Smokeless Tobacco Cessation
Conditions
Keywords
smokeless tobacco, text message, tobacco cessation, tobacco
Brief summary
The purpose of this study is to evaluate the feasibility, acceptability and preliminary efficacy of a Scheduled Gradual Reduction (SGR) intervention via Short Message Service (SMS) text messaging plus SMS Support Messages in decreasing smokeless tobacco use in a rural population.
Detailed description
Participants will be randomized to either the Scheduled Gradual Reduction (SGR) group or the control group. All participants in both groups will complete surveys at the baseline, end of program, and 6 month time points. All participants in both groups will also receive supportive counseling text messages at various times during the day over a period of 4 weeks. Participants assigned to the SGR intervention group will receive their intervention, in addition to the supportive counseling messages received by the control group, via text message over a period of four weeks. Participants will initially report their smokeless tobacco use according to their usual habit, and over the course of the intervention be directed via text message precise times to start and stop each instance of smokeless tobacco use, gradually reducing the occurrences of use.
Interventions
BEHAVIORALScheduled Gradual Reduction (SGR)
Participants in this group will group will receive the Scheduled Gradual Reduction (SGR) smokeless tobacco cessation reduction intervention via text message over a period of four weeks. Participants will initially report their smokeless tobacco use according to their usual habit, and over the course of the intervention be directed via text message precise times to start and stop each instance of smokeless tobacco use, gradually reducing the occurrences of use. In addition, this group will also receive the support messages that are sent to the control group.
BEHAVIORALText Messages
Participants in this group will receive text messages about smokeless tobacco cessation in the form of counseling messages at various times throughout the day over a period of four weeks.
Sponsors
National Cancer Institute (NCI)
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Over 18 years of age * Have used smokeless tobacco for the last year, currently (past 30 days) uses smokeless tobacco daily, and use of at least one or more tins/cans per week * Have an address in a rural census tract defined by a RUCA code of 4-10. * Interested in participating in a cessation program * Have access to a cell phone with unlimited texting ability and have knowledge of text messaging
Exclusion criteria
* Non-English speaking * Have smoked cigarettes or used any other tobacco product in the past 30 days (i.e., dual user) * Currently participating in a smokeless tobacco cessation study * Family member participating in a smokeless tobacco cessation study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Return Text Messages sent in Response to SGR Intervention | 1 month | Assessed via text history |
| Proportion of Support Messages Read by Participants | 1 month | Self-report |
| Ratings of Usefulness of the Intervention Received | 1 month | Ratings will be assessed via patient questionnaire. |
| Quit Rate at 1 month | 1 month | Quit rate will be assessed by participant self report via questionnaires. Participants will also be asked to provide a saliva sample to check for nicotine if they report that they have quit using smokeless tobacco. |
| Quit Rate at 6 Months | 6 months | Quit rate will be assessed by participant self report via questionnaires. Participants will also be asked to provide a saliva sample to check for nicotine if they report that they have quit using smokeless tobacco. |
Countries
United States
Outcome results
None listed