Smoking Cessation for Young Adult Pacific Islanders: Motivating Pacifika Against Cigarettes and Tobacco

Not Applicable

Completed

• Conditions: Smoking, Cigarette; Tobacco Use; Tobacco Smoking; Smoking Cessation; Tobacco Use Cessation; Smoking
• Interventions: Behavioral: Motivating Pacifika Against Cigarettes and Tobacco

• Registration Number: NCT03238456
• Lead Sponsor: Claremont Graduate University

Brief Summary

The current study aimed to test a culturally tailored program designed to help Pacific Islanders (PIs) between the ages of 18 and 30 quit smoking cigarettes by using a randomized controlled trial design with one intervention group and one control group.

Detailed Description

This randomized control trial (RCT) consisted of a baseline assessment (Wave 0) and three follow-up assessments (Waves 1-3). Follow-up assessments were conducted at 2 months, 5 months, and 8 months after the baseline assessment. The objective of the study was to test a culturally-tailored online program designed to help PI young adults quit smoking cigarettes. The online program contained (1) personalized, automated text messages, (2) interactive, online educational modules, and (3) an online forum.

Hypotheses for this study include:

1. Participants in the intervention program tailored to PIs would have significantly higher rates of abstinence, lower rates of relapse, and lower smoking frequency and intensity at each follow-up time point than those in the standard intervention program.

2. Participants with impaired affective decision capacity (low scores on Iowa Gambling Task (IGT)) would benefit more from the tailored intervention program than participants with normal affective decision capacity (high IGT scores).

3. Effects from the tailored intervention program would be more pronounced among participants with particular dispositional phenotypes (depression, hostility, impulsivity) and baseline severity of tobacco addiction (nicotine dependence).

4. High-intensity users of the tailored intervention program would be more successful than low intensity users in reducing the frequency and intensity of cigarettes smoked.

5. The tailored intervention program would have greater success at engaging and retaining participants than the standard intervention program.

Study Timeline

• Study Start: 2013-07-11
• Primary Completion: 2014-12-03
• Study Completion: 2015-05-31
• Study First Submitted: 2017-07-21
• Status Verified: 2017-08
• Study First Submitted QC: 2017-08-01
• Last Update Submitted: 2017-08-02
• Study First Posted: 2017-08-03
• Last Update Posted: 2017-08-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 278

Inclusion Criteria

• Self-identified as Native Hawaiian or Pacific Islander
• Between the ages 18 and 30
• Lived in Southern California
• Would be living in Southern California for the next year
• Owned a cell phone with a text messaging plan
• Had access to a computer with internet for at least 2 hours per week
• Smoked daily or most days of the week (>3 days)
• Smoked at least 100 cigarettes in lifetime

Exclusion Criteria

• Was currently using another smoking cessation method

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Motivating Pacifika Against Cigarettes and Tobacco	The intervention entitled Motivating Pacifika Against Cigarettes and Tobacco (MPACT) was implemented for eight weeks starting on the quit date that the participant chose with their assigned coach during the baseline assessment. At the baseline assessment, each participant watched an introductory video that described the online smoking cessation program. The online program was accessed through the participant's Facebook account. The program included eight education modules and a forum. Participants also received automated daily text messages to provide support and encouragement during the quitting process.

Primary Outcome Measures

Name	Time	Method
Number of cigarettes smoked in last 30 days	8 months	How many cigarettes has the participant smoked in the last 30 days?
Cigarette smoked in past 24 hours	8 months	Has the participant smoked a cigarette in the past 24 hours?
Expired carbon monoxide (CO)	8 months	Biomarker validation (expired CO) of self-reported tobacco use
Cigarette smoked in past 7 days	8 months	Has the participant smoked a cigarette in the past 7 days?

Secondary Outcome Measures

Name	Time	Method
Number of cigarettes smoked in last 30 days	5 months	How many cigarettes has the participant smoked in the last 30 days?
Cigarette smoked in past 7 days	5 months	Has the participant smoked a cigarette in the past 7 days?
Cigarette smoked in past 24 hours	5 months	Has the participant smoked a cigarette in the past 24 hours?
Expired carbon monoxide (CO)	5 months	Biomarker validation (expired CO) of self-reported tobacco use

Trial Locations

Locations (2)

California State University Fullerton; 🇺🇸 Fullerton, California, United States

Claremont Graduate University; 🇺🇸 Claremont, California, United States