TY - JOUR
T1 - Interventions for Increasing Digital Equity and Access (IDEA) among rural patients who smoke
T2 - Study protocol for a pragmatic randomized pilot trial
AU - Patten, Christi
AU - Brockman, Tabetha
AU - Kelpin, Sydney
AU - Sinicrope, Pamela
AU - Boehmer, Kasey
AU - St. Sauver, Jennifer
AU - Lampman, Michelle
AU - Sharma, Pravesh
AU - Reinicke, Nicole
AU - Huang, Ming
AU - McCoy, Rozalina
AU - Allen, Summer
AU - Pritchett, Joshua
AU - Esterov, Dmitry
AU - Kamath, Celia
AU - Decker, Paul
AU - Petersen, Carolyn
AU - Cheville, Andrea
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/8
Y1 - 2022/8
N2 - Background: Cigarette smoking prevalence is higher among rural compared with urban adults, yet access to cessation programming is reduced. The Increasing Digital Equity and Access (IDEA) study aims to evaluate three digital access and literacy interventions for promoting engagement with an online evidence-based smoking cessation treatment (EBCT) program among rural adults. Methods: The pilot trial will use a pragmatic, three-arm, randomized, parallel-group design with participants recruited from a Midwest community-based health system in Minnesota, Wisconsin, and Iowa. All participants will receive an online, 12-week, EBCT program, and written materials on digital access resources. Participants will be stratified based on state of residence and randomly assigned with 1:1:1 allocation to one of three study groups: (1) Control Condition-no additional study intervention (n = 30); (2) Loaner Digital Device-Bluetooth enabled iPad with data plan coverage loaned for the study duration (n = 30); (3) Loaner Digital Device + Coaching Support–loaner device plus up to six, 15–20 min motivational interviewing-based coaching calls to enhance participants' digital access and literacy (n = 30). All participants will complete study assessments at baseline and 4- and 12-weeks post-randomization. Outcomes are cessation program and trial engagement, biochemically confirmed smoking abstinence, and patient experience. Results: A rural community advisory committee was formed that fostered co-design of the study protocol for relevance to rural populations, including the trial design and interventions. Conclusion: Study findings, processes, and resources may have relevance to other health systems aiming to foster digital inclusion in smoking cessation and chronic disease management programs and clinical trials in rural communities.
AB - Background: Cigarette smoking prevalence is higher among rural compared with urban adults, yet access to cessation programming is reduced. The Increasing Digital Equity and Access (IDEA) study aims to evaluate three digital access and literacy interventions for promoting engagement with an online evidence-based smoking cessation treatment (EBCT) program among rural adults. Methods: The pilot trial will use a pragmatic, three-arm, randomized, parallel-group design with participants recruited from a Midwest community-based health system in Minnesota, Wisconsin, and Iowa. All participants will receive an online, 12-week, EBCT program, and written materials on digital access resources. Participants will be stratified based on state of residence and randomly assigned with 1:1:1 allocation to one of three study groups: (1) Control Condition-no additional study intervention (n = 30); (2) Loaner Digital Device-Bluetooth enabled iPad with data plan coverage loaned for the study duration (n = 30); (3) Loaner Digital Device + Coaching Support–loaner device plus up to six, 15–20 min motivational interviewing-based coaching calls to enhance participants' digital access and literacy (n = 30). All participants will complete study assessments at baseline and 4- and 12-weeks post-randomization. Outcomes are cessation program and trial engagement, biochemically confirmed smoking abstinence, and patient experience. Results: A rural community advisory committee was formed that fostered co-design of the study protocol for relevance to rural populations, including the trial design and interventions. Conclusion: Study findings, processes, and resources may have relevance to other health systems aiming to foster digital inclusion in smoking cessation and chronic disease management programs and clinical trials in rural communities.
KW - Access
KW - Digital
KW - Intervention
KW - Literacy
KW - Rural
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=85133194316&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85133194316&partnerID=8YFLogxK
U2 - 10.1016/j.cct.2022.106838
DO - 10.1016/j.cct.2022.106838
M3 - Article
C2 - 35760340
AN - SCOPUS:85133194316
SN - 1551-7144
VL - 119
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
M1 - 106838
ER -