation rates in clinics offering new services versus those providing treatment as usual.
  • To develop a sustainable workflow for integrating cessation services into LAC Health Agency departments.

Main Methods:

  • A 5-year cluster-randomized comparative effectiveness trial involving 1200 participants.
  • Participants recruited from outpatient primary care and community mental health clinics.
  • Assessments at baseline, 3, 6, and 12 months, including smoking history, quality of life, and service utilization.

Main Results:

  • Study is ongoing; results not yet available.
  • Anticipated to determine higher cessation rates in implementation sites.
  • Will assess participant satisfaction and frequency of service engagement.

Conclusions:

  • The study will determine the effectiveness of embedding smoking cessation services into community clinics.
  • Successful implementation could significantly reduce smoking treatment disparities.
  • Findings will guide the sustainability and broader adoption of effective cessation strategies.