Text Messaging and Telephone Counseling for Supporting Post-discharge Quit Attempts

Federal University of Juiz de Fora400 enrolled

Overview

This is an extension of a previous feasibility study (Clinical Trials Registry - NCT02571244). The actual study is a research aimed to compare the effectiveness of telephone counseling and personalized text messages (TM) for supporting post-discharge quit attempts among hospitalized smokers, with focus on smoking cessation as the main outcome. Smokers patients will receive brief interventions and nicotine replacement therapy during the hospitalization. After discharge smoker patients will be allocated into a intervention or control arm. In the first and third months, after randomization, the patients will be contact to smoke abstinence assessment.

This is an extension of a previous feasibility study (Clinical Trials Registry - NCT02571244). Background: Research suggests that smokers who receive treatment inside the hospital and post-discharge follow up for at least a month is most likely to quit smoking than those who didn't receive any intervention. The current challenge is to know the best way to support post-discharge quit attempts in the Brazilian context. Objective: The aim of this study is compare the effectiveness of personalized text messages (TM) and telephone counseling to support smoking cessation between post discharge patients. Methods: All patients admitted to the University Hospital of Juiz de Fora (HU/UFJF), between 06/2017 to 11/2018, will be asked about the cigarettes consumption in the last 30 days. Smokers patients will receive brief interventions and nicotine replacement therapy during hospitalization. After discharge these patients will be allocated into an intervention or control arm. The intervention group will receive mobile phone TM twice a day up to fifteen days. The control group will receive usual care (four telephone counseling sessions using motivational interviewing approach). Results: At the first and third months, after randomization, the patients will be contacted for smoke abstinence assessment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Interventions

Phone counselingBEHAVIORAL

Four telephone counseling sessions using a motivational interviewing approach

Text messageBEHAVIORAL

30 messages (2 per day) and patients unwilling to quit 16 (2 per day). The messages follows the self efficacy theory. The messages follows the self efficacy theory.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 18 years or older * Smoked cigarettes in the last 30 days (even a puff) * Have own mobile phone * Have received at least one text message in the last year * Have no problem with the mobile phone signal Exclusion Criteria: * Don't have a mobile phone * Unstable cognitive or physical condition * Physical or breath contact restrictions * Intensive care units

Locations (1)

University Federal Hospital of Juiz de Fora

Juiz de Fora, Minas Gerais, Brazil

Outcomes

Primary Outcomes

Self Reported Smoking Abstinence

No smoking (even a puff) in the past 7 days at the first month follow up.

Time frame: Smoking abstinence at the first month after randomization

Secondary Outcomes

Self Reported Smoking Abstinence

No smoking (even a puff) in the past 7 days at the third month after randomization.

Time frame: Smoking abstinence at the third month after randomization

Carbon monoxide verified Smoking Abstinence

Carbon monoxide verified Smoking Abstinence at third-month follow up. Abstinence defined as Carbon monoxide ≤ 6.

Time frame: At third-month follow up

Reduction of Daily Cigarettes Consumption From Baseline

The self reported daily cigarettes consumption at the third month after randomization will be compared to the baseline.

Time frame: At the third month after randomization

Data from ClinicalTrials.gov

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