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Design and participant characteristics of a randomized-controlled trial of telemedicine for smoking cessation among rural smokers.

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. 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. 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. 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. TRIAL REGISTRATION: CLINICAL TRIALS REGISTRATION:NCT00843505.

journal_name

Contemp Clin Trials

journal_title

Contemporary clinical trials

authors

Mussulman L,Ellerbeck EF,Cupertino AP,Preacher KJ,Spaulding R,Catley D,Cox LS,Lambart L,Hunt JJ,Nazir N,Shireman T,Richter KP

doi

10.1016/j.cct.2014.04.008

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

173-81

issue

2

eissn

1551-7144

issn

1559-2030

pii

S1551-7144(14)00056-1

journal_volume

38

pub_type

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