Smoking Cessation
Conditions
Brief summary
The aim of this clinical trial is to test the efficacy of a culturally aligned digital smoking cessation resource for American Indian persons who smoke, via a remotely conducted randomized controlled trial.
Detailed description
This is a two-arm, parallel group, randomized controlled clinical trial. Eligible participants (n=416) will be randomized to either the culturally aligned resource or the general audience version. Participants will use the assigned resource for 6 months, and partake in surveys at baseline, and 1, 3 and 6 months, during which they will be asked several questions related to use of their assigned resource, and smoking behavior. Carbon monoxide (CO) in exhaled breath will be collected at 1, 3 and 6 months using iCO™ Smokerlyzer® (https://www.icoquit.com/us/).
Interventions
A free text message smoking cessation program that provides 24/7 encouragement, advice, and tips to those trying to quit smoking.
A free text message smoking cessation program that provides 24/7 encouragement, advice, and tips to those trying to quit smoking and has been developed for American Indian and Alaska Native persons.
Sponsors
Study design
Intervention model description
Two-condition, parallel group, RCT design, will examine the efficacy of a culturally aligned digital quit resource versus a general audience version of the resource. This is a multi-site study that will involve participants engaging with their assigned quit resource, and following up with them during months 1, 3 and 6.
Eligibility
Inclusion criteria
* AI race based on self-report; * ≥ 18 years of age via photo ID confirmation; * Average smoked cigarettes per day, ≥ 3 in the past 30 days; * considering or willing to make a quit attempt; * self-report having daily access to their own iPhone/Android smartphone or tablet that allows for messaging use; * able to read and speak English.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of participants that are biochemically confirmed 7-day abstinence from from all combustible tobacco products with a negative breath CO test | 6 months | Percent of participants that are biochemically confirmed 7-day abstinence from all combustible tobacco products (defined as self-reported abstinence during the past seven days \[not even a puff of cigarettes, cigars, hookah, or pipe tobacco\] with a negative breath CO test ≤ 4 ppm). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent of participants that are biochemically-confirmed 7-day abstinence | 1 and 3 months | Percent of participants that are biochemically-confirmed 7-day abstinence at 1, 3 months |
| Percent of participants that self-report 24-hour abstinence | 1, 3, and 6 months | Percent of participants that self-report 24-hour abstinence at 1, 3, and 6 months |
| Percent of participants that self-report 7-day abstinence | 1, 3, and 6 months | Percent of participants that self-report 7-day abstinence at 1, 3, and 6 months |
| Percent of participants that self-report 30-day abstinence | 3 and 6 months | Percent of participants that self-report 30-day abstinence at 3 and 6 months |
| Mean cigarettes per day in past 7 days | 1, 3, and 6 months | Change in mean cigarettes per day in past 7 days at 1, 3, and 6 months |
| Number of 24-hour quit attempts in past 30 days | 1, 3, and 6 months | Number of 24-hour quit attempts in past 30 days at 1, 3, and 6 months |
| Percent of participants that used nicotine replacement therapy and pharmacotherapy | 1, 3, and 6 months | Percent of participants that used nicotine replacement therapy and pharmacotherapy (e.g. nicotine patch, Chantix) in past 30 days at 1, 3, and 6 months |
| Percent of participants that used other behavioral support | 1, 3, and 6 months | Percent of participants that used other behavioral support (e.g. in-person, quitline) for smoking cessation in past 30 days at 1, 3, and 6 months |
| Percent of participants that used other commercial tobacco products | 1, 3, and 6 months | Percent of participants that used other commercial tobacco products (e.g., smokeless tobacco, e-cigarettes) in the past 7 days 1, 3, and 6 months |
| Mean cigarette dependence | 1, 3, and 6 months | mean cigarette dependence at 1, 3, and 6 months |
Countries
United States