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Reach Through Equitable Implementation in Utah
Reach Through Equitable Implementation in Utah (REI-UT)
Who can join
Ages 18 and older · All sexes
Full eligibility criteria
Inclusion Criteria: * ≥ 18 years of age * Speak English or Spanish * Currently use tobacco * Live in a persistent poverty census tract * Present at participating clinics * Valid cell phone number in the electronic health record (EHR) * Electronic health records indicate they have not opted out of receiving text contact from the clinic Exclusion Criteria: * Opt-out of study
About the study
The goal of this pragmatic, multilevel Type III Hybrid Effectiveness-Implementation trial is to increase the reach of existing evidence-based interventions (EBIs) for tobacco cessation and to mitigate the impact of adverse Social Drivers of Health (SDOH) among safety-net healthcare system patients who live in persistent poverty (PP) census tracts.
Aim 1: Test the ability of patient-level Conversational Agents (CA) \& Patient Navigation (PN) dissemination strategies to increase the Reach (primary outcome) of evidence-based tobacco cessation treatment delivered via the Utah Tobacco and Nicotine Quit Services (Quit Services) among Community Health Center (CHC) patients who use tobacco and live in persistent poverty census tracts. Secondary analyses will examine the outcome of Reach of services for SDOH among these patients and will evaluate both 1) patient-level CA and PN dissemination strategies and 2) a clinic-level implementation strategy using a pre-post design.
Aim 2: Explore contextual factors (e.g., clinic size, patient composition, rurality, patient demographics) related to the Reach, Adoption, Implementation, and potential Maintenance of strategies.
Aim 3: Determine the cost-effectiveness of clinic and patient-level strategies based on Quit Services enrollment and service receipt for SDOH.
This trial implements a clinic-level implementation strategy, Ask-Advise-Connect (AAC), to address tobacco cessation and needs around social drivers of health for patients in all participating clinics. Eligible patients who are not enrolled in Quit Services four weeks after the clinical encounter, will receive text messages from a chatbot offering information and connections to the Quit Services and patient navigation support from a Community Health Worker.
What is being tested
- Clinic Level: AAC - SDOH, AAC - Tobacco (behavioral)
- Non-Bundled (behavioral)
- Bundled (behavioral)
- Dose 1 (behavioral)
- Dose 3 (behavioral)
- Dose 6 (behavioral)
Sponsor: University of Utah · Participants: 1,560 · Started: Feb 13, 2025
Contact the study team
- Chelsey Schlechter, PhD · Phone: 801-213-5704
- Chelsey Schlechter, MPH, PhD · Phone: 801-213-5704
Official record on ClinicalTrials.gov — NCT06881069
Locations in the U.S.
| Utah | Huntsman Cancer Institute at the University of Utah, Salt Lake City |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.