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Nicotine and Tobacco Message Framing to Change Smoking Behavior in Diverse Groups of Young Adult Smokers

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The Ohio State University

Status

Enrolling

Conditions

Tobacco-Related Carcinoma

Treatments

Other: Text Message-Based Navigation Intervention
Other: Interview
Other: Survey Administration
Behavioral: Smoking Cessation Intervention
Behavioral: Health Education

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT06644664
R00CA260718 (U.S. NIH Grant/Contract)
OSU-23436
NCI-2024-04955 (Registry Identifier)

Details and patient eligibility

About

This clinical trial evaluates the effect of message framing on smoking behaviors among lesbian, gay, bisexual, transgender, queer (LGBTQ+) young adults who use nicotine and/or tobacco. Tobacco regulation has contributed to a steady decline in tobacco products designed to be smoked (combustible), but there has been an increase in the use of new tobacco products, such as electronic nicotine delivery systems (ENDS). The use of more than one tobacco product (polytobacco) is high in LGBTQ+ populations. Both LGBTQ+ people and people who engage in polytobacco use are less likely to view tobacco as harmful, which may reinforce tobacco use. Message framing includes culturally targeted messages to communicate the absolute risks (AR) and relative risks (RR) of polytobacco use. Using message framing may increase quit rates or change smoking behaviors in LGBTQ+ young adults who use nicotine and/or tobacco products.

Full description

PRIMARY OBJECTIVES:

I. Assess the feasibility of delivering mobile multimedia messaging (MMS) anti-tobacco messages developed in the K99 to LGBT young adults via texting.

II. Estimate effect sizes of exposure to anti-tobacco messages on risk perceptions and tobacco use over time.

OUTLINE: Participants are randomized to 1 of 3 arms.

ARM I: Participants receive AR anti-polytobacco MMS messages 3 times a week (TIW) and a check-in text message once a week (QW) for a total of 6 weeks.

ARM II: Participants receive RR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks.

ARM III: Participants receive control MMS messages on health risks of ultraviolet (UV)/sun exposure TIW and a check-in text message QW for a total of 6 weeks.

All participants also receive smoking cessation resources via email during follow up.

After completion of study intervention, participants are followed up at 6 and 12 weeks.

Enrollment

300 estimated patients

Sex

All

Ages

18 to 35 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • 18-35 years old
  • Self-identify as LGBTQ+
  • Able to speak English fluently
  • An ever user of ENDS and combustible tobacco who currently use ENDS, combustible cigarettes, or both ENDS and combustible cigarettes
  • Currently reside in the United States (US)
  • Have a mobile phone through a U.S. carrier with MMS messaging and can send and receive text messages for study participation
  • Access to the internet with Zoom capabilities

Exclusion criteria

  • Have a landline or Voice Over Internet Protocol (VOIP) phone number

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

300 participants in 3 patient groups

Arm I (Absolute Risk messages)
Experimental group
Description:
Participants receive AR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up.
Treatment:
Behavioral: Smoking Cessation Intervention
Behavioral: Smoking Cessation Intervention
Other: Survey Administration
Behavioral: Smoking Cessation Intervention
Other: Interview
Other: Text Message-Based Navigation Intervention
Arm II (Relative Risk messages)
Experimental group
Description:
Participants receive RR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up.
Treatment:
Behavioral: Smoking Cessation Intervention
Behavioral: Smoking Cessation Intervention
Other: Survey Administration
Behavioral: Smoking Cessation Intervention
Other: Interview
Other: Text Message-Based Navigation Intervention
Arm III (control messages)
Active Comparator group
Description:
Participants receive control MMS messages on health risks of UV/sun exposure TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up.
Treatment:
Behavioral: Health Education
Behavioral: Smoking Cessation Intervention
Behavioral: Smoking Cessation Intervention
Other: Survey Administration
Behavioral: Smoking Cessation Intervention
Other: Text Message-Based Navigation Intervention

Trial contacts and locations

1

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Central trial contact

The Ohio State University Comprehensive Cancer Center

Data sourced from clinicaltrials.gov

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