Trial of Integrated Smoking Cessation, Exercise and Weight Management in Serious Mental Illness: TRIUMPH
- Conditions
- Mental Illness
- Interventions
- Other: TRIIUMPH Intervention
- Registration Number
- NCT02424188
- Lead Sponsor
- Johns Hopkins University
- Brief Summary
This study will determine whether an 18-month practical tobacco smoking cessation program integrating weight management counseling and exercise will be superior to treatment as usual in achieving prolonged smoking abstinence in persons with serious mental illness.
- Detailed Description
The objective of this study is to perform a randomized clinical trial (TRIUMPH) in persons with serious mental illness to test the hypothesis that intervention participants will have higher rates of smoking abstinence at 18 months than participants in the treatment as usual arm. The intervention includes group and individual smoking cessation and weight management counseling tailored by a participant's readiness to quit, pharmacotherapy with either varenicline or buproprion plus nicotine replacement therapy prescribed in the community clinic, exercise, and text messaging supporting health behavior change.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 192
- Diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, or recurrent major depression meeting criteria for serious mental illness
- Fagerstrom Test for Nicotine Dependence of ≥3 and daily cigarette smoking for at least the past 6 months (on days that cigarettes were available)
- On stable psychotropic medication for mental illness for at least 30 days (i.e., antipsychotic medication for those with schizophrenia spectrum illness, mood stabilizer for those with bipolar disorder)
- Competent and willing to give informed consent
- Completion of baseline data collection
- Willing to participate in smoking cessation intervention that includes combination of evidence-based behavioral (group and individual sessions) and pharmacotherapeutic smoking cessation aids
- Serious cardiovascular event (e.g. myocardial infarction, stroke) within the past 6 months
- Serious unstable medical condition that limits life expectancy
- Pregnant, breastfeeding, or planning a pregnancy during study period.
- Alcohol or illicit substance use disorder if not sober/abstinent for ≥ 30 days
- Planning to leave mental health program or move out of geographic area within 18 months Review by treating psychiatrist required for those with inpatient psychiatric hospitalization within six months of enrollment.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description TRIUMPH intervention TRIIUMPH Intervention Group and individual smoking cessation and weight management counseling, pharmacotherapy with varenicline or bupropion and nicotine replacement therapy, group exercise, and text messaging support
- Primary Outcome Measures
Name Time Method smoking abstinence measured at 18 months 7-day point prevalence, biochemically validated
- Secondary Outcome Measures
Name Time Method Weight 6 and 18 months weight in pounds
continuous smoking abstinence - 12 months measured at 18 months 12 month smoking abstinence
Body Mass Index 6 and 18 months smoking abstinence - 3 months from 15 to 18 months 3 month smoking abstinence
smoking abstinence measured at 6 and 12 months 7-day point prevalence, biochemically validated
Six Minute Walk 6 and 18 months Framingham Risk Score 18 months global Framingham Risk Score
Health Status 6 and 18 months measured by SF-12
Psychiatric Symptoms 6 and 18 months Brief Psychiatric Rating Scale
Trial Locations
- Locations (1)
Johns Hopkins
🇺🇸Baltimore, Maryland, United States