NCT03931772

Brief Summary

After developing professional quality materials (audio) for an affordable automated self-hypnosis intervention program for facilitating smoking cessation, stress and pain reduction, researchers aim to gain qualitative reviews of this program, and test its initial feasibility and effects on smoking cessation and reduction in pain and stress. In addition, this study seeks to determine whether higher hypnotizability, as measured by the Hypnotic Induction Profile (assessed at baseline), is a moderator of improved outcome in these conditions.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
152

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

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 5, 2017

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

April 2, 2019

Completed
28 days until next milestone

First Posted

Study publicly available on registry

April 30, 2019

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 25, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 25, 2022

Completed
Last Updated

March 20, 2023

Status Verified

March 1, 2023

Enrollment Period

4.5 years

First QC Date

April 2, 2019

Last Update Submit

March 16, 2023

Conditions

Outcome Measures

Primary Outcomes (12)

  • Rate of Self-reported smoking cessation

    The question, with a dichotomous (yes/no) response, "Have you succeeded in stopping smoking completely?" will be asked via online survey. Researchers will use responses of "Yes" to indicate abstinence.

    Baseline through month 24

  • Change in Brief Pain Inventory-Pain Interference Score

    Participant-reported outcome. Scores range from 0-10 and higher scores indicate worst pain.

    Baseline through month 24

  • Change in Brief Pain Inventory-Pain Severity Score

    Participant-reported outcome. Scores range from 0-10 and higher scores indicate worst pain.

    Baseline through month 24

  • Change in McGill Pain Questionnaire

    Participant-reported outcome. Scores range from 0-78 and the higher the pain score the greater the pain.

    Baseline through month 24

  • Change in PROMIS SF v1.0 Pain Interference 4a short form

    Participant-reported raw scores are converted to T-scores where T = 50 is the population mean and T = 40 and 60 are 1 SD below and above the population mean respectively. Higher T scores indicate higher pain.

    Baseline through month 24

  • Change in PROMIS Global Pain Intensity (Pain Intensity 1a)

    Participant-reported outcome. Scores range from 0 (no pain) to 10 (Worst imaginable pain).

    Baseline through month 24

  • Change in Perceived Stress Scale

    Participant-reported outcome. Scores range from 10-50; higher scores indicate higher stress.

    Baseline through month 24

  • Change in Stanford Acute Stress Reaction Questionnaire

    Participant-reported outcome. Scores range from 0 to 150 with higher scores indicating higher acute stress.

    Baseline through month 24

  • Change in Impact of Event Scale - Revised

    Participant-reported outcome evaluating subjective stress caused by traumatic events, where scores range from 0-88 and higher scores indicate higher subjective stress.

    Baseline through month 24

  • Change in Positive and Negative Affect Scale-Negative Affect Scale Score

    Participant-reported outcome. This reporting tool has positive and negative affect scales; the negative affect scale is a primary outcome measure in this study. Scores range from 10-50 and higher scores indicate higher negative affect.

    Baseline through month 24

  • Change in State-Trait Anxiety Inventory Form X

    Participant-reported outcome. Scores range from 20-80 and higher scores indicate higher state anxiety.

    Baseline through month 24

  • Change in State-Trait Anxiety Inventory Form Y

    Participant-reported outcome. Scores range from 20-80 and higher scores indicate higher trait anxiety.

    Baseline through month 24

Secondary Outcomes (10)

  • Rate of smoking reduction over time

    Baseline through month 24

  • Change in PROMIS SF v1.0 Physical Function 4a short form

    Baseline through month 24

  • Change in PROMIS SF v1.0 Anxiety 4a short form

    Baseline through month 24

  • Change in PROMIS SF v1.0 Depression 4a short form

    Baseline through month 24

  • Change in PROMIS SF v1.0 Fatigue 4a short form

    Baseline through month 24

  • +5 more secondary outcomes

Study Arms (3)

Automated Self-Hypnosis Intervention for Smoking Cessation

EXPERIMENTAL

Participants will first try this intervention at their Baseline visit following an assessment of trait hypnotizability. After being guided through the program by their experimenter (i.e., set-up procedures in addition to the actual hypnotic exercise) participants will provide initial feedback on the program through a series of questions. The entire appointment will take approximately one hour and will take place at The Center on Stress and Health. Participants will be provided with the Amazon Alexa device to take home (necessary for using the program), or the interactive Reveri (www.reveri.com) mobile app. After the lab visit participants will continue using the intervention at home as needed throughout the 24 months of study participation (recommended every few hours or whenever they feel the urge to smoke). Furthermore, participants will be taking an online 15-minute survey at the baseline visit, and then 1, 3, 6, 12 and 24-month online follow-up surveys at home.

Behavioral: Automated Self-Hypnosis

Automated Self-Hypnosis Intervention for Pain Reduction

EXPERIMENTAL

Participants will first try this intervention at their Baseline visit following an assessment of trait hypnotizability. After being guided through the program by their experimenter (i.e., set-up procedures in addition to the actual hypnotic exercise) participants will provide initial feedback on the program through a series of questions. The entire appointment will take approximately one hour and will take place at The Center on Stress and Health, or remotely during the COVID-19 pandemic. Participants will be provided with the Amazon Alexa device to take home (necessary for using the program), or the interactive Reveri (www.reveri.com) mobile app. After the lab or remote visit participants will continue using the intervention at home as needed (recommended every few hours or whenever they experience an increase in pain). Furthermore, participants will be taking an online 15-minute survey at the baseline visit, and then 1, 3, 6, 12 and 24-month online follow-up surveys at home.

Behavioral: Automated Self-Hypnosis

Automated Self-Hypnosis Intervention for Stress Reduction

EXPERIMENTAL

Participants will first try this intervention at their Baseline visit following an assessment of trait hypnotizability. After being guided through the program by their experimenter (i.e., set-up procedures in addition to the actual hypnotic exercise) participants will provide initial feedback on the program through a series of questions. The entire appointment will take approximately one hour and will take place at The Center on Stress and Health, or remotely during the COVID-19 pandemic. Participants will be provided with the Amazon Alexa device to take home (necessary for using the program), or the interactive Reveri (www.reveri.com) mobile app. After the lab or remote visit participants will continue using the intervention at home as needed (recommended every few hours or whenever they experience an increase in stress). Furthermore, participants will be taking an online 15-minute survey at the baseline visit, and then 1, 3, 6, 12 and 24-month online follow-up surveys at home.

Behavioral: Automated Self-Hypnosis

Interventions

Self-Hypnosis will be delivered through an interactive application administered through Amazon Alexa or Reveri.com.

Automated Self-Hypnosis Intervention for Pain ReductionAutomated Self-Hypnosis Intervention for Smoking CessationAutomated Self-Hypnosis Intervention for Stress Reduction

Eligibility Criteria

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

You may not qualify if:

  • years or older
  • Able to read and understand English
  • For the smokers, desire to quit smoking (specifically, report a motivation of ≥ 5 out of 10 to quit smoking on a 10-point Likert-type scale), and report being a daily smoker for at least one year, smoking an average ≥ 5 cigarettes per day
  • For the pain group, report suffering from chronic pain syndromes, such as fibromyalgia or chronic low back pain
  • For the stress group, report experiencing moderate to extreme stress or anxiety in the past month
  • Having access to wireless internet connection or mobile data
  • Meeting criteria for drug abuse, including use of dissociative anesthetics, hallucinogens, opioids, cocaine, or amphetamine within the last 3 months
  • Severe psychiatric or structural brain disease (i.e. psychosis, stroke with functional impairment, dementia) or current/recent risk to self
  • Hearing impairment that would impede ability to listen the auditory intervention
  • Major illnesses impacting the study results
  • For smokers, currently taking Wellbutrin, Chantix, or other pharmacological smoking cessation aids that could confound results of the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Stanford Medicine - Psychiatry and Behavioral Sciences

Palo Alto, California, 94304, United States

Location

Dept. of Psychiatry, Stanford University

Stanford, California, 94305, United States

Location

MeSH Terms

Conditions

SmokingPain

Condition Hierarchy (Ancestors)

BehaviorNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • David Spiegel, MD

    Stanford University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Model Details: This is a pilot, open trial evaluating a novel automated hypnosis intervention for smoking cessation and pain and reduction
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Jack, Lulu and Sam Willson Professor and Associate Chair of Psychiatry & Behavioral Sciences, Director Center on Stress and Health

Study Record Dates

First Submitted

April 2, 2019

First Posted

April 30, 2019

Study Start

September 5, 2017

Primary Completion

February 25, 2022

Study Completion

February 25, 2022

Last Updated

March 20, 2023

Record last verified: 2023-03

Data Sharing

IPD Sharing
Will not share

Locations