Feasibility, Acceptability and Fidelity of Integrating a Navigation Intervention Into Tobacco Treatment Program

Fox Chase Cancer Center93 enrolled

Overview

Patient Navigation is being included as part of a tobacco treatment program for cancer patients to help patients overcome barriers to quitting.

The primary objective of this prospective, interventional pilot study is to assess the feasibility, acceptability and fidelity of a navigation intervention embedded into the clinical Tobacco Treatment Program. The investigators will employ a pre-post design with two cohorts (30 to the pre-intervention, and 90 to the intervention, respectively) to address the specific aims of the study.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Cancer

Interventions

Adjuvant Patient Navigation for Tobacco TreatmentBEHAVIORAL

Patients in the study meet with the Patient Navigator two weeks after their first tobacco treatment visit and again after their second visit with the Tobacco Treatment Provider. The Patient Navigator will discuss psychosocial and other cessation barriers. The Patient Navigator will connect the patients with appropriate resources to help overcome these barriers.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with a cancer diagnosis. Patients may be undergoing active therapy or may have completed treatment. 2. English speaking. 3. Age \> 18 years. 4. Active tobacco cigarette user, defined as having smoked a cigarette within the 30 days prior to enrollment.

Locations (1)

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Feasibility of Integrating Navigation into Tobacco Treatment Program

The number of patients who enroll and consent to receiving the tobacco treatment program navigation intervention. Feasibility will be obtained if at least 60% consent and enroll.

Time frame: Prior to first TTP visit - consented and enrolled

Patient Acceptability of Navigation in Tobacco Treatment - Patient Recommendation

The number of patients who state they would likely or highly likely to recommend the service to other cancer patients. Acceptability will obtained if 70% of patients likely recommend the service.

Time frame: One and six months post initial navigation intervention

Provider Implementation of the Intervention -Fidelity to Protocol

The number of patients who receive the two primary components of the navigation intervention, assessing tobacco cessation barriers and psychosocial barriers. Fidelity will be achieved if 80% of cases include both elements measured through a review of the navigation case management system.

Time frame: Baseline to 6 months

Fidelity of Utilization of Navigation Intervention - Patient Participation

Number of patients who had at least 2 navigation encounters. Fidelity will be achieved if 80% of patients have a minimum of 2 navigation encounters through the navigation case management review.

Time frame: Baseline to 6 months

Secondary Outcomes

7-Day Point Prevalence

7-Day point prevalence of tobacco will be assessed at six month follow up.

Time frame: Six months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.