Using ICT to Deliver Brief Motivational Interviewing to Promote Smoking Cessation Among Smokers With Chronic Diseases

NCT03921606 | Unknown DMC

• 1 other identifier: NTWCREC19001
• Study Type: interventional
• Target: 720
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effectiveness of a general health promotion (GHP) approach using information communication technology (ICT) to deliver a brief motivational interviewing (MI) to motivate smokers with chronic diseases to quit smoking. Subjects in the intervention group will receive a GHP approach using ICT (e.g., WhatsApp/WeChat) to deliver brief MI. Subjects in the control group will receive an individual face-to-face generic health advice plus a self-help booklet on smoking cessation at the time of recruitment.

Conditions

Smoking Cessation

Outcome Measures

Primary Outcomes (1)

• Biochemically validated smoking abstinence at 6 months

  The biochemically validated smoking abstinence will be confirmed by a saliva cotinine level of less than 115 ng/ml in parallel test and a carbon monoxide level in expired air of less than 9 parts per million (ppm)

  6-month follow-up

Secondary Outcomes (3)

• biochemically validated smoking abstinence at 12 months

  12-month follow-up

• Self-reported 7-day point prevalence of smoking abstinence at 6 and 12 months

  6- and 12-month follow-up

• Any behavioural change reported by the subjects at 3, 6 and 12 months

  3-, 6- and 12-month follow-ups

Study Arms (2)

Experimental group

EXPERIMENTAL

The experimental group will receive a brief MI via WhatsApp/WeChat on a smartphone during the study period. The brief MI messages will be delivered more intensively as preferred by the subject (usually not less than once every 2 to 3 days and no more than 2 times per day) for the first 6 months. The frequency of delivering the messages via WhatsApp/WeChat will be interactive, depending on the subjects' actions and responses, and may take several sessions of chats within several days or weeks. However, the total time spent by the interventionist will not be more than that for a traditional MI with several long sessions. After 6 months, minimal messages will be provided to the subjects by merely following their progress of behavioural changes and responding to their questions to maintain contact until the 1-year follow-up. The total time spent will be recorded and analysed.

Behavioral: Motivational Interviewing (i-BMI)

Control group

OTHER

The control group will receive individual face-to-face generic health advice (about 5 minutes) on a health-related lifestyle practice such as eating more vegetables and fruits, eating less high salt, fat or sugar foods, consuming less sugary drinks, engaging in more exercise of any kind or intensity, reducing alcohol consumption or reducing weight (if overweight or obese) in SOPCs. A self-help booklet on smoking cessation published by the Hong Kong Council on Smoking and Health with Hotline will be also provided in the SOPCs. The subjects in this group will receive the same schedule of follow-ups as in the intervention group, but they will not receive any follow-up booster intervention.

Behavioral: Individual face-to-face generic health advice

Interventions

Motivational Interviewing (i-BMI) BEHAVIORAL

A brief MI via WhatsApp/WeChat

Experimental group

Individual face-to-face generic health advice BEHAVIORAL

Individual face-to-face generic health advice (about 5 minutes) on a health-related lifestyle practice such as eating more vegetables and fruits, eating less high salt, fat or sugar foods, consuming less sugary drinks, engaging in more exercise of any kind or intensity, reducing alcohol consumption or reducing weight (if overweight or obese). A self-help booklet on smoking cessation published by the Hong Kong Council on Smoking and Health with Hotline will be also provided in the SOPCs.

Control group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged 18 years or above,
• able to speak Cantonese and read Chinese
• do not intend to quit smoking (pre-contemplation stage), but are willing to promote their health
• use a smartphone and can use an instant messaging tool (e.g., WhatsApp/WeChat)
• willing to receive health promotion advice and interact with our interventionist via WhatsApp/WeChat on a smartphone throughout the study period

You may not qualify if:

• inability to give informed consent or participate in our intervention due to impaired mental status, cognitive impairment or communication barriers
• participate in another smoking cessation programme or service

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (1)

The University of Hong Kong

Hong Kong, Hong Kong

RECRUITING

MeSH Terms

Conditions

Smoking Cessation

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Ho Cheung William Li, PhD

  The University of Hong Kong

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ho Cheung William Li, PhD

CONTACT

+85239176634; william3@hku.hk

Long Kwan Ho, MPhil

CONTACT

+85239176643; longkwan@hku.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 4, 2019
• First Posted: April 19, 2019
• Study Start: April 10, 2019
• Primary Completion: March 1, 2021
• Study Completion: March 1, 2021
• Last Updated: November 4, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)