Cigarette Smoking, Nicotine Dependence, Smoking Cessation, Tobacco Use
Conditions
Keywords
smoking, social media, LGBT, sexual and gender minority, nicotine replacement therapy, digital interventions
Brief summary
This research study will evaluate the preliminary efficacy of Pride Posts Plus, a social media-based smoking cessation treatment. A pilot randomized trial (N=120) will compare Pride Posts Plus, which includes a gamification element, to Pride Posts (without gamification) and to a usual care treatment. Participants will be adults who smoke, identify as sexual or gender minorities, and use Facebook. The primary outcome will be biochemically verified 7-day abstinence from smoking at 3 and 6 months. Secondary outcomes will be treatment engagement, a quit attempt (y/n), and thoughts about tobacco abstinence at 3 and 6 mos.
Detailed description
Participants (N=136) will be randomized to one of three conditions: (1) Pride Posts, a Facebook-delivered smoking cessation intervention (including daily posts, and weekly live group sessions, tailored to sexual and gender minority (SGM) adults; (2) Pride Posts Plus, the Facebook-delivered smoking cessation intervention plus a gamification element, or (2) a usual care condition which includes referral to smokefree.gov, a federally-developed web-based intervention which includes similar digital treatment elements. All participants will have access to up to six months of nicotine replacement therapy (NRT). Assessments will occur at baseline, 3, and 6 months follow-up. Assessments will include measures on smoking, thoughts about abstinence, and SGM identity experiences. All participants who report no past 7-day smoking will be asked to provide biochemical verification of smoking status using a portable carbon monoxide measurement tool. All intervention and assessment procedures will be conducted digitally.
Interventions
BEHAVIORALSocial media-based education, counseling, and support
This six-month intervention is culturally-tailored to sexual and gender minority cigarette smokers. The intervention is group-based and includes daily posts and weekly live sessions during the initial three months. Posts and group sessions focus on tobacco use education, developing a quit plan, as well as managing stress, negative thinking, social support, exercise, as techniques to support cessation.
OTHERNicotine replacement therapies (NRT)
Participants will have access to up to six months of nicotine patch therapy. Participants will start on either 21, 14, or 7 mg patches based on manufacturers recommendations based on smoking behaviors. In addition to nicotine patch, participants will have access to a choice of 2 mg. nicotine lozenges or nicotine gum as an adjunct to patch treatment. Participants will be encouraged to use up to 5 pieces daily to address situational urges and cravings for a cigarette.
OTHERGamification
Gaming elements designed to encourage participation in the program and behavior change.
Sponsors
Tobacco Related Disease Research Program
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Daily smoker * Self-identify as sexual and/or gender minority * Interested in quitting in next 6 months * 6 months of Facebook experience * English-speaking
Exclusion criteria
* Contraindications to nicotine replacement therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Reported 7-day Biochemically Verified Abstinence at 3 Months | 3 months | Abstinence is defined by all participants who report no smoking within the last 7 days will use a breathalyzer to measure carbon monoxide levels in the breath to verify smoking abstinence prior to the 3 month assessment. |
| Number of Participants With Reported 7-day Biochemically Verified Abstinence at 6 Months | 6 months | Abstinence is defined by all participants who report no smoking within the last 7 days will use a breathalyzer to measure carbon monoxide levels in the breath to verify smoking abstinence prior to the 6 month assessment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Active Participation | 3 to 6 months | Treatment engagement as measured by duration of active participation in intervention. |
| Number of Participants Whom Attempted to Quit Tobacco Use During the Course of Treatment | 3 to 6 months | Participants will report intentional quit attempts lasting at least 24 hours since treatment initiation or previous assessment |
| Frequency of social media posts | 3 to 6 months | Treatment engagement as measured by frequency of social media posts |
| Responses to the Thoughts About Abstinence Questionnaire Over Time | 3 to 6 months | The Thoughts About Abstinence Questionnaire is a 5 item self-report questionnaire that measures: 1) desire to quit smoking, 2) expected success at quitting, 3) expected difficulty of quitting, and 4) confidence in ability to quit on 10-point Likert scales (e.g., 1=no desire to quit/lowest expectation/lowest level of difficulty to 10 = extreme desire to quit/highest expectation of success/highest expected difficulty. |
| Frequency of participation in live group sessions | 3 to 6 months | Treatment engagement as measured by participation in live group sessions |
Countries
United States
Outcome results
None listed