- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04038255
Mindfulness Based Smoking Cessation Among Cancer Survivors
August 11, 2023 updated by: Taghrid Asfar, University of Miami
Smartphone Application Versus In-person Mindfulness-based Smoking Cessation Intervention for Young Cancer Survivors: Reach Versus Effectiveness
This study will examine the effect of a mindfulness-based smoking cessation program among cancer survivors.
Study Overview
Status
Recruiting
Conditions
Study Type
Interventional
Enrollment (Estimated)
60
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
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
- Recruiting
- University of Miami
-
Contact:
- Lily Friedman, BS
- Phone Number: 609-647-5800
- Email: lxf699@miami.edu
-
Principal Investigator:
- Taghrid Asfar, MD
-
-
Tennessee
-
Memphis, Tennessee, United States, 38105
- Recruiting
- St. Jude Children's Research Hospital
-
Contact:
- Tara M Brinkman
- Email: tara.brinkman@stjude.org
-
Contact:
- Ruth Eliason
- Email: ruth.eliason@stjude.org
-
-
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
16 years to 38 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
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)
- Have cognitive/mental health impairment that inhibits mindfulness treatment
- Are currently using any non-cigarette tobacco products
- 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
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / 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 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
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 written informed consent, and complete the baseline assessment.
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.
|
Experimental: In-person 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
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 written informed consent, and complete the baseline assessment.
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.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with confirmed smoking abstinence
Time Frame: 3 months
|
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
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
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?)
|
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 as assessed by the number of times participant logged in the 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
|
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
|
Feasibility of recruitment as assessed via enrollment rate
Time Frame: Baseline
|
A feasible recruitment is defined as an enrollment rate of 70% or higher.
|
Baseline
|
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
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Taghrid Asfar, MD, University of Miami
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)
September 28, 2019
Primary Completion (Estimated)
September 1, 2024
Study Completion (Estimated)
September 1, 2024
Study Registration Dates
First Submitted
July 26, 2019
First Submitted That Met QC Criteria
July 26, 2019
First Posted (Actual)
July 30, 2019
Study Record Updates
Last Update Posted (Actual)
August 15, 2023
Last Update Submitted That Met QC Criteria
August 11, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20190328
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
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.
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