Smokeless Tobacco Cessation
Conditions
Keywords
Smokeless Tobacco, Quitting Smokeless Tobacco, Quit Coach
Brief summary
All participants will receive the EnufSnuff.TXT scheduled gradual reduction (SGR) intervention for 6 weeks and, for those who do not reach the point of quit, includes getting randomized (like the flip of a coin) into either an additional 8-10 weeks of the EnufSnuff.TXT intervention or into receiving an additional 8-10 weeks of the EnufSnuff.TXT intervention along with a dedicated text quit coach to send and receive live support.
Detailed description
All participants will receive the EnufSnuff.TXT intervention (a text-based personalized reduction plan and daily text-based cessation support messages) for 6 weeks and, for those who report that they have not achieved complete cessation, includes getting randomized into either an additional 8-10 weeks of the EnufSnuff.TXT intervention or into receiving an additional 8-10 weeks of the EnufSnuff.TXT intervention along with a dedicated quit coach to send and receive live text support. The investigators will conduct phone-based or smart phone-based assessments with participants at baseline, end of program, and 7-month follow-up after intervention completion. The investigators will also conduct a brief midpoint check (after the first 6 weeks of intervention) with participants to ask if they have quit using smokeless tobacco. Research staff will email participants redcap surveys at baseline, end of program, and 7-months. Participants will be able to opt for a recorded telephone interview at the 7-month check-in. Each opted-in participant will be interviewed only once.
Interventions
BEHAVIORALExtended Scheduled Gradual Reduction (SGR)
The extended SGR program will allow participants additional time to reduce smokeless tobacco use until they reach zero. The intent of this program is to reduce the number of times participants use smokeless tobacco down to zero. Participants will also receive text-based support messages.
BEHAVIORALQuit Coach
Weekly check-ins and support will be given to this group via the quit coach interactions. The intent of this program is to reduce the number of times participants use smokeless tobacco down to zero. Participants will also receive text-based support messages.
Sponsors
Duke University
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
1. 18 years of age and older 2. Have used smokeless tobacco for the last year, currently dip 3 or more times a day 3. Have an address in a rural census tract defined by a RUCC code of 4-10 and/or an IMU of 62 or lower 4. Interested in participating in a cessation program; and 5. Have access to a cell phone with unlimited texting ability.
Exclusion criteria
1. Non-English speaking; 2. Have smoked cigarettes or used any other tobacco product in the past 30 days (i.e., dual user) and are not willing to abstain during the intervention period 3. Currently participating in a smokeless tobacco cessation study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility as measured by the number of recruited individuals who enrolled | Baseline | — |
| Feasibility as measured by the number of participants who left the study (attrition) | Up to 6 months | — |
| Acceptability as measured by the number of participants who found the intervention useful | Up to 6 months | As measured via telephone interview. |
| Acceptability as measured by the number of participants who reported that the intervention received changed their smokeless tobacco use | Up to 6 months | As measured via telephone interview. |
| Acceptability as measured by the number of participants who reported that the intervention made them think about quitting | Up to 6 months | As measured via telephone interview. |
| Acceptability as measured by the number of participants who reported that they would recommend the program to a friend | Up to 6 months | As measured via telephone interview. |
| Preliminary efficacy as measured by the number of participants who quit smokeless tobacco by the end of treatment | Up to approximately 16 weeks | — |
Countries
United States
Outcome results
None listed