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Path2Quit Tobacco Intervention For African Americans

Not Applicable
Completed
Conditions
Smoking Cessation
Smoking, Tobacco
Interventions
Behavioral: Path2Quit
Behavioral: SmokeFreeText
Registration Number
NCT03524482
Lead Sponsor
Case Comprehensive Cancer Center
Brief Summary

The purpose of this research is to study a smoking cessation program for adult smokers in Northeast Ohio. The study will also look at how different people respond to the program.

The study includes completing surveys and receiving text messages to help participants become tobacco free.

Detailed Description

OBJECTIVES Specific Aim 1: Translate a culturally specific video-based tobacco use intervention into a scalable mobile health (mhealth) format.

Specific Aim 2: Conduct a pilot study of the video-text intervention.

Study Design:

2-arm semi-pragmatic randomized design among current tobacco users

Cuyahoga Metropolitan Housing Authority residents will be randomly assigned to receive (1) the newly translated Path2Quit or (2) SmokeFreeText (NCI's publicly available, standard text messaging program) combined with brief behavioral counseling session plus 2 weeks of nicotine replacement therapy (NRT). Primary outcomes will include intervention evaluations (content and format), acceptability, coping strategies, engagement, and NRT adherence. Secondary variables will include 24-hour quit attempts and biochemically verified tobacco use abstinence at the 1-month follow-up. Exploratory mediational analyses will examine the roles of urban hassles, acculturation, neighborhood environment, ethnic discrimination, and psychological distress in intervention effects.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
119
Inclusion Criteria
  • Self-identify as African American
  • Either smoke at least 1 cigarettes/day or have a carbon monoxide (CO) reading of at least 4 ppm
  • Consistent with SmokefreeTXT, be willing to set a quit date within the next 14 days.
  • Recruited from Cleveland metropolitan housing authority or who report low income based on federal guidelines
Exclusion Criteria
  • Does not meet all of the above inclusion criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Path2QuitPath2QuitCulturally specific text message intervention
SmokeFreeTextSmokeFreeTextThe National Cancer Institute's publicly available, standard text messaging program for tobacco cessation
Primary Outcome Measures
NameTimeMethod
Proportion of participants who abstain from smokingAt 1-month follow-up

Abstinence will be coded as a binary variable. Analysis will be conducted with an intent to treat approach

Secondary Outcome Measures
NameTimeMethod
24-Hour quit attemptsAt 1-month follow-up

Number of times a participant quits smoking for at least 24 hours

Average score of smoking urgesUp to 1-month follow-up

This brief, 10 item scale is scores 1-7 (total score 10-70) with higher scores indicating greater agreement

Average score of Intervention Evaluation (IRQ)At 1-month follow-up

The IRQ is a 22 item scale scored 0-7 (total score 0-154) where higher scores indicate more satisfaction

Changes in carbon monoxide breath levels from baseline to followupAt 1-month follow-up

Breath carbon monoxide tests will biochemically confirm self-reported cessation

Number of missed nicotine replacement therapy dosesUp to 1-month follow-up

Measure of NRT adherence. Number of missed doses will be recorded for each participant

Changes in Contemplation ladder scoreFrom baseline to up to 1-month follow-up

self-reported score 0-10 where a higher score indicates more readiness to quit

Trial Locations

Locations (1)

Case Western Reserve University, Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

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