Nicotine Dependence, Cigarettes
Conditions
Brief summary
This study aims to pilot a method of collecting the post-discharge follow-up data required by the Joint Commission Tobacco Measure Set, using text messages sent to and received from patients' cellular-telephones. It also aims to assess whether specially designed relapse prevention text messages designed to encourage abstinence from smoking, can increase the proportion of smokers who remain abstinent during the first month after discharge from hospital.
Detailed description
Participants will be those who are hospitalized at Hershey Medical Center and are interested in help to stay quit when they leave the hospital.
Interventions
BEHAVIORALMotivational Text Messages
Motivational text messages in addition to survey questions about smoking status
BEHAVIORALControl
Only survey questions about smoking status
Sponsors
Milton S. Hershey Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Total length of hospital stay at least 24 hours * Free of cognitive impairment * Read and speak English * Smoked at least 20 cigarettes in 30 days prior to entering the hospital * Willing to give up all forms of tobacco * Has a cell phone capable of receiving text messages (cell phone is powered on and charged)
Exclusion criteria
* Patient has been admitted for a transplant * Patient has Intensive Care status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete Self-reported Tobacco Abstinence During the Prior 7 Days, as Reported on Telephone Interview, 28 Days After Discharge From Hospital (With Biochemical Verification in a Sub-sample, Exhaled Carbon-monoxide < 10 Parts Per Million). | 28 days | Abstinence rate at 28 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants Providing Smoking Cessation Status Via Text Message | 28 days | proportion of participants providing data about smoking status via text message at 28 days |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Motivational Text Messages Motivational text messages to help participants stay quit when they leave the hospital.
Motivational Text Messages: Motivational text messages in addition to survey questions about smoking status | 70 |
| Control Text messages to ask about current smoking status.
Control: Only survey questions about smoking status | 70 |
| Total | 140 |
Baseline characteristics
| Characteristic | Motivational Text Messages | Control | Total |
|---|---|---|---|
| Age, Continuous | 41.1 years STANDARD_DEVIATION 13.3 | 42.5 years STANDARD_DEVIATION 13.3 | 41.8 years STANDARD_DEVIATION 13.2 |
| Sex: Female, Male Female | 44 Participants | 40 Participants | 84 Participants |
| Sex: Female, Male Male | 26 Participants | 30 Participants | 56 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 70 | 0 / 70 |
| other Total, other adverse events | 0 / 70 | 0 / 70 |
| serious Total, serious adverse events | 0 / 70 | 0 / 70 |
Outcome results
Primary
Complete Self-reported Tobacco Abstinence During the Prior 7 Days, as Reported on Telephone Interview, 28 Days After Discharge From Hospital (With Biochemical Verification in a Sub-sample, Exhaled Carbon-monoxide < 10 Parts Per Million).
Abstinence rate at 28 days
Time frame: 28 days
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Motivational Text Messages | Complete Self-reported Tobacco Abstinence During the Prior 7 Days, as Reported on Telephone Interview, 28 Days After Discharge From Hospital (With Biochemical Verification in a Sub-sample, Exhaled Carbon-monoxide < 10 Parts Per Million). | 31 Participants |
| Control | Complete Self-reported Tobacco Abstinence During the Prior 7 Days, as Reported on Telephone Interview, 28 Days After Discharge From Hospital (With Biochemical Verification in a Sub-sample, Exhaled Carbon-monoxide < 10 Parts Per Million). | 26 Participants |
Secondary
Proportion of Participants Providing Smoking Cessation Status Via Text Message
proportion of participants providing data about smoking status via text message at 28 days
Time frame: 28 days
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Motivational Text Messages | Proportion of Participants Providing Smoking Cessation Status Via Text Message | 13 Participants |
| Control | Proportion of Participants Providing Smoking Cessation Status Via Text Message | 36 Participants |