Adolescent Behavior
Conditions
Keywords
smoking, alcohol, adolescents
Brief summary
Current smoking cessation interventions are focused only on smoking behaviors, and drinking habits are generally overlooked. The aims of the project is to examine the feasibility of implementing an integrated smoking cessation and alcohol abstinence intervention in young Hong Kong Chinese smokers.
Detailed description
The study is a three-arm randomized controlled trial. (1)The standard treatment group , participants will receive a brief smoking cessation intervention based on the '5A' and '5R' model, then the RA will assist the participants to quit smoking using the STAR method. (2) For the alcohol intervention group, participants will also receive a brief smoking cessation intervention with the models as the ST group. After that they will receive a brief advice on alcohol use based on the FRAMES model. Then the RA will invite participants to complete the Alcohol Use Disorders Identification Test(AUDIT). (3) For the Control group, participants will be provide with two leaflets, one for smoking cessation and another for alcohol abstinence. All the data collection will be conducted at baseline, 1 week, 1 month , 3 months and 6 months for follow up.
Interventions
BEHAVIORALStandard treatment
Adolescent will receive a brief smoking cessation intervention based on the '5A' and '5R' models. Then the research assistant will ask about their tobacco use and assist them to quit using the STAR method. A booster intervention will be given over the phone at 1-week, 1month, 3-month, and 6 month follow-up.
BEHAVIORALIntegrated Intervention
In addition to the brief smoking cessation intervention based on the '5A' and '5R' models, the participants will receive brief advice on alcohol use based on the FRAMES model. Then the RA will invite participants to complete the Alcohol Use Disorders Identification Test and provide personalized feedback. There will be a one to one, 20-30 minutes semi-structured interviews with 30 participants. Participants with high(N=15) and low (N=15) adherence will be purposively selected. A booster intervention will be given over the phone at 1-week, 1month, 3-month, and 6 month follow-up.
OTHERControl
The adolescents will receive the leaflets for smoking cessation and alcohol abstinence. A booster intervention will be given over the phone at 1-week, 1month, 3-month, and 6 month follow-up.
Sponsors
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
Yes
Inclusion criteria
* smoked at least one cigarette in the past 30 days. * have consumed at least one cup of alcohol in the past 30 days. * speak Cantonese
Exclusion criteria
* have a compromised mental status and/or communication problems. * participating in other smoking cessation interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The biochemical validation | At the 6-month follow-up | Measuring the level of carbon monoxide in expired air and level of cotinine in saliva |
| Structured questionnaire | At baseline | The questionnaire will include six areas: smoking profile, cessation history, readiness to quit, self-efficacy to quit, alcohol use and demographics. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Randomization rate | Immediately after the training workshop | The number of participants who randomized divided by the number of eligible smokers who consent to participate |
| Attendance rate | Immediately after the training workshop | The number of participants who complete intervention divided by the number of participants who are randomized into the treatment arms participants who are randomized into the treatment arms |
| Adherence to intervention at baseline | At baseline | The number of participants in the two treatment arms who practice the skills learned during the intervention divided by the number of participants in the two treatment arms during the intervention divided by the number of participants in the two treatment arm. |
| Adherence to intervention at 1-week follow-up | At 1-week follow-up | The number of participants in the two treatment arms who practice the skills learned during the intervention divided by the number of participants in the two treatment arms during the intervention divided by the number of participants in the two treatment arm. |
| Adherence to intervention at 1-month follow-up | At 1-month follow-up | The number of participants in the two treatment arms who practice the skills learned during the intervention divided by the number of participants in the two treatment arms during the intervention divided by the number of participants in the two treatment arm. |
| Adherence to intervention at 3-month follow-up | At 3-month follow-up | The number of participants in the two treatment arms who practice the skills learned during the intervention divided by the number of participants in the two treatment arms during the intervention divided by the number of participants in the two treatment arm. |
| Adherence to intervention at 6-month follow-up | At 6-month follow-up | The number of participants in the two treatment arms who practice the skills learned during the intervention divided by the number of participants in the two treatment arms during the intervention divided by the number of participants in the two treatment arm. |
| Retention rate at baseline | At baseline | The number of participants who remain in the study divided by the number of participants randomized. Retention rate will be calculated for each arm at baseline and follow-ups. |
| Retention rate at 1-week follow-up | At 1-week follow-up | The number of participants who remain in the study divided by the number of participants randomized. Retention rate will be calculated for each arm at baseline and follow-ups. |
| Retention rate at 1-month follow-up | At 1-month follow-up | The number of participants who remain in the study divided by the number of participants randomized. Retention rate will be calculated for each arm at baseline and follow-ups. |
| Retention rate at 3-month follow-up | At 3-month follow-up | The number of participants who remain in the study divided by the number of participants randomized. Retention rate will be calculated for each arm at baseline and follow-ups. |
| Retention rate at 6 month follow-up | At 6-month follow-up | The number of participants who remain in the study divided by the number of participants randomized. Retention rate will be calculated for each arm at baseline and follow-ups. |
| Completion rate at baseline | At baseline | The number of participants who complete the questionnaire divided by the number of questionnaires distributed. |
| Completion rate at 3-month follow-up | At 3-month follow-up | The number of participants who complete the questionnaire divided by the number of questionnaires distributed. |
| Completion rate at 6-month follow-up | At 6-month follow-up | The number of participants who complete the questionnaire divided by the number of questionnaires distributed. |
| Missing data at baseline | At baseline | The percentage of missing data. |
| Missing data at 1-week follow-up | At 1-week follow-up | The percentage of missing data. |
| Missing data at 1-month follow-up | At 1-month follow-up | The percentage of missing data. |
| Missing data at 3-month follow-up | At 3-month follow-up | The percentage of missing data. |
| Missing data at 6-month follow-up | At 6-month follow-up | The percentage of missing data. |
| Adverse events | At the 6 months follow up | Unfavorable or unintended events during the study period that were not present at baseline or appear to have worsened since baseline |
| Screen rate | Immediately after the training workshop | The number of people screened divided by the number of people available for screening. |
| Consent rate | Immediately after the training workshop | The number of eligible smokers who agree to participate divided by the number of eligible smokers |
| Eligibility rate | Immediately after the training workshop | The number of eligible smokers divided by the number of screened people. |
| Completion rate at 1-month follow-up | At 1-month follow-up | The number of participants who complete the questionnaire divided by the number of questionnaires distributed. |
| Completion rate at 1-week follow-up | At 1-week follow-up | The number of participants who complete the questionnaire divided by the number of questionnaires distributed. |
Countries
Hong Kong
Contacts
Primary ContactKa Yan Ho, Phd
Outcome results
None listed