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CTN Webinar: Testing Chronic Care Models for Tobacco Use Disorder
September 20, 2017 @ 1:00 pm - 2:00 pm
The CTN Web Seminar Series presents: Anne Joseph, MD, MPH.
Treatment of tobacco use disorder is challenging, and many smokers require multiple quit attempts before they achieve long term abstinence. Nevertheless, typical treatment is based on a discrete model of care lasting 8-12 weeks, with little attention to how or if treatment should be modified in subsequent quit attempts. This presentation will describe two randomized clinical trials for smoking cessation. The Tobacco Longitudinal Care (TLC) study showed that a chronic care model significantly improved long-term quit rates compared to usual care. The Program for Lung Cancer Screening and Tobacco Treatment (PLUTO) is a sequential multiple assignment randomized trial (SMART) that includes three potential randomizations for current smokers who are undergoing lung cancer screening with low dose CT scanning.
LEARNING OBJECTIVES
- Discuss the relevance of longitudinal care treatment interventions for substance use treatment.
- Review the strengths and weaknesses of a sequential multiple assignment randomized trial (SMART) for substance use treatment interventions.
- Consider the challenges of implementing a chronic care treatment model for substance use treatment.
- Evaluate the relevance of the tobacco use disorder example to investigations of marijuana, opiates, or other drug treatment.