NCT03343249

Brief Summary

Participants will be recruited for the current study during their initial orientation visit to the Parkland Health and Hospital System, Stop Smoking Class and Clinic every Monday morning. Individuals who are interested and eligible for participation in this study will receive uC (Parkland smoking cessation program), plus a tailored, adaptive, smart phone delivered smoking cessation intervention. Participants will be followed weekly from 1 week pre-quit through 4 weeks post-quit. all participants will be asked to attend 6 weekly visits, 4 of these visits will include a thorough assessment that may be completed either before or after their scheduled Parkland treatment appointments. All participants will receive a smartphone at the 1 week pre-quit visit and they will be asked to carry it with them at all times. Participants will complete eMa assessments 5 times per day (4 random assessments + 1 daily dairy) for three consecutive weeks. Geographic location coordinates will be captured during each eMa assessment to link characteristics of the neighborhood environment (e.g., neighborhood socioeconomic status, proximity to tobacco outlets) with cessation-related outcomes. Participants will be compensated upon the return of the smartphone at visit 4 (2 weeks post-quit). Participants will be asked to attend a follow-up visit 12 weeks after their quit date. At this visit, participants will complete additional questionnaires and their smoking status will be assessed. Expired carbon monoxide and weight will also be measured.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
75

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jun 2014

Longer than P75 for not_applicable

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

June 1, 2014

Completed
2.7 years until next milestone

First Submitted

Initial submission to the registry

February 9, 2017

Completed
9 months until next milestone

First Posted

Study publicly available on registry

November 17, 2017

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2018

Completed
Last Updated

January 15, 2019

Status Verified

January 1, 2019

Enrollment Period

4.3 years

First QC Date

February 9, 2017

Last Update Submit

January 11, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Smoking abstinence

    Evidence of abstinence from smoking confirmed by questionnaire.

    12 weeks

Study Arms (1)

Study Visits

EXPERIMENTAL

The Short form of the Rapid Estimate of Adult Literacy in Medicine (REALM) will be administered to ensure that all participants are able to read at \> sixth grade level. Expired carbon monoxide (CO) will be measured. Assessment: Participants will complete self-report questionnaires; and expired CO, weight, and height will be measured. Participants will be provided with a Samsung Galaxy Light Android smart phone and instructed on how to: 1) use the phone features, 2) complete EMAs, and 3) use the adjunctive Smart-T phone based treatment. Participants will receive 4 random prompts and 1 daily diary prompt during their normal waking hours each day for three consecutive weeks. Random assessments will take approximately 1 min to complete and daily diary assessments will take approximately 5 mins to complete.

Behavioral: Smart Phone Based Smoking Cessation

Interventions

The Samsung Galaxy Light Smart phone uses the Android 4.2 operating system. The phone has a 4.0 inch (480x800-pixel resolution) touch screen display, a built in microphone, earphone jack, audio speaker, and a rechargeable battery with 12.5 hours of talk time. The phone has 4G and is Wi-Fi and GPS capable. Participants navigate through the EMA program and enter data simply by touching the screen, similar to a pen-and-paper questionnaire. Thus, computer/typing skills are not required. Participants have the ability to call and receive calls from research staff through the smart phone free of charge. All phones will be equipped with Global Positioning Systems (GPS) capability. The smart phones are also equipped with a Secure Digital card to store data as it is collected.

Study Visits

Eligibility Criteria

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

You may qualify if:

  • Participants will be included in the study if they:
  • earn a score greater than or equal to 4 on the Short REALM indicating greater than 6th grade English literacy level,
  • are willing to quit smoking 7 days from their first visit,
  • are greater than or equal to 18 years of age,
  • have an expired CO level greater than or equal to 8 ppm suggestive of current smoking,
  • are currently smoking greater than or equal to 5 cigarettes per day,
  • are willing and able to attend 6 weekly sessions (i.e., week -1, quit day, week +1, week +2, week +3, week +4) and the 12 week follow-up session , and
  • have not previously participated in Project PREVAIL \[STU 042011-096\] at Parkland Hospital. Please note that the Parkland smoking cessation program (usual care) is currently offered in English only.

You may not qualify if:

  • Participants will be excluded from the study if they:
  • are unwilling to quit smoking 7 days from their first visit,
  • have already quit smoking,
  • earn a score less than 4 on the Short REALM indicating less than or equal to 6th grade literacy level,
  • produce an expired CO level less than 8 ppm,
  • are currently smoking less than 5 cigarettes per day,
  • are unwilling or unable to attend 7 assessment sessions,
  • are less than 18 years of age, and/or
  • have not previously participated in Project PREVAIL \[STU 042011-096\] at Parkland Hospital. Please note that the Parkland smoking cessation program (usual care) is currently offered in English only.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Officials

  • Jennifer Gonzalez

    University of Texas Southwestern Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 9, 2017

First Posted

November 17, 2017

Study Start

June 1, 2014

Primary Completion

September 1, 2018

Study Completion

September 1, 2018

Last Updated

January 15, 2019

Record last verified: 2019-01

Data Sharing

IPD Sharing
Will not share