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Design and participant characteristics of a randomized-controlled trial of telemedicine for smoking cessation among rural smokers.
- Source :
-
Contemporary clinical trials [Contemp Clin Trials] 2014 Jul; Vol. 38 (2), pp. 173-81. Date of Electronic Publication: 2014 Apr 24. - Publication Year :
- 2014
-
Abstract
- Introduction: In rural America cigarette smoking is prevalent, few cessation services are available, and healthcare providers lack the time and resources to help smokers quit. This paper describes the design and participant characteristics of Connect2Quit (C2Q), a randomized control trial (RCT) that tests the effectiveness and cost-effectiveness of integrated telemedicine counseling delivered by 2-way webcams mounted on desktop computers in participant's physician office examining rooms (ITM) versus quitline counseling delivered by telephone in participant's homes (Phone) for helping rural smokers quit.<br />Methods/design: C2Q was implemented in twenty primary care and safety net clinics. Integrated telemedicine consisted of real-time video counseling, delivered to patients in their primary care physician's (PCP) office. Phone counseling, was delivered to patients in their homes. All participants received educational materials and guidance in selecting cessation medications.<br />Results: The 566 participants were predominantly Caucasian (92%); 9% were Latino. Most (65%) earned <200% of Federal Poverty Level. One out of three lacked home internet access, 40% were not comfortable using computers, and only 4% had been seen by a doctor via telemedicine in the past. Hypertension, chronic lung disease, and diabetes were highly prevalent. Participants smoked nearly a pack a day and were highly motivated to quit.<br />Discussion: C2Q is reaching a rural low-income population, with comorbid chronic diseases, that would benefit greatly from quitting smoking. ITM is a good delivery model, which integrates care by holding counseling sessions in the patient's PCP office and keeps the primary care team updated on patients' progress.<br />Clinical Trials Registration: NCT00843505.<br /> (Published by Elsevier Inc.)
- Subjects :
- Adult
Age Factors
Comorbidity
Cost-Benefit Analysis
Cotinine analysis
Female
Humans
Male
Middle Aged
Motivation
Patient Education as Topic organization & administration
Patient Satisfaction
Research Design
Sex Factors
Socioeconomic Factors
Telemedicine economics
Tobacco Use Cessation Devices
Counseling methods
Rural Population
Smoking Cessation methods
Telemedicine methods
Tobacco Use Disorder therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1559-2030
- Volume :
- 38
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Contemporary clinical trials
- Publication Type :
- Academic Journal
- Accession number :
- 24768940
- Full Text :
- https://doi.org/10.1016/j.cct.2014.04.008