Quit For Life (QFL): Smoking Cessation Among Chinese Smokers Living With HIV (QFL)
The purpose of this two arm randomized clinical trial (RCT) is to test if a smoking cessation program called Quit for Life (QFL) which was developed by the investigators is effective for patients in China with HIV who smoke. This program is designed to suit the needs of people with HIV who smoke in China.
Eligible participants who provide consent will be randomized into either the QFL or the Control group.
The QFL group will receive a quit smoking program that lasts for 8 weeks with two parts-
- 4 sessions with a trained counselor who will discuss the participants' smoking habits and strategies to help them quit.
- Messages sent to the participants' cell phone using WeChat.
The Control group will not have sessions with a trained counselor or receive messages sent to their cell phone.
Both groups will be offered nicotine replacement therapy and a self-help guide with information about quitting smoking.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Nanning
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Guangxi, Nanning, China, 530021
- Guangxi Medical University
-
-
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02118
- Boston Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- HIV seropositive (by being at the HIV clinic and receiving care)
- Receiving ART treatment from the clinic (by being at the HIV clinic and receiving care)
- Smokes ≥ 5 cigarettes per day
- Able to speak and read in Mandarin Chinese
- Self-reported anticipate to receive ART treatment from the clinic for at least 9 months
- Own a cell phone
- Be willing to set a quit date within 1 month after baseline assessment
Exclusion Criteria:
- Self-reported using other smoking cessation program or medication
- Having a serious health problem that may make them unsuitable to stay in the study
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 |
|---|---|
|
Experimental: Quit for Life group
Participants randomized to this arm will receive a 8 week quit smoking program delivered by trained counselors and messages to their cell phones.
Participants will also be offered nicotine replacement therapy (gum or patch, depending on which one is available) and a self-help guide with information about quitting smoking.
|
4 sessions will be provided with a trained counselor who will discuss the participant's' smoking habits with them and strategies to help them quit.
The first session is in-person, lasts for 20 minutes, and typically happens when the participant comes to the HIV clinic to pick up their medication.
Sessions 2 through 4 are over the telephone and last for 15 minutes each.
These occur 1 week, 4 weeks, and 8 weeks after the first session.
Brief messages that give tips to help quit smoking will be sent to participants' cell phones using WeChat.
3 messages per day will be sent for the first week, 2 messages per day for the next 3 weeks, 1 message per day for the next 1 week, and 1-2 messages per week for the rest of the time
Participants will be offered nicotine replacement therapy (gum or patch, depending on which one is available).
Participants will be offered a self-help guide with information about quitting smoking.
|
|
Active Comparator: Control group
Participants randomized to this arm will be offered nicotine replacement therapy (gum or patch, depending on which one is available) and a self-help guide with information about quitting smoking.
|
Participants will be offered nicotine replacement therapy (gum or patch, depending on which one is available).
Participants will be offered a self-help guide with information about quitting smoking.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Biochemically Verified Smoking Cessation
Time Frame: 12 weeks
|
Defined as not smoking during the previous 7 days, not even a puff, validated by measuring CO level (<8ppm) in the exhaled air
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants That Self Reported Smoking Cessation at 8 Weeks
Time Frame: 8 weeks
|
Participants will report if they did not smoke in the previous 7 days by answering questions in an interviewer-administered questionnaire.
|
8 weeks
|
|
Number of Participants That Self Reported Smoking Cessation at 12 Weeks
Time Frame: 12 weeks
|
Participants will report if they did not smoke in the previous 7 days by answering questions in an interviewer-administered questionnaire.
|
12 weeks
|
|
Change in Number of Cigarettes Smoked in the Previous 30 Days at 8 Weeks
Time Frame: baseline, 8 weeks
|
Participants will report the number of cigarettes they smoked in the previous 30 days by answering questions in an interviewer-administered questionnaire.
|
baseline, 8 weeks
|
|
Change in Number of Cigarettes Smoked in the Previous 30 Days at 12 Weeks
Time Frame: baseline, 12 weeks
|
Participants will report the number of cigarettes they smoked in the previous 30 days by answering questions in an interviewer-administered questionnaire.
|
baseline, 12 weeks
|
|
Number of Quit Attempts at 8 Weeks
Time Frame: 8 weeks
|
Participants will report the number of quit attempts since the study started by answering questions in an interviewer-administered questionnaire.
|
8 weeks
|
|
Number of Quit Attempts at 12 Weeks
Time Frame: 12 weeks
|
Participants will report the number of quit attempts since the study started by answering questions in an interviewer-administered questionnaire.
|
12 weeks
|
|
Adherence to Antiretroviral Treatments (ART) at 8 Weeks
Time Frame: 8 weeks
|
ART adherence will be assessed with the investigator developed, interviewer-administered 'Adherence to HIV medicine' questionnaire.
This questionnaire assesses degree of adherence to taking HIV medicine on time by selecting a number between 0 and 10, where 0 = never on time [worse outcome] and 10 = always on time [best outcome].
Higher scores are more favorable.
|
8 weeks
|
|
Adherence to Antiretroviral Treatments (ART) at 12 Weeks
Time Frame: 12 weeks
|
ART adherence will be assessed with the investigator developed, interviewer-administered 'Adherence to HIV medicine' questionnaire.
This questionnaire assesses degree of adherence to taking HIV medicine on time by selecting a number between 0 and 10, where 0 = never on time [worse outcome] and 10 = always on time [best outcome].
Higher scores are more favorable.
|
12 weeks
|
|
Quality of Life (QOL) in the Dimensions of Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression at 12 Weeks
Time Frame: 12 weeks
|
The EuroQol- 5 Dimension (EQ-5D) will be used to assess QOL.
It is a questionnaire with five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and a scale of 0 to 100 where 0 means the worst health and 100 means the best health the participant can imagine.
|
12 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Intervention Satisfaction at 8 Weeks
Time Frame: 8 weeks
|
Participant satisfaction with the intervention will be assessed using an investigator-developed questionnaire
|
8 weeks
|
|
Intervention Satisfaction at 12 Weeks
Time Frame: 12 weeks
|
Participant satisfaction with the intervention will be assessed using an investigator-developed questionnaire
|
12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Lisa Quintiliani, PhD, Boston Medical Center
- Principal Investigator: Hao Liang, PhD, Guangxi Medical University
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
Keywords
Additional Relevant MeSH Terms
- Blood-Borne Infections
- Urogenital Diseases
- Genital Diseases
- Immune System Diseases
- Infections
- RNA Virus Infections
- Virus Diseases
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- HIV Infections
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Neurotransmitter Agents
- Cholinergic Agents
- Ganglionic Stimulants
- Nicotinic Agonists
- Cholinergic Agonists
- Nicotine
Other Study ID Numbers
Other Study ID Numbers
- H-41807
- 1R21CA243835-01A1 (U.S. NIH Grant/Contract)
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
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