Mindfulness Based Smoking Cessation Among Cancer Survivors
Smartphone Application Versus Group Mindfulness-based Smoking Cessation Intervention for Cancer Patients and Survivors: Reach Versus Effectiveness
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Taghrid Asfar, MD
- Phone Number: 305-243-3826
- Email: tasfar@miami.edu
Study Contact Backup
- Name: Lily Friedman
- Phone Number: 609-647-5800
- Email: lxf699@miami.edu
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33136
- University of Miami
-
-
Tennessee
-
Memphis, Tennessee, United States, 38105
- St. Jude Children's Research Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Be 18 years and older
- Cancer survivors (based on the NCI definition - "a person is considered to be a survivor from the time of diagnosis until the end of life" National Cancer Institute Dictionary of Cancer Terms, 2014)
- Cancer patients currently in active treatment
- Have smoked ≥ 5 cigarettes/day in the past year
- Be interested in making a quit attempt in the next 30 days
- Own a smartphone (apple/android)
- Read/speak English
- Able to consent
- Have no plans to move in the next 3 months
- Are not pregnant or planning to be pregnant in the following 3 months
Exclusion Criteria:
- Have contraindication to NRT (past month myocardial infarction, history of serious arrhythmias/or unstable angina pectoris, dermatological disorder)
- Are currently being treated for a psychiatric condition
- Are currently being treated for smoking cessation, alcoholism, or illicit drug use
- Are adults unable to consent
- Are individuals who are not yet adults
- Are pregnant women
- Are prisoners
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Usual Care
Participants in this group will receive a brief advice to quit smoking, 6-week supplies of nicotine replacement therapy (NRT), and self-help materials to quit smoking.
|
6 weeks of nicotine replacement therapy patches
Standard advice on how to quit smoking.
Written materials on how to quit smoking including contact info for state tobacco quitline.
|
|
Experimental: Craving-to-Quit app
Participants in this group will receive one "in-person" or online orientation session, 6-week supply of NRT, the "Craving-to-Quit" app, and two brief follow-up phone calls.
|
6 weeks of nicotine replacement therapy patches
The app is comprised of 22 modules for 22 days, 5-15 minutes each, designed to teach MT using audio, video, and animation.
The app also includes other features such as social support (quit friend sign-ups, the tip of the week), activity feed (to track interaction with the app), and my morning stats (to track smoking).
The first phone call will occur one day before the quit date to remind participants about their quit date and provide support.
The second will occur at the end of treatment (around day 60 after quit date) to review progress, provide support, and schedule the 3-month follow-up visit.
Each phone call will last approximately 15 minutes.
This session will occur 2 weeks before quit date.
It will be moderated by a certified instructor in MT, and will last approximately 90 min.
During the session, participants will learn the purpose, format, and procedures of the study, provide electronic informed consent which will be audio-recorded with their permission, and complete the baseline assessment.
|
|
Experimental: Group Mindfulness Training
Participants in this group will receive twice weekly group sessions (eight total during 4 weeks) that were manualized and delivered by instructors experienced in Mindfulness Training (MT) (a single therapist with >4 years of training in MT).
|
6 weeks of nicotine replacement therapy patches
Total of eight group sessions (twice a week) during 4 weeks.
The overarching theme of momentary awareness and acceptance of cravings and affect (e.g., stress, anxiety etc.) will be introduced and reinforced in complementary ways throughout the training.
Each session will last 45-60 minutes.
This session will occur 2 weeks before quit date.
It will be moderated by a certified instructor in MT, and will last approximately 90 min.
During the session, participants will learn the purpose, format, and procedures of the study, provide electronic informed consent which will be audio-recorded with their permission, and complete the baseline assessment.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Confirmed Smoking Abstinence
Time Frame: 3 months
|
Number of participants who self-report of not smoking in the past 7-days, not even a puff, confirmed by expired carbon monoxide (CO) level of < 10 ng/ml.
|
3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Acceptability
Time Frame: 3 months
|
Assessed by 3 items "How satisfied were you with the intervention?",
"How likely are you to recommend this intervention to a friend?" and "How useful was the intervention?"
Each question is scored from 0-10 with the higher score indicating increased acceptability.
|
3 months
|
|
Attrition
Time Frame: 3 months
|
Defined as the number of participants not having a final visit at the end of treatment, categories include mortality, withdrawal from the study, transfer to non-study clinics, loss to follow-up without identifiable cause.
|
3 months
|
|
Change in Number of Cigarettes Smoked Per Day
Time Frame: Baseline, 3 months
|
Self-reported number of cigarettes smoked per day by each participant (Question is: "On average, how many cigarettes do you smoke per day?.
Calculated as # of cigarettes reported at Baseline minus # of cigarettes reported at 3-month follow-up)
|
Baseline, 3 months
|
|
Number of Participants With Reported Relapse
Time Frame: 3 months
|
Relapse is defined as smoking at least once/week on two consecutive weeks.
|
3 months
|
|
Usability of the Craving-to-Quit App
Time Frame: 3 months
|
How usable participants found the app measured by the absolute number of times logged into the app.
|
3 months
|
|
Usability of the Craving-to-Quit App as Assessed by the Number of Days of Completed App Use
Time Frame: 3 months
|
How usable participants found the app measured by self-reported number of completed days for the app.
|
3 months
|
|
Usability of the Craving-to-Quit App as Assessed by the Comfortability With the App
Time Frame: 3 months
|
How usable participants found the app measured by the comfortability of the app via questionnaire with scores ranging from 0-10 with the higher score indicating increased comfortability with the app.
|
3 months
|
|
Feasibility of Recruitment as Assessed Via Enrollment Rate
Time Frame: Baseline
|
Percentage of enrolled in each arm out of the 44 that were originally recruited (number recruited divided by number enrolled multiplied by 100).
A feasible recruitment is defined as an enrollment rate of 70% or higher.
|
Baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Taghrid Asfar, MD, University of Miami
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- 20190328
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Tobacco Smoking
-
NCT03645941CompletedSmoking | Smoking Cessation | Tobacco Use | Tobacco Smoking | Tobacco Use Cessation | Smoking, Tobacco | Smoking, Cigarette
-
NCT04889638CompletedSmoking Cessation | Smoking Reduction | Smoking, Tobacco
-
NCT03238456CompletedSmoking | Smoking Cessation | Tobacco Use | Tobacco Smoking | Tobacco Use Cessation | Smoking, Cigarette
-
NCT07553962RecruitingSmoking Cessation | Tobacco | Quitting Smoking | Tobacco Abstinence | Smoking (Tobacco) Addiction | Smoking ( Cigarette)
-
NCT01932996CompletedTobacco Smoking | Cigarette Smoking | Smoking, Tobacco
-
NCT05916170CompletedWaterpipe Tobacco Smoking
-
NCT07598136Recruiting
-
NCT02968381CompletedSmoking Cessation | Tobacco Use | Tobacco Smoking | Smoking, Tobacco | Guided Imagery
-
NCT05210699CompletedSmoking | Tobacco Use | Tobacco Smoking | Smoking Behaviors
-
NCT05114863CompletedSmoking | Tobacco Use | Tobacco Smoking | Smoking Behaviors
Clinical Trials on Nicoderm C-Q Transdermal Product
-
NCT04286295TerminatedCoronary Artery Disease | Smoking Cessation
-
NCT05660525RecruitingSmoking | Smoking Cessation | Smoking Reduction | Smoking, Tobacco | Smoking, Cigarette | Quitting Smoking
-
NCT03999411CompletedSmoking | Smoking Cessation | HIV
-
NCT04891406Completed
-
NCT04032717Terminated
-
NCT04094363CompletedSmoking | Tobacco Use | Tobacco Smoking
-
NCT04751461CompletedSmoking | Tobacco Use | Tobacco Smoking | Smoking Behaviors
-
NCT04372290CompletedSmoking | Tobacco Use | Tobacco Smoking | Smoking Behaviors