Intervention to Increase Intention to Change Alcohol/Tobacco Use in Veterans With Chronic Disease

Recruiting now · Phase 3

Conditions studied: Tobacco Smoking, Alcohol-Related Disorders

In brief

Many Veterans who have chronic conditions like cardiovascular disease or diabetes smoke or drink too much alcohol, which can worsen the condition. Veterans are asked yearly about drinking/smoking and providers provide a brief advice discussion focused on behavior change. However, many Veterans continue to drink or smoke, and are often not interested in higher-intensity, change-based referrals. The investigators recently piloted MINDSET, an intervention that fills this gap. MINDSET is a proactive, population-based intervention that uses a mailed packet with tailored education about how drinking/smoking relate to the Veteran's condition (heart conditions and/or diabetes), followed by a brief motivational call. The investigators will test MINDSET's effectiveness versus usual primary care on outcomes including intention to change and substance use and evaluate the relationships between these and other variables over time.

Key facts

Study ID

NCT07039175

Run by

VA Office of Research and Development

People needed

270

Starts

2025-10-01

Expected to finish

2029-06-30

Last updated by the study team

2025-12-31

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• an active diagnosis of diabetes, cardiovascular disease (CVD), or a cardiovascular risk factor (hypertension {HTN}, hyperlipidemia {HLD}) AND signs of reticence to change their smoking and/or alcohol use as evidenced by the two consecutive prior screens being positive for hazardous (e.g., Alcohol Use Disorders Test-Consumption [AUDC], and/or smoking (I.e., whether they are a current smoker or not).
• Confirmation of smoking and/or drinking status during telephone screening (e.g., Alcohol Use Disorders Test-Consumption [AUDC], and/or smoking (I.e., whether they are a current smoker or not).
• Veteran
• Age 18 years
• utilize VA for medical care more than 1 time per year
• are due to complete their smoking/alcohol use screen in approximately 3 months (to ensure they will likely receive UC during intervention period)
• a scheduled PC appointment within the intervention period.

You may not qualify if…

• dementia or severe cognitive impairment per Problem List
• significant visual impairment per Problem List
• Other Exclusion criteria assessed by study staff during screening/self-report are:
• inability to communicate or read in English;
• Hearing impairment; and
• cognitive impairment or screening for cognitive impairment (>=weighted score of 10 on Blessed screener).

Where it is running

• VA Western New York Healthcare System, Buffalo, NY — Buffalo, New York, United States (enrolling)

Full record on ClinicalTrials.gov

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