METHODS: This is a 5-year implementation, cluster-randomized comparative effectiveness trial that will support the implementation of smoking cessation services delivered in LAC-LACDHS-operated outpatient primary care clinics and in LAC-LACDMH-operated community mental health clinics. We will enroll 1000 participants from clinics that will offer smoking cessation services and 200 from clinics that will offer treatment as usual. Participants will be asked to complete assessments at baseline, 3 months, 6 months, and 12 months. The assessments will include self-reports on smoking history, anxiety, stress, quality of life, and participant satisfaction. Participants who are assigned to clinics that provide smoking cessation services will also be asked about the frequency of their participation in the smoking cessation services during the 12-month period.
CONCLUSIONS: This study will evaluate the effectiveness and feasibility of implementing smoking cessation services in outpatient primary care and community mental health clinics. It will also determine if there will be higher rates of smoking cessation in the implementation sites as compared to the sites with treatment as usual. If the implementation proves to be effective, the plan is to sustain these services using a workflow we will develop in the LAC-operated sites. This would lead to ameliorating the significant smoking cessation treatment gaps among those served within the LAC Health Agency departments.
BACKGROUND: ClinicalTrials.gov NCT04717544 \"Embedding comprehensive smoking cessation programs into community clinics.\" Registered on January 22, 2021.
方法:这是一个为期5年的实施,群集随机比较有效性试验,该试验将支持在LAC-LACDHS运营的门诊初级保健诊所和LAC-LACDMH运营的社区精神卫生诊所中实施戒烟服务.我们将从提供戒烟服务的诊所招募1000名参与者,从提供照常治疗的诊所招募200名参与者。参与者将被要求在基线时完成评估,3个月,6个月,和12个月。评估将包括吸烟史的自我报告,焦虑,压力,生活质量,参与者满意度。被分配到提供戒烟服务的诊所的参与者也将被问及他们在12个月期间参与戒烟服务的频率。
结论:本研究将评估在门诊初级保健和社区精神卫生诊所实施戒烟服务的有效性和可行性。它还将确定与照常治疗的场所相比,实施场所的戒烟率是否更高。如果实施被证明是有效的,该计划是使用我们将在LAC运营的站点中开发的工作流程来维持这些服务。这将导致改善LAC卫生局各部门之间的戒烟治疗差距。
背景:ClinicalTrials.govNCT04717544\“将全面戒烟计划纳入社区诊所。“2021年1月22日注册。