Facilitating Tobacco Treatment in Veterans with Serious Mental Illness

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional program uses a multi-component facilitation strategy to implement evidence-based tobacco treatment in VA mental health settings. It targets providers and patients within the VA Maryland Health Care System, aiming to increase the rate of tobacco medication prescribing alongside brief behavioral counseling. The approach includes activities like academic detailing and auditing with feedback, tailored to local clinic needs, to overcome barriers to care. The study analyzes how external facilitation affects the integration of recommended tobacco treatments into routine practice for SMI Veterans who smoke.

Why it matters

Who can join: the full rules

Inclusion Criteria:

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

Exclusion Criteria:

Providers:

* None

Veterans receiving direct letters:

* Active prescription for bupropion, varenicline, or any nicotine replacement therapy

Where it's running

• Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
  Baltimore, Maryland, United States Recruiting

Study contacts

• Principal investigator: Corinne N Kacmarek, PhD — Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
• Study coordinator: Corinne N Kacmarek, PhD
• Email: corinne.kacmarek2@va.gov
• Phone: (410) 340-0727

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.