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The purpose of this study is to develop an evidence-based Tobacco Tactics website tailored to veterans based on an intervention tested in the VA.
Despite the detrimental effects of smoking, approximately 33% of veterans continue to smoke compared to approximately 21% of the general population. While efficacious cessation interventions are available, implementation of cessation interventions remains a challenge and new intervention strategies are needed to reach veterans. VA cessation providers recently met in Atlanta and one recommendation was to develop a cessation website for veterans. The evidence-based Tobacco Tactics website will be designed, pre-tested, and pilot tested as an intervention to assist veteran smokers to quit smoking. The efficacy of the website will then be tested in a subsequent randomized control trial (RCT). If the website proves efficacious, it would decrease morbidity and mortality among veterans, decrease face-to-face cessation intervention time for providers, and reach veterans in areas all over the country, perhaps through the VA "My Healthy Vet" website. This is a Phase 1 behavioral clinical trial designed to develop and pilot test a web-based Tobacco Tactics intervention tailored to veteran smokers. First, we will outline the specific content areas to be addressed. Second, we will develop the Tobacco Tactics intervention with our web designer in accordance with VA Web Operations. Third, a member of the research team will go through the website with the 5 veteran smokers obtaining feedback and noting any problems that occur. Fourth, with human studies approval, we will pilot test the impact of the intervention with 9 veteran smokers recruited to quit smoking using the Tobacco Tactics website. A research nurse will:
Formative evaluation during pre-testing will include qualitative feedback on the:
For the 9 veteran smokers that actually try to use the Tobacco Tactics website to quit smoking, we will be able to determine:
Impact evaluation will be the 30 day quit rates of the 9 veteran smokers that agree to use the website.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tobacco Tactics Website | Experimental | Nine veteran smokers who will pilot test the Tobacco Tactics website |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tobacco Tactics website | Behavioral | Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers |
|
| Measure | Description | Time Frame |
|---|---|---|
| Self Reported 30 Day Smoking Quit Rate | Impact evaluation was the 30-day quit rates of the 9 veteran smokers that agreed to use the website. | 30 days post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Feedback to Evaluate the Website | Formative evaluation during pre-testing included qualitative feedback on the: 1) ability to accomplish tasks; 2) ability to accomplish goals with skill and speed; 3) ability to operate the system; and 4) satisfaction. For the 9 veteran smokers that actually tried to use the Tobacco Tactics website to quit smoking, we were able to determine: 1) the number of times they signed onto the website; 2) the time spent on the website; and 3) the number of times each module was accessed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sonia A. Duffy, PhD MS RN | VA Ann Arbor Healthcare System, Ann Arbor, MI | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Ann Arbor Healthcare System, Ann Arbor, MI | Ann Arbor | Michigan | 48105 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23811612 | Result | Duffy SA, Fowler KE, Flanagan PS, Ronis DL, Ewing LA, Waltje AH. The development of the tobacco tactics website. JMIR Res Protoc. 2013 Jun 28;2(2):e22. doi: 10.2196/resprot.2445. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Tobacco Tactics Website | Nine veteran smokers who will pilot test the Tobacco Tactics website Tobacco Tactics website: Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Tobacco Tactics Website | Nine veteran smokers who will pilot test the Tobacco Tactics website Tobacco Tactics website: Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Self Reported 30 Day Smoking Quit Rate | Impact evaluation was the 30-day quit rates of the 9 veteran smokers that agreed to use the website. | Posted | Number | participants | 30 days post intervention |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tobacco Tactics Website | Nine veteran smokers who will pilot test the Tobacco Tactics website Tobacco Tactics website: Pilot test the Tobacco Tactics website tailored to the needs of veteran smokers |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sonia A. Duffy, Ph.D., R.N., FAAN | VA Center for Clinical Management Research Health Services Research & Development, VA Ann Arbor Healthcare System, Ann Arbor, MI. | 734.395.0613 | Sonia.Duffy@va.gov |
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| ID | Term |
|---|---|
| D012907 | Smoking |
| D016540 | Smoking Cessation |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D015438 | Health Behavior |
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| 30 days post intervention |
| years |
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| Age, Categorical | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Secondary | Patient Feedback to Evaluate the Website | Formative evaluation during pre-testing included qualitative feedback on the: 1) ability to accomplish tasks; 2) ability to accomplish goals with skill and speed; 3) ability to operate the system; and 4) satisfaction. For the 9 veteran smokers that actually tried to use the Tobacco Tactics website to quit smoking, we were able to determine: 1) the number of times they signed onto the website; 2) the time spent on the website; and 3) the number of times each module was accessed. | Posted | Number | participants | 30 days post intervention |
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| 0 |
| 9 |
| 0 |
| 9 |
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| Title | Measurements |
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