NCT05958667

Brief Summary

The health benefits of smoking cessation by age 30 are much greater than cessation later in life, including gaining 10 years of life, compared with those who continue to smoke. The goal of the proposed study is to evaluate the effectiveness of the bilingual and culturally tailored Quitxt mobile cessation intervention. Quitxt provides interactive messages through texts or chat with visual and video content employing theory- and evidence-based techniques to prompt and sustain cessation. The study will recruit 1,200 Latino young adult smokers aged 18-29 who enroll and agree to make quit attempts, with half randomly assigned (like flipping a coin) to receive Quitxt and half to abbreviated text messages with smoking cessation-related content and referral to the Texas Department of State Health Services cessation program Yes Quit (which has diverse formats, but not explicitly tailored for young Latino adults in South Texas). Participants respond to baseline and follow-up assessments at one, three and six months after their enrollment, and those who report cessation will be asked to provide saliva samples to confirm they quit smoking. The sample size will be sufficient to detect expected higher cessation rates in those who are enrolled in Quitxt than those who are enrolled in Texas DSHS Yes Quit. The investigators will publish results in scientific journals, report them at scientific and community meetings, share them on social media, and publicize them widely. This study has the potential to advance public health by evaluating the effectiveness of a scalable, easily disseminated and adaptable intervention to help young adults, especially Latinos, quit smoking and reduce smoking-related cancer and chronic disease morbidity and mortality and their associated healthcare costs.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
1,200

participants targeted

Target at P75+ for not_applicable

Timeline
27mo left

Started Feb 2026

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress9%
Feb 2026Aug 2028

First Submitted

Initial submission to the registry

July 14, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 24, 2023

Completed
2.6 years until next milestone

Study Start

First participant enrolled

February 12, 2026

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2028

Last Updated

March 31, 2026

Status Verified

March 1, 2026

Enrollment Period

2.5 years

First QC Date

July 14, 2023

Last Update Submit

March 26, 2026

Conditions

Keywords

QuitxtYoung adultsLatinos

Outcome Measures

Primary Outcomes (1)

  • Smoking cessation

    Measure of smoking cessation (7-day point prevalence abstinence)self-reported and biochemically verified.

    6 months

Secondary Outcomes (1)

  • Smoking cessation assessment

    1 month and 3 months

Study Arms (2)

Quitxt bilingual text messaging and chat

EXPERIMENTAL

Culturally and linguistically tailored, bilingual text messaging or chat mobile app. Our text messaging or chat intervention will include messaging options in which users can text or message a code when they are craving a cigarette or at risk of relapse and immediately receive text or social media messages to help them avoid smoking. The social media content also will include opportunities for users to repeatedly visit key content pages and receive immediate support when experiencing cravings, stress, bad mood, or when feeling at risk of smoking.

Behavioral: Quitxt text messaging or Chat

Usual care

OTHER

Abbreviated text messaging with smoking cessation-related content and referral to the Texas Department of State Health Services (TDSHS) cessation program Yes Quit (www.yesquit.org) available to smokers seeking help quitting. The abbreviated text messaging will include general information on smoking harms and benefits of cessation, and baseline data collection and follow-up assessments.

Other: Usual care

Interventions

Mobile intervention using proven social cognitive, motivational interviewing, and brief intervention methods for promoting behavior change - blends bilingual text and social media messaging for smoking cessation tailored to the language and culture of young adult smokers in our vulnerable region of South Texas.

Also known as: Culturally appropriate mobile smoking cessation proram
Quitxt bilingual text messaging and chat

Abbreviated text messaging with smoking cessation-related content and referral to the Texas Department of State Health Services (TDSHS) cessation program Yes Quit.

Also known as: Abbreviated text messaging with smoking cessation-related content
Usual care

Eligibility Criteria

Age18 Years - 29 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Latinos
  • aged 18-29 years;
  • smoking at least one cigarette/day ≥3 days/week;
  • interested in quitting;
  • willing to provide follow-up data;
  • are not simultaneously participating in a cessation program;
  • own a cell phone or smartphone;
  • are able to send and receive text messages and access the Internet;
  • reside in the study area; and
  • able to provide informed consent to participate in the study.

You may not qualify if:

  • are not interested in quitting;
  • are unable to provide consent due to a mental, emotional, or physical handicap that keep them from understanding the consent information;
  • do not own a cell phone with text and Internet capabilities;
  • are unable to respond to text messages and questions or unable to view the study mobile webpages/YouTube videos (i.e., if they are blind, deaf); or
  • are planning to move from the study area within the study time span.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78229, United States

RECRUITING

MeSH Terms

Conditions

Smoking Cessation

Interventions

Choline O-Acetyltransferase

Condition Hierarchy (Ancestors)

Health BehaviorBehavior

Intervention Hierarchy (Ancestors)

AcetyltransferasesAcyltransferasesTransferasesEnzymesEnzymes and Coenzymes

Study Officials

  • Patricia Chalela, DrPH

    The University of Texas Health Science Center at San Antonio

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Patricia Chalela, DrPH

CONTACT

Vivian Cortez, MS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: A two-group parallel randomized controlled trial with 1,200 Spanish- and English-speaking young Latino adult smokers in South Texas (ages 18-29) to assess the effects of Quitxt on smoking cessation.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 14, 2023

First Posted

July 24, 2023

Study Start

February 12, 2026

Primary Completion (Estimated)

August 1, 2028

Study Completion (Estimated)

August 1, 2028

Last Updated

March 31, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

Annual presentation at a national conference is expected. Community Presentations/Forums for young adult organizations and groups, public health and clinical practitioners, and the community at large. Educational presentations and infographics about the importance of quitting smoking aimed at colleges, technical schools, community stakeholders, at health fairs or at in-person and/or virtual educational sessions organized with the study team's community partners. Submission to scientific journals Communications, American Journal of Health Promotion, Tobacco Control, and other scientific periodicals to disseminate findings including Quitxt text messaging and chat development and implementation and report experimental results based on follow-up assessments. Via the Institute for Health Promotion Research home website; its institutional e-newsletters; and its Salud America! (SA!) national network.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
At study completion when summary data are published or otherwise made available
Access Criteria
Institute for Health Promotion Research home website; its institutional e-newsletters; and its Salud America! (SA!) national network.
More information

Locations