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Study protocol for a hybrid type 1 effectiveness-implementation trial testing virtual tobacco treatment in oncology
Brett M Goshe1,2,3,4, Autumn W Rasmussen5,6,7, Lynne I Wagner8
1Department of Psychiatry, Massachusetts General Hospital / Harvard Medical School, 100 Cambridge Street, Suite 1600, Boston, MA, 02114, USA. bgoshe@mgh.harvard.edu.
This study assesses a virtual tobacco treatment intervention for cancer patients, aiming to improve smoking cessation rates and integrate treatment into community oncology care. Findings will guide future virtual cancer care strategies.
Area of Science:
- Oncology
- Public Health
- Digital Health
Background:
- Persistent smoking in cancer patients is linked to poor outcomes.
- Evidence-based tobacco interventions are not well-integrated into community oncology settings.
- This study addresses the need for accessible tobacco treatment within cancer care.
Purpose of the Study:
- To assess the effectiveness of a virtual tobacco treatment intervention for cancer patients.
- To evaluate the implementation process of tobacco treatment in community oncology settings.
- To identify barriers and facilitators for national implementation of virtual tobacco treatment.
Main Methods:
- A hybrid type 1 effectiveness-implementation randomized controlled trial across 49 sites.
- Comparison of Virtual Intervention Treatment (VIT) with Enhanced Usual Control (EUC).
- VIT includes virtual counseling and nicotine replacement therapy; EUC includes NCI Quitline referral. Primary outcome: biochemically confirmed smoking abstinence.
Main Results:
- (Study ongoing - results not yet available)
Conclusions:
- Virtual care solutions are crucial for maximizing access to tobacco treatment for cancer patients, especially post-COVID-19.
- This trial will provide vital data on the effectiveness and implementation of virtual tobacco treatment in community oncology.
- Findings will inform national strategies for integrating tobacco cessation into cancer care.
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