BREATHE Study Helps Patients Quit Smoking
UW-CTRI continues to partner with Aurora Health Care and Dean Clinic throughout southern Wisconsin on Breaking Addiction to Tobacco for Health (BREATHE), the first study to test a chronic-care model for patients who relapse to smoking with a factorial study design. Under the project, UW-CTRI has worked with Epic Systems of Verona to modify the electronic health record (EHR) systems at participating health clinics. Any smoker who visits a participating clinic, regardless of the initial reason for the visit, has been invited to get treatment through BREATHE.
Early Success
So far, 8380 people have been referred to the study and 2357 have enrolled. Enrollment in the smoking cessation project is complete with 623 participants–including Gary Behnke of Hartford, who quit smoking and shared his story:
Enrollment is complete for the project designed to motivate smokers to quit, with 577 participants. Another project that looks at long-term quitting is also full with 1157 participants.
It’s all thanks to a $12 million grant from the National Cancer Institute and National Institutes of Health. Many patients have expressed their appreciation for BREATHE, including Behneke.
“What makes this program to me so special is I had every reason for a lot of years to quit smoking and attempted to and it didn’t work,” he said.
“This did.”
Results
Petersen A, Mermelstein R, Berg KM, Baker TB, Smith SS, Jorenby D, Piper ME, Schlam TR, Cook JW. Offering Smoking Treatment to Primary Care Patients in Two Wisconsin Healthcare Systems: Who Chooses Smoking Reduction Versus Cessation? Preventive Medicine. 2017;105:332-336. [Full Text]
Berg K, Smith SS, Piper ME, Fiore MC, Jorenby DE. Identifying differences in rates of invitation to participate in tobacco treatment in primary care. WMJ. 2018;117(3):111-115. [Full Text]
Cook JW, Collins LM, Fiore MC, Smith SS, Fraser D, Bolt DM, Baker TB, Piper ME, Schlam TR, Jorenby DE, Loh WY, Mermelstein R. Comparative effectiveness of motivation phase intervention components for use with smokers unwilling to quit: a factorial screening experiment. Addiction. 2016;111(1):117-128. [Full Text]
Piper ME, Cook JW, Schlam TR, Jorenby DE, Smith SS, Collins LM, Mermelstein R., Fraser D, Fiore MC, Baker TB. A randomized controlled trial of an optimized smoking treatment delivered in primary care. Ann Behav Med. 2018;52(10:854-64).[Full Text]
Schlam TR, Cook JW, Baker TB, Hayes-Birchler T, Bolt DM, Smith SS, Fiore MC, Piper ME. Can we increase smokers’ adherence to nicotine replacement therapy and does this help them quit? Psychopharmacology. 2018;235:2065-2075. [Full Text]
Engle JL, Mermelstein R, Baker TB, Smith SS, Schlam TR, Piper ME, Jorenby DE, Collins LM, Cook JW. Effects of motivation phase intervention components on quit attempts in smokers unwilling to quit; a factorial experiment. Drug Alcohol Depend. 2019;197:149-157. [Full Text]
Baker TB, Smith SS, Bolt DM, Loh W-Y, Mermelstein R, Fiore MC, Piper ME, Collins LM. Implementing Clinical Research Using Factorial Designs: A Primer. Behavior Therapy. 2017;48(4):567-580. [Full Text]