Addressing Tobacco Use Disparities in Rural Older Adults Through an Innovative Mobile Phone Intervention

Addressing Tobacco Use Disparities in Rural Older Adults Through an Innovative Mobile Phone Intervention: Testing the Feasibility of the Textto4gotobacco Intervention

The purpose of this study is to evaluate the feasibility, acceptability and preliminary efficacy of a Scheduled Gradual Reduction (SGR) intervention via SMS (short message service) text messaging plus SMS Support Messages in decreasing smoking in an older adult rural population. The SGR group (n=20) will receive a four-week SGR program delivered via SMS text messages plus SMS support messages. The control group (n=20) will receive SMS support messages to aid in quitting.

Study Overview

• Status: Completed
• Conditions: Tobacco Cessation
• Intervention / Treatment: Behavioral: SGR; Behavioral: Support message only

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • North Carolina
    • Durham, North Carolina, United States, 27710
      • Duke University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 56 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Over 60 years of age,
2. Have smoked 100 cigarettes in their lifetime and currently smoke five or more cigarettes a day on average,
3. Have an address in a rural census tract defined by a RUCA code of 4-10,
4. Interested in participating in a cessation program,
5. Own a phone that has texting ability and free texting,
6. Have general knowledge of text messaging and
7. Are willing to receive and respond to text messages from the study teams, throughout the duration of the study.

Exclusion Criteria:

1. criteria include non-English speaking patients
2. already participating in a smoking cessation intervention study.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Scheduled Gradual Reduction (SGR); Four week SGR program plus support text messages.	Behavioral: SGR; Behavioral: Support message only
Active Comparator: Support Message Only; Support text messages only.	Behavioral: Support message only

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tobacco cessation, defined as quit rate at 30 days, as measured by self-reported abstinence from tobacco use	Quit rate at 30 days, as measured by self-reported abstinence from tobacco use	30-days

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility, as measured by proportion of return text messages	Proportion of return text messages sent per participants upon receiving "alert" text messages to use tobacco in the intervention group at 30 days Proportion of SMS support messages opened and/or read per participant	30 days
Acceptability, as measured by percentage of participants who reported that they would recommend the program to a friend	Percentage of participants who reported that they would recommend the program to a friend	30 days

Collaborators and Investigators

• Sponsor: Duke University
• Collaborators: Mayo Clinic; Alliance for Clinical Trials in Oncology; Duke Cancer Institute

Publications and helpful links

General Publications

• Noonan D, Silva S, Njuru J, Bishop T, Fish LJ, Simmons LA, Choi SH, Pollak KI. Feasibility of a text-based smoking cessation intervention in rural older adults. Health Educ Res. 2018 Feb 1;33(1):81-88. doi: 10.1093/her/cyx080.

Study record dates

Study Major Dates

• Study Start: December 1, 2015
• Primary Completion (Actual): September 1, 2016
• Study Completion (Actual): September 1, 2016

Study Registration Dates

• First Submitted: July 24, 2015
• First Submitted That Met QC Criteria: July 27, 2015
• First Posted (Estimate): July 29, 2015

Study Record Updates

• Last Update Posted (Estimate): October 21, 2016
• Last Update Submitted That Met QC Criteria: October 19, 2016
• Last Verified: August 1, 2016

More Information

Terms related to this study

• Other Study ID Numbers: Pro00064813