Enhancing an Intervention for Smokers With Chronic Pain Using IVR: A Randomized Clinical Trial of Smoking Cessation Counseling for Veterans
VA Office of Research and Development
Summary
PASS2 aims to expand upon the recently completed study (PASS intervention), which tested the telephone delivery of a cognitive behavioral intervention (CBI). This study will use Interactive Voice Response (IVR) to optimize the intervention's effectiveness for smoking cessation among Veteran smokers with chronic pain.
Description
Veterans with chronic pain represent an important population in which to focus smoking cessation efforts. Smoking cessation among patients with chronic medical illnesses substantially decreases morbidity and mortality; yet, many patients (\>50%) with chronic pain continue to smoke. This study aims to: 1. Determine whether the existing integrated pain and smoking cessation (PASS intervention) augmented with IVR (PASS-IVR) is superior to treatment as usual (e.g., referral to standard VA smoking cessation clinic) enhanced with pharmacotherapy tele-consult (E-TAU) at 6 (primary endpoint) and 12…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * being an enrolled Veteran at VACHS; * current tobacco use; * willingness to make a quit attempt; * significant chronic pain defined as \>/=4 on the pain intensity portion of the Brief Pain Inventory (BPI) for more than 90 days. Exclusion Criteria: * active diagnosis of dementia or psychosis in medical record; * severely impaired hearing or speech; * lack of telephone access; * enrollment in concurrent research study that might affect main outcomes of this study; * terminal illness; * non-English speaking; * pregnancy; * provider advising against exercise; * planned sur…
Interventions
- BehavioralPASS-IVR
An intervention that includes a proactive telehealth intervention combining evidence-based smoking cessation counseling augmented with behavioral approaches for coping with pain, and nightly Interactive Voice Response (IVR) calls to report smoking status, pain, and pedometer-measured step counts, which the clinician will use to provide individualized feedback.
- OtherTreatment as Usual
Referral to the local smoking cessation VA clinic.
Location
- VA Connecticut Healthcare System West Haven Campus, West Haven, CTWest Haven, Connecticut