- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04449458
The Positively Quit Trial for Smoking Cessation
The Positively Quit Trial: Addressing Disproportionate Smoking Rates Among People Living With HIV
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Note: Public-facing information will not reveal that the study is specifically for people living with HIV; instead these documents refer to "people living with certain health conditions. This trial involves a highly stigmatized, vulnerable, and private group: people living with HIV. The team does not wish to make it known publicly that this trial is for people living with HIV, as that could lead to other people inadvertently learning someone's HIV-positive status, which would be a major privacy violation. For example, if a participant receives email or text from the Positively Quit Study, there is no easy way for another person to know the study is only for those living with HIV. However, if the website notes the inclusion requirement of living with HIV on clinicaltrials.gov, a boyfriend, roommate, family member, etc., could look up the Positively Quit Trial on clinicaltrials.gov and then determine that their boyfriend, roommate, family member, etc. is HIV-positive. Eligibility criteria are deliberately incomplete to protect the privacy of people living with HIV. Moreover, some details are left out of the eligibility criteria to prevent participants from qualifying for the study because they knew the "correct" answers to the eligibility screens--not because they actually met criteria.
After completing eligibility screening, including a video-conferencing observed swab test to measure levels of cotinine (a marker of cigarette smoking chemicals), those eligible will be invited to complete the baseline assessment and enroll in the trial.
Enrolled participants will then complete a baseline assessment (the first assessment for the trial, consisting of a secure online survey). Then they will be randomized to either the treatment condition or the AMC. Randomization is a fair way of selecting who will be in each condition. It is like flipping a coin. In this study, instead of actually flipping a coin, the team will use a web-based randomization software that basically does the same thing. Once a participant learns their randomized condition, they will receive brief cessation counseling and an offer of nicotine replacement therapy (NRT) patches. For participants who would like NRT, study staff will help determine if the participant can get NRT through their insurance or related assistance program (e.g., ADAP); if it is possible, the study staff will facilitate that process. If getting NRT through insurance, etc. is not possible, NRT will be provided by the study.
Participants will begin their group sessions within approximately 2 weeks of randomization. For both conditions, the group sessions will all be conducted using group-based video-conferencing via Zoom, a HIPAA compliant video-conferencing system that is easy to use, works well even at lower internet speeds, and is free to trial participants; this will be the same system participants used during eligibility screening. Participants will be required to join the group from a private space, with no others present, to ensure confidentiality for all participants. Those who violate this requirement will be asked to resolve the situation immediately or log out of the session. A second violation will lead to permanent removal from the group sessions, because confidentiality is critical. Groups for both conditions will consist of 8 sessions over 6 weeks, with subsequent booster sessions 2,4,8, and 12 weeks after the end of the main interventions.
For each condition, one facilitator will be a master's level counselor and one will be a peer (person living with certain health condition). Facilitators will be trained for only one group type (there will be 1-2 sets of facilitators for treatment and a separate 1-2 sets of facilitators for AMC). All facilitators will undergo supervision with the PI and Co-I.
Participants will complete assessments at days 0 (baseline), 42, 90, 180, and 360, to include questions about smoking, health, utilized cessation treatments, and potential mediators (variables that changed as a result of the program and subsequently led to smoking cessations). These assessments will involve a secure online survey. Smoking abstinence will be confirmed with a video-conferencing observed oral swab test for cotinine, a biological marker of cigarette smoking. Note that the initial swab test will be done at the end of eligibility screening instead of at baseline, as this is part of eligibility determination. Participants will be remunerated for their time via gift cards.
In addition to the 5 major assessments, participants will receive "brief check-ins" to confirm/validate contact information approximately every 45 days, and again remunerated. This is important because the success of the trial is dependent upon keeping participants involved and reminding them about study activities to ensure retention and reduce attrition/missing data.
In addition to the "brief check-ins", there is a robust plan for maintaining engagement/preventing attrition. 1) The team will closely monirot participant involvement, update contact information, and communicate with the study staff. The website will also serve as a portal for study staff to track participant involvement. 2) Participants will receive physical reminders of the study (e.g., pens, magnets, etc.) bearing the study name and contact information, so they will retain our contact information and remember they are involved in the study. 3) assessments are incentivized and the compensation escalates over time to keep participants engaged. 4) The team will maintain a social media presence and encourage participants who are comfortable doing so to "friend" us. 5) The team will send birthday cards. 6) Participants will be reminded of scheduled assessments and sessions via text and/or email (user preference). 7) Additionally, because study staff will interact over video-conferencing during cotinine assessments, the team will develop relationships with participants that may help to foster retention (e.g., they may look forward to talking with us or updating us about their lives).
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Catheryn Flores, MPH
- Phone Number: 813-396-2014
- Email: catherynf@usf.edu
Study Contact Backup
- Name: Stephanie L Marhefka, PhD
- Phone Number: 813-974-5810
- Email: smarhefk@usf.edu
Study Locations
-
-
Florida
-
Tampa, Florida, United States, 33612
- Recruiting
- University of South Florida, College of Nursing
-
Principal Investigator:
- STEPHANIE L Marhefka, PhD
-
Contact:
- Catheryn Flores, MPH
- Phone Number: 813-396-2014
- Email: catherynf@usf.edu
-
Contact:
- Stephanie L Marhefka, PhD
- Phone Number: Marhefka-Day 813-974-5810
- Email: smarhefk@usf.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- greater than or equal to age 18 (as NRT is not FDA approved for adolescents)
- self-report smoking cigarettes
- positive cotinine test
- motivated to quit
- own a smart phone, laptop, desktop, or tablet computer
- able to join group from a private space with Internet access
- demonstrate the ability to connect to the HIPAA-compliant videoconferencing system, Zoom, over the internet h) speak English i) living in the US j) living with certain health conditions
Exclusion Criteria:
- pregnant, breastfeeding, or have other contraindications to NRT
- receiving other tobacco treatment, or
- inability to communicate coherently in English during the video-conferencing test or other pre-enrollment interactions
Study Plan
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 |
---|---|
Experimental: Positively Me
Positively Me is a 12-session (8 [1.5] hour main sessions plus four booster sessions) intervention guided by Social Cognitive Theory to promote smoking cessation in people with certain health conditions.
|
12 session smoking cessation intervention based on Social Cognitive Theory, designed for people with certain health conditions (8 primary sessions, followed by 4 booster sessions)
Other Names:
|
Sham Comparator: Positively Living
Positively Living is a modified updated version of a healthy living intervention based on Social Cognitive Theory that is designed for people with certain health conditions and attention-matched to the experimental condition (8 [1.5] hour main sessions plus four booster sessions).
|
12 session healthy living intervention based on Social Cognitive Theory, designed for people with certain health conditions (8 primary sessions, followed by 4 booster sessions)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biochemically confirmed 7-day point prevalence abstinence (BC7ppa) day 360
Time Frame: study day 360
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 7 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC7ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 360
|
Biochemically confirmed 30-day point prevalence abstinence (BC30ppa) day 360
Time Frame: study day 360
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 30 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC30ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 360
|
Biochemically confirmed sustained abstinence (BC.SA) day 360
Time Frame: Study day 360
|
At day 42 (2 weeks post-quit day; provides a grace period), participant is asked the BC7ppa question (see outcome 1).
Then, at each full and brief assessment going forward, beginning at day 90, participant is asked if she has smoked a cigarette, even a puff, since the last assessment.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC.SA will be coded as abstinence-indicating if she answers "no" to the sustained abstinence question at each assessment and cotinine levels at each assessment suggest abstinence.
|
Study day 360
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Biochemically confirmed 7-day point prevalence abstinence (BC7ppa) day 42
Time Frame: study day 42
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 7 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC7ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 42
|
Biochemically confirmed 7-day point prevalence abstinence (BC7ppa) day 90
Time Frame: study day 90
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 7 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC7ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 90
|
Biochemically confirmed 7-day point prevalence abstinence (BC7ppa) day 180
Time Frame: study day 180
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 7 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC7ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 180
|
Biochemically confirmed 30-day point prevalence abstinence (BC30ppa) days 90
Time Frame: study day 90
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 30 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC30ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 90
|
Biochemically confirmed 30-day point prevalence abstinence (BC30ppa) day 180
Time Frame: study day 180
|
Participant is asked if she has smoked a cigarette, even a puff, in the past 30 days.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC30ppa will be coded as abstinence-indicating if she answers "no" to the question and cotinine levels suggest abstinence.
|
study day 180
|
Biochemically confirmed sustained abstinence (BC.SA) day 180
Time Frame: day 180
|
At day 42 (2 weeks post-quit day; provides a grace period), the participant is asked the BC7ppa question (see outcome 1).
Then, at each full and brief assessment going forward, beginning at day 90, participant is asked if she has smoked a cigarette, even a puff, since the last assessment.
If she reports abstinence, she also completes a cotinine swab test over video-conferencing to determining cotinine levels.
Levels less than 10ng/ml will be considered abstinence.
BC.SA will be coded as abstinence-indicating if she answers "no" to the sustained abstinence question at each assessment and cotinine levels at each assessment suggest abstinence.
|
day 180
|
Self-Efficacy for Abstinence day 42 as measured by The Smoking: Self-Efficacy / Temptation Short Form (Velicor et al, 1990)
Time Frame: study day 42
|
9-item measure of likelihood of temptation to smoke in certain situations, rated on a five-point scale (1=not at all tempted to smoke in these situations; 5=extremely tempted to smoke in these situations.)
All 9 items are averaged, so a final score closer to 1= less temptation and greater self-efficacy; a final score score to 5= greater temptation and less self-efficacy.
|
study day 42
|
Self-Efficacy for Abstinence day 90 as measured by The Smoking: Self-Efficacy / Temptation Short Form (Velicor et al, 1990), mean overall score
Time Frame: study day 90
|
9-item measure of likelihood of temptation to smoke in certain situations, rated on a five-point scale (1=not at all tempted to smoke in these situations; 5=extremely tempted to smoke in these situations.)
All 9 items are averaged, so a final score closer to 1= less temptation and greater self-efficacy; a final score score to 5= greater temptation and less self-efficacy.
|
study day 90
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Stephanie L Marhefka, PhD, University of South Florida College of Nursing
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Pro00040192
- R01CA243800 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
De-identified data obtained from the study will be shared in accordance with NIH policy and principals. Data sharing is contingent upon approval for data sharing from the institutional review board at the University of South Florida. Requests should be made to the PI. Requesters must provide evidence of training in protection of human subjects and demonstrate approval from their institutional review board, noting what procedures will take place to protect data. Requesters will also be asked to sign a confidentiality agreement noting personal measures to ensure privacy of data.
Quantitative data will be available as a de-identified excel file.
The intervention manuals for treatment and control interventions and resulting publications will be available after completion of the study (within 6 months of primary article publication).
To uphold the confidentiality of study participants, audio- and video-recordings from this study will not be shared.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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 Cigarette Smoking
-
Maastricht University Medical CenterCompletedCigarette Smoking | Cigarette Smoking Toxicity | Smoking BehaviorNetherlands
-
Duke UniversityGeorgetown University; University of MichiganWithdrawnSmoking | Cigarette Smoking | E-cigarette Use
-
Assistance Publique - Hôpitaux de ParisUnknownSmoking Cessation | Smoking, Cigarette | Electronic CigaretteFrance
-
Yale UniversityNational Cancer Institute (NCI)RecruitingSmoking Cessation | Cigarette Smoking | E-Cigarette UseUnited States
-
Medical University of South CarolinaAmerican Cancer Society, Inc.RecruitingSmoking Cessation | Electronic Cigarette Use | Cigarette SmokingUnited States
-
Abramson Cancer Center at Penn MedicineNational Cancer Institute (NCI); New York University; Stanford UniversityRecruitingSmoking | Smoking, Tobacco | Smoking, CigaretteUnited States
-
University of St AndrewsNational Health Service, United KingdomUnknownSmoking | Cigarette Smoking | Smoking, Tobacco
-
BIDI VaporCompletedCigarette Smoking | E-cigarette UsePoland
-
University GhentRecruitingSmoking | Smoking Tobacco | Smoking Prevention | Smoking CigaretteBelgium
-
Medical University of South CarolinaCompletedSmoking | Smoking Cessation | Smoking, Tobacco | Smoking, CigaretteUnited States
Clinical Trials on Positively Me
-
University of OxfordEuropean and Developing Countries Clinical Trials Partnership (EDCTP)Completed
-
University of KansasCompleted
-
Auburn UniversityCompleted
-
University of OxfordCompleted
-
Montefiore Medical CenterAlbert Einstein College of Medicine; Yale UniversityCompletedHIV Infections | Smoking | AIDSUnited States
-
Shanghai Jiao Tong University School of MedicineCompleted
-
University of ChileFondo Nacional de Desarrollo Científico y Tecnológico, ChileCompleted
-
University of California, San FranciscoNational Institute of Mental Health (NIMH)CompletedHIV | Medication AdherenceIndia
-
London School of Hygiene and Tropical MedicineUniversity of Oxford; Wellcome Trust; Medical Research Council Unit, The GambiaCompleted
-
Massachusetts General HospitalCompletedHand and Upper Extremity IllnessUnited States