Tobacco Use Cessation, Tobacco Use Disorder
Conditions
Keywords
Tobacco Use Disorder, Hospitalized patients, Text message, Motivational Interview, Substance-Related Disorders, Behaviors and Mental Disorders
Brief summary
This is an extension of a previous feasibility study (Clinical Trials Registry - NCT02571244). The actual study is a research aimed to compare the effectiveness of telephone counseling and personalized text messages (TM) for supporting post-discharge quit attempts among hospitalized smokers, with focus on smoking cessation as the main outcome. Smokers patients will receive brief interventions and nicotine replacement therapy during the hospitalization. After discharge smoker patients will be allocated into a intervention or control arm. In the first and third months, after randomization, the patients will be contact to smoke abstinence assessment.
Detailed description
This is an extension of a previous feasibility study (Clinical Trials Registry - NCT02571244). Background: Research suggests that smokers who receive treatment inside the hospital and post-discharge follow up for at least a month is most likely to quit smoking than those who didn't receive any intervention. The current challenge is to know the best way to support post-discharge quit attempts in the Brazilian context. Objective: The aim of this study is compare the effectiveness of personalized text messages (TM) and telephone counseling to support smoking cessation between post discharge patients. Methods: All patients admitted to the University Hospital of Juiz de Fora (HU/UFJF), between 06/2017 to 11/2018, will be asked about the cigarettes consumption in the last 30 days. Smokers patients will receive brief interventions and nicotine replacement therapy during hospitalization. After discharge these patients will be allocated into an intervention or control arm. The intervention group will receive mobile phone TM twice a day up to fifteen days. The control group will receive usual care (four telephone counseling sessions using motivational interviewing approach). Results: At the first and third months, after randomization, the patients will be contacted for smoke abstinence assessment.
Interventions
BEHAVIORALPhone counseling
Four telephone counseling sessions using a motivational interviewing approach
BEHAVIORALText message
30 messages (2 per day) and patients unwilling to quit 16 (2 per day). The messages follows the self efficacy theory. The messages follows the self efficacy theory.
Sponsors
University of Kansas Medical Center
Federal University of Juiz de Fora
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or older * Smoked cigarettes in the last 30 days (even a puff) * Have own mobile phone * Have received at least one text message in the last year * Have no problem with the mobile phone signal
Exclusion criteria
* Don't have a mobile phone * Unstable cognitive or physical condition * Physical or breath contact restrictions * Intensive care units
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self Reported Smoking Abstinence | Smoking abstinence at the first month after randomization | No smoking (even a puff) in the past 7 days at the first month follow up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self Reported Smoking Abstinence | Smoking abstinence at the third month after randomization | No smoking (even a puff) in the past 7 days at the third month after randomization. |
| Carbon monoxide verified Smoking Abstinence | At third-month follow up | Carbon monoxide verified Smoking Abstinence at third-month follow up. Abstinence defined as Carbon monoxide ≤ 6. |
| Reduction of Daily Cigarettes Consumption From Baseline | At the third month after randomization | The self reported daily cigarettes consumption at the third month after randomization will be compared to the baseline. |
Countries
Brazil
Outcome results
None listed