NCT01393301

Brief Summary

During the 1-year formative phase of a study to develop an integrated treatment for quitting smoking for anxiety-vulnerable HIV+ smokers. During this first phase of the study, start-up activities will include piloting the integrated treatment on a small group of individuals (N = up to 12), obtaining expert consultant and participant feedback, and development of the final treatment manual and procedures. The goal during this phase will be to establish feasibility of treatment delivery, participant acceptability, and potential for a treatment effect before conducting a pilot randomized trial of the treatment. During the two-year pilot RCT phase of the above study, we directly develop and test a novel psychosocial/behavioral and pharmacological smoking cessation intervention for HIV+ smokers with interfering psychological distress.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
72

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Oct 2011

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 11, 2011

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 13, 2011

Completed
3 months until next milestone

Study Start

First participant enrolled

October 1, 2011

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2015

Completed
3.9 years until next milestone

Results Posted

Study results publicly available

March 20, 2019

Completed
Last Updated

May 3, 2023

Status Verified

April 1, 2023

Enrollment Period

3.6 years

First QC Date

July 11, 2011

Results QC Date

January 7, 2019

Last Update Submit

April 7, 2023

Conditions

Keywords

Nicotine dependenceSmoking, cessationQuittingAnxiety symptomsCognitive-behavioral therapy

Outcome Measures

Primary Outcomes (3)

  • Treatment Acceptability

    Acceptability is defined as intervention participant study completion. Study completion was defined by participants attending at least 7/10 treatment sessions. Qualitative interviews were also conducted with participants at the end of the study.

    6 months

  • Long-term Point Prevalence Abstinence (PPA; Pilot RCT Phase)

    Smoking outcomes are assessed at 6-month follow up by comparing the reported 7 day abstinence (assessed through self-report and independent verification) across the randomized conditions controlling for pre-randomization levels.

    6 months

  • Short-term Point Prevalence Abstinence (PPA; Pilot RCT Phase)

    Smoking outcomes are assessed at end of treatment by comparing the reported 7 day abstinence (assessed through self-report and independent verification) across the randomized conditions controlling for pre-randomization levels.

    10 weeks

Secondary Outcomes (1)

  • Treatment Related Changes in Psychological Distress.

    6 months

Study Arms (2)

Behavioral Intervention Arm

EXPERIMENTAL

Standard smoking cessation treatment and nicotine replacement therapy (NRT) plus a cognitive-behavioral therapy for anxiety, depression, or other symptoms of distress.

Behavioral: Integrated cognitive-behavioral therapy for smoking cessation and anxiety

Control Arm

OTHER

Enhanced Treatment as Usual (ETAU); enhanced standard smoking cessation treatment and nicotine replacement therapy (NRT).

Behavioral: Control

Interventions

Standard smoking cessation treatment and nicotine replacement therapy (NRT) plus a cognitive-behavioral therapy for anxiety, depression, or other symptoms of distress.

Also known as: QUESTT
Behavioral Intervention Arm
ControlBEHAVIORAL

Enhanced standard smoking cessation treatment and NRT.

Also known as: Enhanced Treatment as Usual (ETAU)
Control Arm

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years old
  • Informed consent
  • Daily smoker
  • Motivated to quit smoking

You may not qualify if:

  • Use of other tobacco products
  • Untreated or unstable psychiatric disorders
  • Current use of cognitive-behavioral therapy or medication for smoking cessation treatment
  • Insufficient command of English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Related Publications (2)

  • Mdege ND, Shah S, Dogar O, Pool ER, Weatherburn P, Siddiqi K, Zyambo C, Livingstone-Banks J. Interventions for tobacco use cessation in people living with HIV. Cochrane Database Syst Rev. 2024 Aug 5;8(8):CD011120. doi: 10.1002/14651858.CD011120.pub3.

  • O'Cleirigh C, Zvolensky MJ, Smits JAJ, Labbe AK, Coleman JN, Wilner JG, Stanton AM, Gonzalez A, Garey L, Regenauer KS, Rosenfield D. Integrated Treatment for Smoking Cessation, Anxiety, and Depressed Mood in People Living With HIV: A Randomized Controlled Trial. J Acquir Immune Defic Syndr. 2018 Oct 1;79(2):261-268. doi: 10.1097/QAI.0000000000001787.

MeSH Terms

Conditions

Tobacco Use DisorderSmoking CessationAnxiety Disorders

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersHealth BehaviorBehavior

Results Point of Contact

Title
Dr. Conall O'Cleirigh, PI
Organization
Massachusetts General Hospital

Study Officials

  • Conall O'Cleirigh, Ph.D.

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
For formative stage of the study, no masking was used as that phase was an open pilot. Outcomes assessor masked during the pilot RCT.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Ph.D.

Study Record Dates

First Submitted

July 11, 2011

First Posted

July 13, 2011

Study Start

October 1, 2011

Primary Completion

May 1, 2015

Study Completion

May 1, 2015

Last Updated

May 3, 2023

Results First Posted

March 20, 2019

Record last verified: 2023-04

Locations