©2022 Stanford Medicine
Evaluation of Tobacco Treatment Strategies for Inpatient Psychiatry
Trial ID: NCT00968513
Purpose
This study aims to evaluate, in a randomized controlled trial, tobacco treatments of varying
intensities for smokers hospitalized on acute psychiatric inpatient units.
Official Title
Evaluation of Tobacco Treatment Strategies for Inpatient Psychiatry
Stanford Investigator(s)
Judith Prochaska
Senior Associate Vice Provost, Clinical Research Governance and Professor of Medicine (Stanford Prevention Research Center)
Eligibility
Inclusion Criteria:
- Participants (N=1100) will be men and women 18 years of age and older, recruited from
four acute inpatient psychiatry units at the Alta Bates Summit Medical Center -
Herrick Campus, located in Berkeley, CA, one acute inpatient psychiatry unit at
Langley Porter Psychiatric Institute, located in San Francisco, CA, and two acute
inpatient psychiatry units at Stanford Hospital, located in Stanford, CA. Inclusion
criteria are: smoking 5 or more cigarettes per day and at least 100 cigarettes in
one's lifetime, no plan to relocate outside of the greater Bay Area in the next 18
months, and telephone access for scheduling follow-up assessments.
Exclusion Criteria:
- Study exclusion criteria are: dementia or other brain injury precluding ability to
participate; non-English speaking; complete homelessness; pregnancy or breastfeeding,
and active ulcer disease (PUD). The relationship between nicotine and ulcers is a
theoretical concern and our approach to now exclude patients with active ulcer disease
is conservative. There is no data to show NRT causes/worsens ulcers. Recruitment of
acutely psychotic, manic, or hostile patients will be delayed until there is
significant reduction of these symptoms and patients are able to consent to study
participation. Threats of violence in particular are taken seriously, and patients
will not be recruited if they may be a threat to study staff in the outpatient
setting. At this point, non-English measurement and intervention materials are not
available. Pregnant smokers will be referred out for more specialized behavioral
treatments. Exclusionary criteria are purposefully minimal in order to maximize
information about treating tobacco dependence in smokers in inpatient psychiatry. The
study sample is anticipated to be diverse with respect to gender and ethnicity,
educational and socioeconomic level, and psychiatric diagnoses.
Intervention(s):
behavioral: Brief Intervention
behavioral: Extended Treatment
behavioral: Usual Care
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305