PMCAN for Smokers at Smoking Hotspots
Proactive Minimal Cessation Advice Plus Nicotine Replacement Therapy (PMCAN) for Smoking Cessation in Smokers at Smoking Hotspots: a Pilot Randomized Controlled Trial
Background: Many smokers cannot quit due to nicotine withdrawal symptoms, which peak at the first week of abstinence. Proactive recruitment of smokers is needed as most smokers do not seek smoking cessation (SC) services. A smoking hotspot (SH) is defined as a public outdoor place where smokers stop/linger and smoke. We aim to include a reasonably "representative" or unbiased sample of SH at different locations from all 3 regions of Hong Kong. We will randomly select 6 eligible SH (2 in each regions) from the 15 hotspots in our previous community trial.
Methods: Two trained SC ambassadors (student helpers) and one supervisor (experienced research assistant) will be deployed for each session of intervention at a SH. Potential subjects will be approached using the "a-foot-into-the-door" method in which SC ambassador will ask if smoker would like to reduce/quit smoking and receive SC intervention or advices. Smokers will be assessed for eligibility and informed written consent will be sought. Subjects will complete a brief self-administered questionnaire (baseline) using tablet. To reduce later hang-ups of telephone interventions or surveys, SC ambassador will save contact number of the trial into subjects' mobile phones.
Discussion: The findings will provide much needed and original evidence to support a main RCT on these new, proactive, simple and low-cost interventions for improving current SC services and policy for smokers who do not actively seek help from SC services in Hong Kong and elsewhere.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult smokers aged 18+ who smoke cigarettes daily.
- Exhaled carbon monoxide (CO) level of 4ppm or above.
- Hong Kong residents able to read and communicate in Chinese (Cantonese or Putonghua)
Exclusion Criteria:
- Smokers who have contraindication for NRT use: severe angina, arrhythmia, myocardia infraction, pregnancy (or intended to become pregnant <6 months) or breastfeeding.
- Smokers who have psychiatric/psychological diseases or regular psychotropic medications
- Smokers who are using SC medication, NRT, other SC services or projects.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Nicotine Replacement Therapy
This experimental group receives health warning leaflet, 1-week free nicotine replacement therapy (gum/patch), a card containing instruction and potential side effects and follow-up intervention if they have the above side effects at 3-, 7- and 10-days.
|
1-week free NRT (gum/patch) plus a card containing instruction and potential side effects.
Other Names:
An A4 double-side color leaflet containing shocking pictures of diseases associated with smoking.
|
|
EXPERIMENTAL: Minimal Cessation Advice & Nicotine Replacement Therapy
This experimental group receives brief smoking cessation advice using AWARD model with a health warning leaflet, 1-week free nicotine replacement therapy (gum/patch), a card containing instruction and potential side effects and follow-up intervention if they have the above side effects at 3-, 7- and 10-days.
|
1-week free NRT (gum/patch) plus a card containing instruction and potential side effects.
Other Names:
An A4 double-side color leaflet containing shocking pictures of diseases associated with smoking.
Brief smoking cessation advice using AWARD model.
AWARD: (1) Ask smoking habit; (2) Warn about smoking risk; (3) Advice to quit as soon as possible; (4) Refer to smoking cessation service; and (5) Do-it-again: if relapse/fail.
Other Names:
|
|
EXPERIMENTAL: Minimal Cessation Advice
This experimental group receives brief smoking cessation advice using AWARD model with a health warning leaflet.
|
An A4 double-side color leaflet containing shocking pictures of diseases associated with smoking.
Brief smoking cessation advice using AWARD model.
AWARD: (1) Ask smoking habit; (2) Warn about smoking risk; (3) Advice to quit as soon as possible; (4) Refer to smoking cessation service; and (5) Do-it-again: if relapse/fail.
Other Names:
|
|
ACTIVE_COMPARATOR: Control
This control group receives a health warning leaflet.
|
An A4 double-side color leaflet containing shocking pictures of diseases associated with smoking.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Exhaled CO validated abstinence
Time Frame: 3 month
|
3 month
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Self-reported past 7-day point prevalence abstinence
Time Frame: 3 month
|
3 month
|
|
Nicotine Replacement Therapy use
Time Frame: 3 month
|
3 month
|
|
Smoking cessation service use
Time Frame: 3 month
|
3 month
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Man Ping Wang, The University of Hong Kong
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- PMCANp_2016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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