The purpose of this research is to study a smoking cessation program for adult smokers in Northeast Ohio. The study will also look at how different people respond to the program.
Objective 1: To examine the feasibility of conducting an evidence-based, cognitive behavioral therapy (CBT) for tobacco cessation delivered in multiple formats. Participants will have the opportunity to receive a CBT-based tobacco intervention delivered several possible formats (face-to-face, telephone, video-counseling) based on availability and participant preferences. Study participants will be exposed to cognitive-behavioral cessation and relapse prevention strategies, and discuss barriers to cessation, previous quit attempts, risky situations, and benefits observed after quitting. Participants may also complete exercises designed to assist cessation attempts (e.g., mental and behavioral coping skills, cognitive reframing exercise, health benefits of cessation; and no-smoking behavioral contracts). As supplemental treatment, participants may have the option to receive up to 8 weeks of nicotine replacement therapy and text-messaging support. Objective 2: To examine the rates of smoking abstinence across intervention formats. Investigators will attempt to follow-up with participants for a 6-months after program completion. Investigators will assess point prevalence abstinence for each intervention delivery method. Objective 3: To assess individual difference variables that influence outcomes. Investigators will examine individual-difference predictors of outcomes, such as readiness to quit, social support, distress, and environmental factors.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
56
8 sessions over 4 weeks. Lasting 1-2 hours each
8 in person sessions over 4 weeks. Lasting 30-45 minutes each
8 phone sessions over 4 weeks. Lasting 30-45 minutes each
Case Western Reserve University, Case Comprehensive Cancer Center
Cleveland, Ohio, United States
Rate of 24 hour smoking abstinence across intervention
Number of participants who did not smoke for 24 hours. Coded as binary (1 = cessation, 0 = smoking)
Time frame: Up to 24 hours after session 1
Rate of 7-day smoking abstinence across intervention
Number of participants who did not smoke for 7 days (1 = cessation, 0 = smoking)
Time frame: Up to 7 days after session 1
Rate of 28-day smoking abstinence across intervention
Number of participants who did not smoke for 28 days (1 = cessation, 0 = smoking)
Time frame: Up to 28 days after session 1
Average intervention rating
Scaled survey will be used to assess the quality and the content of the intervention \[i.e., the extent to which the content was informative, encouraging, attention capturing, credible, applicable to their lives, and comprehensible.\]
Time frame: Up to 4 weeks after session 1
Sessions completed
Average count of sessions each participant completed (1-8)
Time frame: Up to 4 weeks after session 1
Study Retention
Time frame: Up to 4 weeks after session 1
Nicotine Replacement Therapy (NRT) Completed
Average count of doses of NRT taken by participants
Time frame: Up to 4 weeks after session 1
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8 video call sessions over 4 weeks. Lasting 30-45 minutes each
Texts with smoking cessation support throughout the program
Participants will receive up to 8 weeks of over-the-counter nicotine replacement therapy