RecruitingPhase 4NCT07220356

C-Raven, a Virtual Tobacco Cessation Intervention in Residency Clinics

C-Raven: Pilot RCT of an Avatar-delivered Computerized Intervention for Tobacco Cessation With Community Health Worker Linkage to Lung Cancer Screening in Baltimore City (FY26)

Sponsor

Johns Hopkins University

Enrollment

30 participants

Start Date

Dec 10, 2025

Study Type

INTERVENTIONAL

Conditions

Tobacco Dependence

Summary

In a residency clinic in Baltimore, the investigators propose to conduct a pilot RCT comparing a) an avatar-delivered computerized intervention (CI) for tobacco cessation augmented with CHW support and navigation to lung cancer screening to b) a waitlist control. With a sample of participants from the residency clinic (N=30), the investigators will collect data on feasibility of recruitment, intervention engagement and completion, and short-term smoking cessation outcomes. Individuals will be assessed at baseline, 1 month, 3 months, and 6 months. The investigators will conduct interviews with a subset of pilot participants to collect qualitative data on intervention acceptability.

Eligibility

Min Age: 50 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a virtual (computer-based) tobacco quitting program called C-Raven, delivered inside residency clinics (doctor training clinics). The goal is to help older smokers quit by making cessation support more accessible during routine medical visits. **You may be eligible if...** - You are 50 years old or older - You currently smoke tobacco and have smoked more than 100 cigarettes in your lifetime - You are thinking about quitting - You plan to stay in the local area for at least 6 months - You speak English **You may NOT be eligible if...** - You have a medical reason you cannot use nicotine replacement therapy - You are already enrolled in a formal quit-smoking program - You have significant cognitive or psychiatric impairment - You have severe hearing loss - The study doctor determines you are not a good fit Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALC-Raven Virtual Tobacco Cessation Counseling

A two-module tobacco cessation intervention that involves interaction with a virtual counselor and includes instruction about addiction and the use of pharmacotherapy for cessation. Each module takes approximately 20 minutes to complete.

DRUGNicotine Replacement Product

Participants will be offered up to a 12-week supply of nicotine patches and either nicotine gum or lozenges.

OTHERCommunity Health Worker

A community health worker will meet with each participant throughout the study period to teach appropriate NRT usage, discuss barriers/facilitators to NRT use and cessation, conduct shared decision-making about lung cancer screening, and provide health system navigation when needed.

OTHERLung Cancer Screening

After participating in shared decision-making, eligible participants will be referred to primary care physician or existing specialist to complete lung cancer screening.

Locations(1)

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States

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NCT07220356

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