Text Message and Mail Delivery of Tailored Educational Materials to Improve Access to Resources for Smoking Cessation of Menthol Tobacco Cigarettes

September 28, 2026 updated by: Roswell Park Cancer Institute

An Exploratory Investigation on Effectiveness of Tailored New York State Quitline Services for Cessation of Menthol Tobacco Cigarettes

This clinical trial compares the impact of receiving educational materials containing relevant content about risks from smoking menthol cigarettes which include links to the New York (NY) Smoke-Free website by text message or mail in people who smoke menthol cigarettes. The NY Smoke-Free website includes tailored content developed specifically for menthol smokers and provides resources designed to resonate with the experiences of menthol smokers and address the unique challenges they face in quitting. Delivering tailored educational materials by text message or mail may increase interaction with information about menthol cigarettes and smoking cessation resources compared to those who do not receive the educational messaging.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Detailed Description

PRIMARY OBJECTIVES:

I. Assess participant interaction with an educational message about menthol cigarettes by tracking visits to the Quitline website.

II. Assess participant interaction with the educational message delivered by text message with a direct link to information about menthol cigarettes by tracking visits to the Quitline Web site.

III. Assess participant interaction with the educational message delivery by mail with a direct link to information about menthol cigarettes by tracking visits to the Quitline Web.

OUTLINE: Participants are randomized to 1 of 3 groups.

GROUP I: Participants receive an educational flyer by mail along with the standard Quitline materials on study. Participants receive access to a website and quick response (QR) code directing them to culturally tailored information about menthol cigarettes and cessation on the NY Smoke-Free website.

GROUP II: Participants receive standard Quitline materials in the mail on study.

GROUP III: Participants receive an educational message by text along with the standard Quitline materials by mail on study. Participants receive access to a website and QR code directing them to culturally tailored information about menthol cigarettes and cessation on the NY Smoke-Free website.

Study Type

Interventional

Enrollment (Estimated)

600

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • New York
      • Buffalo, New York, United States, 14263
        • Roswell Park Cancer Institute

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adults aged 18 years or older
  • Residents of New York State
  • English Speaking
  • Willingness to receive and engage with mailed educational materials
  • Participants with ability to receive text messaging access to smart device

Exclusion Criteria:

  • Report currently smoking menthol cigarettes
  • People who do not report currently smoking menthol cigarettes
  • Individuals under 18 years of age
  • Persons in correctional facilities
  • Non-English speaking
  • Participants who cannot receive text messaging or have access to smart device

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Cohort II (standard Quitline materials)

Participants receive standard Quitline materials in the mail on study.

Receive standard Quitline materials

Other Names:
  • Smoking and Tobacco Use Cessation Interventions
Experimental: Group I (educational material by mail)

Participants receive an educational flyer by mail along with the standard Quitline materials on study. Participants receive access to a website and QR code directing them to culturally tailored information about menthol cigarettes and cessation on the NY Smoke-Free website.

Receive standard Quitline materials

Other Names:
  • Smoking and Tobacco Use Cessation Interventions

Receive an educational flyer by mail

Other Names:
  • Education for Intervention
  • Intervention by Education
  • Intervention through Education
  • Intervention, Educational

Receive access to a website

Receive access to a QR code

Other Names:
  • Smartphone App-based Intervention
  • Smartphone Intervention
  • Smartphone-based Intervention
Experimental: Group III (educational messaging by text)

Participants receive an educational message by text along with the standard Quitline materials by mail on study. Participants receive access to a website and QR code directing them to culturally tailored information about menthol cigarettes and cessation on the NY Smoke-Free website.

Receive standard Quitline materials

Other Names:
  • Smoking and Tobacco Use Cessation Interventions

Receive access to a website

Receive access to a QR code

Other Names:
  • Smartphone App-based Intervention
  • Smartphone Intervention
  • Smartphone-based Intervention

Receive an educational message by text

Other Names:
  • Automated Text Message-Based Navigation
  • Text Message-Based Navigation

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Engagement with quick response (QR) code scans
Time Frame: Up to 12 months

QR code will be scanned will be tracked through unique uniform resource locator assigned. Each scan will be documented, allowing for the counting of interactions (Poisson) directly affiliated with the materials distributed. Also, binary (yes/no) (Did the participant interact at least once). Will be analyzed using chi-square tests or Fisher's exact tests. Bonferroni's correction will be used to adjust for three pairwise comparisons (alpha=0.05/3).

Up to 12 months
Website Utilization
Time Frame: Up to 12 months

total number of visits, unique visitors,

Up to 12 months
Interactions with online resources
Time Frame: Up to 12 months

Interactions with online resources will include the number of clicks on website, and time spent on various pages. Will be analyzed using chi-square tests or Fisher's exact tests. Bonferroni's correction will be used to adjust for three pairwise comparisons (alpha=0.05/3).

Up to 12 months
Website utilization
Time Frame: Up to 12 months

Duration of sessions

Up to 12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of website interactions from the mailed flyer
Time Frame: Up to 12 months

Will measure participant engagement with the menthol educational materials.

Up to 12 months
Number of QR code interactions from the mailed flyer
Time Frame: Up to 12 months

Will measure participant engagement with the menthol educational materials.

Up to 12 months
Number of website interactions from the text message
Time Frame: Up to 12 months

Will measure participant engagement with the menthol educational materials.

Up to 12 months
Number of QR code interactions from the text message
Time Frame: Up to 12 months

Will measure participant engagement with the menthol educational materials.

Up to 12 months
Duration spent on the cessation website
Time Frame: Up to 12 months

Will assess depth of engagement.

Up to 12 months
Number of pages or resources accessed on the website
Time Frame: Up to 12 months

Will evaluate participant utilization of the content.

Up to 12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Sarah Pearson-Collins, Roswell Park Cancer Institute

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 8, 2025

Primary Completion (Actual)

December 12, 2025

Study Completion (Estimated)

December 12, 2026

Study Registration Dates

First Submitted

September 21, 2026

First Submitted That Met QC Criteria

September 28, 2026

First Posted (Actual)

October 5, 2026

Study Record Updates

Last Update Posted (Actual)

October 5, 2026

Last Update Submitted That Met QC Criteria

September 28, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • I-4464925
  • NCI-2025-03221 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
  • I-4464925 (Other Identifier: Roswell Park Cancer Institute)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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.