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Should smokers be automatically signed up for quit programs?

NCT ID NCT03477435

Disease control Sponsor: VA Office of Research and Development Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study compares two approaches to helping smokers quit: an opt-out method where everyone is automatically referred unless they say no, versus an opt-in method where people must actively sign up. Over 1,300 veterans at VA clinics in New York are taking part. The goal is to see which approach leads to more people accepting and using quitline or text-messaging support.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Staff training and academic detailing
What this could lead to
If it works, this could show that an opt-out approach gets more smokers into treatment and helps more people quit.
What could go wrong
This is a behavioral study, not a drug trial. Results may not apply outside VA clinics, and self-reported quit rates can be unreliable.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

1,365 people

The number who actually took part.

Started

Aug 2019

Expected to finish

Apr 2027

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a US federal agency other than the NIH.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

Children (under 18), adults (18 to 64) and older adults (65 and over)

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Survey Cohort -- Have been seen by an NA on the PACT team in the past 12 months at the Manhattan or Brooklyn VA campus AND Current smoker * Nursing Assistants/Registered Nurses -- Work on a PACT at the Manhattan or Brooklyn VA campus * Administrative Cohort -- Have been seen by a PACT team at the Manhattan or Brooklyn VA campus AND Current smoker * Patient Post-Visit Survey Population -- Had a visit with an NA/RN included in the study AND Current smoker Exclusion Criteria: * Survey Cohort -- Non-English speaking * Nursing Assistants/Registered Nurses -- None * Administrative Cohort -- None * Patient Post-Visit Survey Population -- Non-English speaking

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Conditions

The condition(s) this trial relates to.

nicotine dependence Smoking Smoking Cessation Tobacco Use

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Tobacco use

Contacts and locations

Locations

  • VA NY Harbor Healthcare System, New York, NY

    New York, New York, 10010-5011, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.