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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03524482
Other study ID # CASE1Y18
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date April 1, 2018
Est. completion date August 20, 2018

Study information

Verified date March 2019
Source Case Comprehensive Cancer Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this research is to study a smoking cessation program for adult smokers in Northeast Ohio. The study will also look at how different people respond to the program.

The study includes completing surveys and receiving text messages to help participants become tobacco free.


Description:

OBJECTIVES Specific Aim 1: Translate a culturally specific video-based tobacco use intervention into a scalable mobile health (mhealth) format.

Specific Aim 2: Conduct a pilot study of the video-text intervention.

Study Design:

2-arm semi-pragmatic randomized design among current tobacco users

Cuyahoga Metropolitan Housing Authority residents will be randomly assigned to receive (1) the newly translated Path2Quit or (2) SmokeFreeText (NCI's publicly available, standard text messaging program) combined with brief behavioral counseling session plus 2 weeks of nicotine replacement therapy (NRT). Primary outcomes will include intervention evaluations (content and format), acceptability, coping strategies, engagement, and NRT adherence. Secondary variables will include 24-hour quit attempts and biochemically verified tobacco use abstinence at the 1-month follow-up. Exploratory mediational analyses will examine the roles of urban hassles, acculturation, neighborhood environment, ethnic discrimination, and psychological distress in intervention effects.


Recruitment information / eligibility

Status Completed
Enrollment 119
Est. completion date August 20, 2018
Est. primary completion date August 20, 2018
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Self-identify as African American

- Either smoke at least 1 cigarettes/day or have a carbon monoxide (CO) reading of at least 4 ppm

- Consistent with SmokefreeTXT, be willing to set a quit date within the next 14 days.

- Recruited from Cleveland metropolitan housing authority or who report low income based on federal guidelines

Exclusion Criteria:

- Does not meet all of the above inclusion criteria

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
SmokeFreeText
SmokefreeTXT is a 6-8 week fully automated text-based cessation intervention. The program is free to U.S. subscribers who have a mobile phone, and is available on smokefree.gov or by texting "QUIT" to short code 47848. Participants are encouraged to set a quit date within the next 14 days, followed by count-down messages leading to the quit date. Starting on the quit date, participants receive 6 weeks of intervention text messages, and assessment questions (mood, cravings, smoking status). The message library contains 166 messages and 41 behavior change techniques,40 which are delivered at the greatest frequency during the first 2 weeks and taper over time. When in need of assistance, participants can text one of 3 keywords (MOOD, CRAVE, or SLIP) to receive a relevant message from the system. Participants can opt-out by texting STOP at any time. With informed consent, we will be able to access the SmokefreeTXT data for these participants.
Path2Quit
Path2Quit will deliver 20-60 second video clips by multimedia messaging service. The message library will include 75-170 messages. Written text messages will be limited to brief phrases to indicate the topic of the video. Messages will be pushed to participants in the morning, in the afternoon, and 2 hours before the reported usual bedtime. The cultural adaptations will be infused throughout the video segments. Topics include deep structure: race and smoking in general, African American smoking statistics; norms for smoking; concerns about nicotine replacement/medication; family/collectivism; unique stressors; racism/discrimination, depression; co-morbid addiction; neighborhood/environmental influences; menthol cigarettes; race-specific weight issues and concerns; and working as a community against the tobacco industry.

Locations

Country Name City State
United States Case Western Reserve University, Case Comprehensive Cancer Center Cleveland Ohio

Sponsors (1)

Lead Sponsor Collaborator
Case Comprehensive Cancer Center

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Average scores of Urban hassles This is a 63 item scale scored 0-5 (total score 0-315) where higher scores indicate more severe hassle Changes from baseline to 1 month follow-up
Other Average Neighborhood Environment scale score The neighborhood environment scale is an 18 item True or False scale At Baseline
Other Average General Ethnic Discrimination Scale Score This is a measure of ethnic discrimination. These 16 items are scored 1-6 (total score 16-96) with higher scores indicating greater levels of ethnic discrimination At baseline
Other Average psychological distress score using the the perceived stress scale A ten item scale with each item scored 0-4 (total score 0-40) where higher scores indicate more stress. Positive items are scored in reverse. At baseline
Other Average depression score using Center for Epidemiological Studies Depression (CES-D) Scale A twenty item scale ranging from 0-60 with each item scored 0-3. Higher scores indicate more depression At baseline
Other Average Beliefs and Attitudes Survey Score This is a 24 item scale (total range 24-168) with each item scored 1-7. Higher scores indicate greater levels of agreement At baseline
Other Average Ethnic Identity Score This is based on the Multigroup Ethnic Identity Measure scale. These five items are scored 1-4 for a total score of 5-20. Higher scores indicate stronger ethnic identity At baseline
Other Average Culturally Specific Interventions Expectancy Questionnaire The Culturally Specific Interventions Expectancy Questionnaire is a 2 item scale with each item ranging 1-5 (total score 2-10) where higher scores indicate greater agreement. At baseline
Primary Proportion of participants who abstain from smoking Abstinence will be coded as a binary variable. Analysis will be conducted with an intent to treat approach At 1-month follow-up
Secondary Number of missed nicotine replacement therapy doses Measure of NRT adherence. Number of missed doses will be recorded for each participant Up to 1-month follow-up
Secondary 24-Hour quit attempts Number of times a participant quits smoking for at least 24 hours At 1-month follow-up
Secondary Changes in carbon monoxide breath levels from baseline to followup Breath carbon monoxide tests will biochemically confirm self-reported cessation At 1-month follow-up
Secondary Changes in Contemplation ladder score self-reported score 0-10 where a higher score indicates more readiness to quit From baseline to up to 1-month follow-up
Secondary Average score of Intervention Evaluation (IRQ) The IRQ is a 22 item scale scored 0-7 (total score 0-154) where higher scores indicate more satisfaction At 1-month follow-up
Secondary Average score of smoking urges This brief, 10 item scale is scores 1-7 (total score 10-70) with higher scores indicating greater agreement Up to 1-month follow-up
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