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A Study of Novel Smoking Cessation Interventions in Current and Former Injection Drug Users

Not Applicable
Completed
Conditions
Tobacco Dependence
Interventions
Behavioral: Usual care
Behavioral: Lung age + Contingency Management
Behavioral: Lung age
Behavioral: Contingency Management
Registration Number
NCT01334736
Lead Sponsor
Johns Hopkins University
Brief Summary

Cigarette smoking is very common in current and former injection drug users and is known to cause chronic lung diseases. Quitting smoking is proven to improve the health of people addicted to cigarettes. . Little information exists regarding the perceptions and characteristics of drug users regarding quitting smoking. Additionally, most programs designed to help people quit smoking are not very successful. One reason these programs may not work well is because it is difficult to motivate people to quit smoking. New methods of motivating changes in behavior include small monetary payments for healthy behavior and reporting breathing tests with the concept of "lung age," which is the age of an average healthy person with similar breathing test results. For example, a health care provider can report results as "Although you are 50 years old, you have the lungs for a 70 year old". In this proposal, the investigators plan to first explore the beliefs and characteristics of current and former injection drug users and how they are related to quitting smoking. The investigators then plan to study whether the use of two new methods of motivation increases the chances that this group will stop smoking.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Active smoker
Exclusion Criteria
  • Enrollment in smoking cessation protocol
  • Current use of nicotine replacement therapy

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Usual careUsual care-
Lung age + Contingency ManagementLung age + Contingency Management-
Lung AgeLung age-
Contingency ManagementContingency Management-
Primary Outcome Measures
NameTimeMethod
Biologically confirmed tobacco cessation6 months

The primary outcome will be validated tobacco cessation at 6 months. Biologically confirmed tobacco cessation will be assessed by self-report of smoking status combined with CO measurement.

Secondary Outcome Measures
NameTimeMethod
Self efficacy and intention to quit6 months

Self-efficacy and intention to quit smoking will be assessed at baseline using a modified version of the Prochaska stages of change questionnaire. Quit attempts will be enumerated at follow-up visits by asking participants how many quit attempts they made in the prior six months.

Cessation attempts6 months

Cessation attempts will be quantified as the number of sustained cessation attempts lasting more than 7 days, number of sustained cessation attempts lasting more than one month and number of daily cigarettes smoked.

Trial Locations

Locations (1)

Johns Hopkins ALIVE Clinic

🇺🇸

Baltimore, Maryland, United States

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