Smoking Cessation
Conditions
Brief summary
The purpose of this study is to evaluate the effectiveness of SmokefreeTXT, a smoking cessation text messaging program currently available to anyone in the United States through www.smokefree.gov, and to compare cessation outcomes for smokers living in different regions of Virginia while participants use the program. Participants will be asked to complete assessments at Baseline, 7 weeks, 3 months, and 6 months and will be asked to use a research version of SmokefreeTXT.
Interventions
BEHAVIORALSmokefreeTXT
The program is identical to the publicly available program available through the National Cancer Institute Smokefree.gov Initiative but has been set up to be delivered through a research account. The program will send 3-5 messages a day over 7 weeks, with one week to prepare for a quit attempt and 6 weeks of cessation support messages. Participants can get real time support for cravings, mood, and slips by texting keywords to the program. They keywords are CRAVE, MOOD, and SLIP. Participants can also re-set their quit date by texting NEW. The program asks questions each week to ask about smoking status and about mood and cravings.
Sponsors
University of Virginia
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18 and over * Current cigarette smoker (has smoked at least 100 cigarettes in their lifetime and currently smokes) * Ability to read and speak English * Resident of Virginia * Owns a cell phone
Exclusion criteria
* Not a current smoker (e.g., started a quit attempt between providing interest information and starting the study) * Identity not able to be verified from information provided on interest form * Does not own a cell phone * Pregnant smoker or may become pregnant in the next 6 months * Lives in an area that has met recruitment criteria (after recruitment has begun)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported Smoking Cessation | 7 weeks after study start | 7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported Continuous Abstinence | 7 weeks after study start | Continuous abstinence, 6 weeks after initiating the quit attempt (Question wording: In the last 6 weeks, have you smoked at all? Response options: Yes; No; Not sure) |
| Self-reported Smoking Cessation | 6 months | 7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No) |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| SmokfreeTXT Research version of the publicly available SmokefreeTXT program
SmokefreeTXT: The program is identical to the publicly available program available through the National Cancer Institute Smokefree.gov Initiative but has been set up to be delivered through a research account. The program will send 3-5 messages a day over 7 weeks, with one week to prepare for a quit attempt and 6 weeks of cessation support messages. Participants can get real time support for cravings, mood, and slips by texting keywords to the program. They keywords are CRAVE, MOOD, and SLIP. Participants can also re-set their quit date by texting NEW. The program asks questions each week to ask about smoking status and about mood and cravings. | 49 |
| Total | 49 |
Baseline characteristics
| Characteristic | SmokfreeTXT |
|---|---|
| Age, Continuous | 46.3 years STANDARD_DEVIATION 11.9 |
| County-level rurality Non-Rural (RUCA 1-3) | 26 Participants |
| County-level rurality Rural (RUCA 4-10) | 23 Participants |
| Daily smoking status Every day | 44 Participants |
| Daily smoking status Some days | 5 Participants |
| Race/Ethnicity, Customized Non-Hispanic Black | 7 Participants |
| Race/Ethnicity, Customized Non-Hispanic White | 36 Participants |
| Race/Ethnicity, Customized Other | 6 Participants |
| Region of Enrollment United States | 49 participants |
| Sex/Gender, Customized Censored | 2 Participants |
| Sex/Gender, Customized Female | 41 Participants |
| Sex/Gender, Customized Male | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 49 |
| other Total, other adverse events | 0 / 49 |
| serious Total, serious adverse events | 0 / 49 |
Outcome results
Primary
Self-reported Smoking Cessation
7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No)
Time frame: 7 weeks after study start
Population: Non-responders coded as continuing to smoke
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| SmokfreeTXT | Self-reported Smoking Cessation | 16 Participants |
Primary
Self-reported Smoking Cessation
7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No)
Time frame: 3 months
Population: Non-responders coded as continuing to smoke
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| SmokfreeTXT | Self-reported Smoking Cessation | 14 Participants |
Secondary
Self-reported Continuous Abstinence
Continuous abstinence, 6 weeks after initiating the quit attempt (Question wording: In the last 6 weeks, have you smoked at all? Response options: Yes; No; Not sure)
Time frame: 7 weeks after study start
Population: Participants who did not respond are coded as continuing to smoke
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| SmokfreeTXT | Self-reported Continuous Abstinence | Yes | 42 Participants |
| SmokfreeTXT | Self-reported Continuous Abstinence | No | 6 Participants |
| SmokfreeTXT | Self-reported Continuous Abstinence | Not Sure | 1 Participants |
Secondary
Self-reported Continuous Abstinence
Continuous abstinence 3 months after initiating the quit attempt (Question wording: In the last 3 months, have you smoked at all? Response options: Yes; No; Not sure)
Time frame: 3 months
Population: Non-responders coded as continuing to smoke
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| SmokfreeTXT | Self-reported Continuous Abstinence | Yes | 43 Participants |
| SmokfreeTXT | Self-reported Continuous Abstinence | No | 6 Participants |
| SmokfreeTXT | Self-reported Continuous Abstinence | Not Sure | 0 Participants |
Secondary
Self-reported Continuous Abstinence
Continuous abstinence 6 months after initiating the quit attempt (Question wording: In the last 6 months, have you smoked at all? Response options: Yes; No; Not sure)
Time frame: 6 months
Population: Any participants who did not respond to the 6-month survey was coded as continuing to smoke.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| SmokfreeTXT | Self-reported Continuous Abstinence | Yes | 43 Participants |
| SmokfreeTXT | Self-reported Continuous Abstinence | No | 6 Participants |
| SmokfreeTXT | Self-reported Continuous Abstinence | Not Sure | 0 Participants |
Secondary
Self-reported Smoking Cessation
7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No)
Time frame: 6 months
Population: Non-responders coded as continuing to smoke
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| SmokfreeTXT | Self-reported Smoking Cessation | 18 Participants |