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Development and Pilot Testing of a Multimodal Web-based Program to Address Heavy Drinking During Smoking Cessation

Not Applicable
Completed
Conditions
Alcohol Drinking
Smoking Cessation
Interventions
Behavioral: Standard Web-based Smoking Cessation
Behavioral: Alcohol-focused Web-Based Smoking Cessation
Registration Number
NCT03068611
Lead Sponsor
Brown University
Brief Summary

The overall objective of this project is to develop and pilot-test a web-based smoking cessation program that specifically addresses heavy drinking (HD). The project builds upon a well-established, free evidence-based smoking cessation website, BecomeAnEX.org ("EX"), which is supported by Truth Initiative, a national non-profit public health organization, and its research arm, the Schroeder Institute. Investigators will develop an alternative version of BecomenAnEX that will include detailed content on alcohol's relation to smoking relapse, health effects of alcohol (including moderate drinking recommendations) along with related worksheets, feedback materials, and links to resources for drinking. Once a version of BecomeAnEX is developed that specifically addresses HD (called EX-HD), the investigators will conduct a one-arm open pilot of the site with 30 HD smokers recruited from newly registered BecomeAnEX users. The study will gather participant feedback on the site as well as site use metrics (e.g., number of logins, number of pages viewed, use of interactive components) and will revise EX-HD in response to this feedback in preparation for Stage 1b work. Stage 1b will use the updated EX-HD version to run a small scale randomized clinical trial where 120 participants will be randomly assigned to the standard version of BecomeAnEX or to EX-HD.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
119
Inclusion Criteria
  1. current daily smoking of at least one cigarette per day
  2. meeting NIAAA criteria for past month heavy or at-risk drinking (for women: drinking 8+ drinks per week or consuming 4+ drinks on one occasion at least once in the past month; for men: drinking 15+ drinks per week or consuming 5+ drinks on one occasion at least once in the past month)
  3. age 18 or older
  4. willingness to provide contact and mailing information following consent
Exclusion Criteria
  1. history of severe alcohol withdrawal as indicated by past alcohol-induced seizures or delirium tremens;

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standard Web-based Smoking CessationStandard Web-based Smoking CessationA website and text messaging program that is publicly available through BecomeAnEX.com. Participants have access to the website whenever they wish.
Alcohol-focused Web-Based Smoking CessationAlcohol-focused Web-Based Smoking CessationA modified version of the website and text messaging program that is publicly available through BecomeAnEX.com. This version includes specific information and feedback on alcohol use, allows participants to consider benefits of changing drinking, plans for changing drinking, and strategies. Participants have access to the website whenever they wish.
Primary Outcome Measures
NameTimeMethod
Number of Heavy Drinking Days at 1 Month1 month after enrollment

Self reported number of days (in the past 30 days) drinking 4+/5+ drinks for women/men

Number of Participants Who Reported 7-day Point-prevalence Smoking Abstinence at 1 Month1 month after enrollment

Self-report abstinence from smoking

Number of Participants Who Reported 7-day Point-prevalence Smoking Abstinence at 6 Months6 months after enrollment

Self-report abstinence from smoking

Number of Heavy Drinking Days at 6 Months6 months after enrollment

Self reported number of days (in the past 30 days) drinking 4+/5+ drinks for women/men

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Center for Alcohol and Addiction Studies, Brown University

🇺🇸

Providence, Rhode Island, United States

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