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The purpose of this study is to determine if Intensive Referral Intervention increases motivation to quit cigarette smoking and quitting-related behaviors in probationers and also to determine if Intensive Referral Intervention improves short-term substance use outcomes in probationers with substance use disorder.
This is a longitudinal study of adults on probation who have a Substance Use Disorder (SUD) and smoke cigarettes. One-half of probation officers will be trained in the Intensive Referral Intervention (IRI) while one-half will deliver Standard Practice which is to encourage support group attendance. Research staff will assess fidelity to the IRI in trained probation officers. The investigators propose to enroll 150 probationers over a four month period and complete 3 and 6-month follow-up interviews to assess smoking and substance use measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intensive Referral Intervention Group | Experimental | Intensive Referral Intervention will by done by trained probation officers |
|
| Standard Practice Facilitated Group | Active Comparator | Standard Current Practice will be provided by untrained probation officers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intensive Referral Intervention Group | Behavioral | The Intensive Referral Intervention Group will review a series of pamphlets regarding participation in 12-step meetings as well as smoking cessation that will be presented in a group setting to probationers in 3 sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Motivation measured by Fagerstrom Test | Increased Motivation to quit cigarette smoking in probationers as indicated by change in Fagerstrom Test for Nicotine Dependence | 6 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Timeline Follow-back Calendar | Improved short term substance use outcomes as indicated by change in Timeline Follow-back Calendar | 6 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Motivation measured by Readiness to Quit Ladder | Increased Motivation to quit cigarette smoking in probationers as indicated by a change in Readiness to Quit Ladder | 6 Months |
| Motivation measured by QSU-Brief Questionnaire for Smoking Urges |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kathleen M Grant, MD | University of Nebraska | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unversity of Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
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| ID | Term |
|---|---|
| D016540 | Smoking Cessation |
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| Standard Practice Facilitated Group | Behavioral | The Standard Practice Facilitated Group will receive 3 sessions of the current standard practice for facilitated groups. |
|
Increased Motivation to quit cigarette smoking in probationers as indicated by a change in QSU-Brief Questionnaire for Smoking Urges
| 6 Months |