Facilitation to Increase Tobacco Treatment
Starting soon · Not applicable
Conditions studied: Serious Mental Illness, Tobacco Use Disorder
In brief
Smoking disproportionally impacts Veterans, and VA spends $2.7 billion annually on smoking-related health conditions. Veterans with serious mental illness (SMI) smoke tobacco products at triple the rate of Veterans without any mental illness and die 10-15 years earlier as a result. SMI Veterans who smoke want to quit and FDA-approved tobacco cessation medications are safe, effective, and readily available in VA. However, mental health providers are hesitant to treat smoking and just 11-18% of Veterans with SMI who smoke receive tobacco medication. External facilitation is an effective implementation strategy that can overcome barriers to integrating evidence-based treatment into routine clinical practice. In collaboration with local and operational partners, the proposed CDA-2 will evaluate and refine an external facilitation strategy to improve tobacco medication prescribing in VA SMI clinics. This proposal aligns with VA priorities to enhance timely access to care and improve Veteran outcomes.
Key facts
- Study ID
- NCT07455526
- Run by
- VA Office of Research and Development
- People needed
- 65
- Starts
- 2026-10-01
- Expected to finish
- 2031-10-01
- Last updated by the study team
- 2026-03-06
Who can join
Age: any. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Providers:
- VA Maryland Health Care System patient care providers serving Veterans in Critical Time Intervention, Psychosocial Rehabilitation and Recovery Center, Mental Health Integrative Case Management, or outpatient psychiatry clinics
- Veterans receiving direct letters:
- Had an appointment in VA Maryland Health Care System, Critical Time Intervention, Psychosocial Rehabilitation and Recovery Center, Mental Health Integrative Case Management, or outpatient psychiatry clinics in the last 30 days
- Diagnosed with a serious mental illness
- Positive tobacco use screen
- Appointment scheduled with an outpatient psychiatric prescriber in the next 30 days
- Of note, study staff are not directly recruiting Veterans for this implementation intervention component
- Veteran chart review:
- All Veterans actively enrolled in VAMHCS medical facilities with at least one encounter during a given period with available smoking health factor data
- Of note, study staff are not directly recruiting veterans for this data analysis
You may not qualify if…
- Providers:
- None
- Veterans receiving direct letters:
- Active prescription for bupropion, varenicline, or any nicotine replacement therapy
Where it is running
- Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD — Baltimore, Maryland, United States
Full record on ClinicalTrials.gov
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