Adapt2Quit - An Adaptive Motivational System for Socio-Economically Disadvantaged Smokers

N/ACompletedNCT04720625

University of Massachusetts, Worcester757 enrolled

Overview

The goal of this research is to test the Adapt2Quit computer program that uses participant input (message rating on how much the text motivational message might influence one to quit smoking) to select and text motivational messages that are more likely to help a user stop smoking. This Adapt2Quit system will be compared with a quitline facilitation-only control (text messages will be sent to facilitate quitline use). The primary research hypothesis is that the Adapt2Quit recommender-selected messages will be more effective than a texting quitline facilitation-only control for smoking cessation among socioeconomically disadvantaged (SED) smokers.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

TRIPLE

Enrollment

757

Conditions

Tobacco Smoking

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Current smoker * Socioeconomically disadvantaged (SED) (using the following criteria: unemployed or underemployed, low income as defined by the federal poverty level guidelines, uninsured or underinsured, and/or have less than a high school education) * English-speaking * Active in care (at least two clinical visits in the last year) * Have a texting-enabled cell phone Exclusion Criteria: * Not a current smoker * Adults unable to consent * Individuals who are not yet adults (infants, children, teenagers) * Prisoners * Pregnant women * Pilot study participants

Locations (3)

Johns Hopkins University

Baltimore, Maryland, United States

Baystate Health

Springfield, Massachusetts, United States

University of Massachusetts Medical School

Worcester, Massachusetts, United States

Outcomes

Primary Outcomes

Self-Reported Participant Tobacco Cessation Rate (quit rate)

Self-reported 6-month point prevalence cessation (yes/no) will be assessed at 6-month follow-up.

Time frame: 6-months post-randomization

Biochemical Carbon Monoxide (CO) Verification of Tobacco Cessation

Biochemical carbon monoxide (CO) verification testing will also be done for a small subset of participants, where 0-6 parts per million (PPM) measures a non-smoker and 7+ PPM indicates a current smoker.

Time frame: 6-months post-randomization

Secondary Outcomes

Time to First Quit Attempt

Self-reported date of first quit attempt since starting the study will be assessed through text message response from participant during the 6-month intervention period.

Time frame: From randomization to 6-months post-randomization