Helping Veterans with chronic disease reduce smoking and risky drinking

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 is a randomized, phase 3 trial comparing a proactive, low-resource intervention called MINDSET to usual primary care. MINDSET delivers a mailed packet with tailored education linking smoking and drinking to the participant's chronic condition, followed by a brief motivational telephone call. The study measures changes in intention to change, substance use behaviors, and related variables over time. Outcomes will be compared between the MINDSET group and usual care to determine effectiveness for reticent Veterans.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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.

Exclusion Criteria:

* 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's running

• VA Western New York Healthcare System, Buffalo, NY
  Buffalo, New York, United States Recruiting

Study contacts

• Principal investigator: Julie Christina Gass, PhD — VA Western New York Healthcare System, Buffalo, NY
• Study coordinator: Julie C Gass, PhD
• Email: Julie.Gass@va.gov
• Phone: (716) 834-9200

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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.