NCT01982110

Brief Summary

Cigarette smoking is the leading cause of preventable death and disability in the world. Although over 70% of smokers want to quit, fewer than 5% achieve this goal annually. Additional effective, safe, and accessible treatments for nicotine dependence are needed due to the low abstinence rates (20-30%) achieved in behavioral therapies, the unappealing side effects of pharmacotherapy, and the frequent lack of accessibility to treatment. Recent evidence supports the central role of craving in maintaining nicotine dependence, and neither behavioral nor replacement therapies directly target the relationship between cravings and smoking. Mindfulness therapy has been found to be effective in teaching strategies to decouple the association between craving and smoking. Mindfulness based smoking therapy (MT) has preliminary support for reducing consumption in smokers, and Dr. Judson Brewer has recently translated this program into a mobile device application (app) for smoking cessation. With Dr. Brewer's consultation, we propose to assess the feasibility of implementation of a MT mobile application in local hospital and community clinics and the effectiveness of the MT mobile application compared to a National Cancer Institute (NCI) QuitPal behavioral change group. We will examine smoking results at end of treatment and 2 and 6 month follow-up as well as the role of craving. If MT smoking cessation is determined to be effective in a mobile phone application, this finding will be a significant step in providing an additional effective and safe treatment for smokers wishing to quit or cut down on their intake, and will be especially important in providing treatment options for marginalized or hard-to-access individuals wishing to reduce cigarette intake.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
5

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2013

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

Study Start

First participant enrolled

September 1, 2013

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

October 29, 2013

Completed
15 days until next milestone

First Posted

Study publicly available on registry

November 13, 2013

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2018

Completed
Last Updated

April 17, 2019

Status Verified

April 1, 2019

Enrollment Period

3 years

First QC Date

October 29, 2013

Last Update Submit

April 15, 2019

Conditions

Keywords

smoking cessationmindfulnessbehavioral intervention

Outcome Measures

Primary Outcomes (1)

  • Smoking behavior

    We will assess number of cigarettes smoked and CO levels

    6 months

Secondary Outcomes (1)

  • Craving

    6 months

Study Arms (2)

Mindfulness Based Therapy

EXPERIMENTAL

Craving to Quit mobile application is provided for participants

Behavioral: Mindfulness based smoking cessation

Behavioral Smoking Cessation

ACTIVE COMPARATOR

NCI Quit Pal via a mobile phone application is provided for participants

Behavioral: Behavioral Smoking Cessation intervention

Interventions

Mindfulness based interventions are provided via a mobile phone application.

Also known as: Craving to Quit
Mindfulness Based Therapy

Behavioral Smoking Cessation intervention is a behaviorally based intervention is provided via a mobile phone application.

Also known as: Behavioral therapy, Cognitive Behavioral therapy, NCI QuitPal
Behavioral Smoking Cessation

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Males and females who have given written informed consent
  • years of age or older
  • Smoke an average of a minimum of five cigarettes per day
  • Literate in English and able to read, understand, and complete the rating scales and questionnaires accurately, follow instructions, and make use of mindfulness techniques
  • Express a wish to quit smoking
  • A score at least in the "contemplation" range, as assessed via the Readiness to Change questionnaire (Heather \& McCambridge, 2013)
  • Willingness to participate in mindfulness techniques
  • Able to attend all clinic visits without interruption

You may not qualify if:

  • Any current Axis I DSM-IV-TR psychiatric disorder other than alcohol abuse, marijuana abuse, or nicotine dependence that, in the clinician's opinion, warrants treatment or would preclude safe participation in the protocol, including, but not limited to: psychosis, schizophrenia, dementia, schizotypal personality disorder, borderline personality disorder, bipolar disorder, primary diagnosis of eating disorder, or chronic suicidality or homicidality
  • Serious medical comorbidity requiring medical intervention or close supervision, including seizures, pacemakers, heart transplant, severe arrhythmias, or active atrial fibrillation
  • Suicide attempt in the last thirty days
  • Gross neurological disease
  • Mental retardation, which will be assessed by the PI, postdoctoral fellows, and doctoral students in clinical psychology
  • Minors below the legal smoking age

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Virginia

Charlottesville, Virginia, 22908, United States

Location

Related Publications (1)

  • Jackson S, Brown J, Norris E, Livingstone-Banks J, Hayes E, Lindson N. Mindfulness for smoking cessation. Cochrane Database Syst Rev. 2022 Apr 14;4(4):CD013696. doi: 10.1002/14651858.CD013696.pub2.

MeSH Terms

Conditions

Tobacco Use DisorderSmoking Cessation

Interventions

Behavior TherapyCognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Substance-Related DisordersChemically-Induced DisordersMental DisordersHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

PsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Jennifer K Penberthy, PhD

    University of Virginia

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Department of Psychiatry and Neurobehavioral Sciences

Study Record Dates

First Submitted

October 29, 2013

First Posted

November 13, 2013

Study Start

September 1, 2013

Primary Completion

September 1, 2016

Study Completion

October 1, 2018

Last Updated

April 17, 2019

Record last verified: 2019-04

Data Sharing

IPD Sharing
Will not share

Locations