RECRUITING

Contingency Management for Veteran Smokers Undergoing Major Elective Surgery

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of this study is to design and test the first mobile contingency management (CM) smoking cessation intervention for military Veterans undergoing major elective surgery. Smoking is the leading risk factor for postoperative complications and is associated with longer hospital stays, reoperations, and 30-day mortality. Smoking rates among patients undergoing major elective surgery are high, 22.3-43.0%. It is imperative to identify efficacious, strategically timed smoking cessation interventions for surgery patients. CM incentivizes smoking cessation through positive reinforcement (rewards) when bioverified abstinence is achieved. To ensure feasibility, CM must be tailored to the clinical context. CM for smoking cessation has never been delivered before and after major surgery, nor has mobile CM bioverification been trialed perioperatively. The investigators will develop and test a tailored mobile smoking cessation CM protocol for Veterans undergoing major elective surgery.

Official Title

Contingency Management for Veteran Smokers Undergoing Major Elective Surgery

Quick Facts

Study Start:2025-01-02
Study Completion:2026-07-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06678672

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * English-speaking;
  2. * Veteran enrolled in healthcare at SFVAHCS;
  3. * Veteran scheduled for major elective surgery within the next 6 weeks (including but not limited to: general, spinal, thoracic, vascular, urological, gynecological, orthopedic, gender affirming). Veterans, who are followed at SFVAHCS by Primary Care and are referred to outside institutions for major surgery (e.g., gynecological or gender-affirming surgeries) are also eligible to participate;
  4. * Current (past 30 days) cigarette smoking a minimum of 2 cigarettes per day (average), assessed by Timeline Followback (TLFB);
  5. * Open to receiving smoking cessation interventions.
  1. * Untreated, current, active problem gambling, assessed by medical record diagnosis and/ or Problem Gambling Severity Index (PGSI) score ≥ 8;
  2. * Enrollment in end of life/ palliative care;
  3. * Surgery with a clinical indication for cancer;
  4. * Unable to meet time commitment;
  5. * Currently pregnant or planning to become pregnant during the study (people of childbearing potential ages 18-55);
  6. * A suicide attempt or suicidal ideation with intent in the 30 days before enrollment;
  7. * Concurrent participation in another tobacco cessation trial.

Contacts and Locations

Study Contact

Ellen Herbst, MD
CONTACT
415-221-4810
ellen.herbst@va.gov
Yim Fan (Christy) Wong, BS
CONTACT
(415) 221-4810
yimfan.wong@va.gov

Principal Investigator

Ellen Herbst, MD
PRINCIPAL_INVESTIGATOR
San Francisco VA Health Care System

Study Locations (Sites)

San Francisco VA Health Care System
San Francisco, California, 94121
United States

Collaborators and Investigators

Sponsor: University of California, San Francisco

  • Ellen Herbst, MD, PRINCIPAL_INVESTIGATOR, San Francisco VA Health Care System

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-01-02
Study Completion Date2026-07-01

Study Record Updates

Study Start Date2025-01-02
Study Completion Date2026-07-01

Terms related to this study

Keywords Provided by Researchers

  • Tobacco
  • Contingency Management
  • Surgery

Additional Relevant MeSH Terms

  • Tobacco Use Disorder
  • Substance Use Disorder (SUD)