Quit IT: Preliminary Testing of a Web-based, 3D Coping Skills Game to Increase Quitting Self-Efficacy for Maintaining Smoking Abstinence Following Hospitalization

Memorial Sloan Kettering Cancer Center (MSK)

Status: Completed

Conditions: Tobacco Use Cessation

Treatments: Other: Salvia sample; Other: web-based video game (Quit IT); Behavioral: Questionnaires

Study type: Interventional

Funder types: Other

Identifiers

NCT02099097

14-062

Details and patient eligibility

About

The purpose of this study is to develop and test a web-based game called Quit It that is designed to help smokers who have quit smoking cope with any smoking urges they may have. The purpose of the game is to help people quit and stop people from smoking again.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years old
• English-speaking
• Cancer (solid tumor) diagnosis or mass suspicious of cancer within past six months as per clinical judgment
• Cancer treatment expected plan to include hospitalization for surgical treatment for at least 2 days at MSKCC as per the patients clinical team
• Referred to MSK's Tobacco Cessation Program
• Patient-reported cigarette use within the past 30 days
• Have sufficient sensory acuity (i.e., auditory, visual) and manual dexterity to use a computer game as per judgment of clinician or consenting professional
• Can be reached by telephone

Exclusion criteria

• Distant metastatic disease at the time of enrollment
• Major psychiatric illness or cognitive impairment that in the judgment of the investigator would preclude study participation
• Any patients who are unable to comply with the study procedures as determined by the study investigators

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Standard Care

Active Comparator group

Description:

usual care, which consists of four (face-to-face or telephone) counseling sessions with a trained nurse who has expertise in helping cancer patients quit smoking. This is the same as the treatment an MSK patient who enrolls in the MSK smoking cessation program would receive. To collect further data to improve the game intervention, the investigators will conduct semi-structured telephone interviews with patients who were randomized to the treatment arm but did not play the game during the one month intervention period. The purpose of the interviews is to elicit qualitative feedback on any barriers that may have prevented participants from playing. At the completion of the intervention period, patients will be asked if they would like to participate in a telephone interview. Telephone interviews will take about twenty minutes and will be held at a time that is convenient for the patient.

Treatment:

Other: Salvia sample

Behavioral: Questionnaires

Smoking Cues Coping Skills Game (SC+SCCS/Quit IT).

Experimental group

Description:

Smokers randomly assigned to SC+SCCS/Quit IT will receive all the components of Standard Care. The patient will be oriented and trained face-to-face (during their hospitalization) on use of the game by study staff using an iPad. The orientation and training session will comprise: 1) Overview of the game and its objectives; 2) discussion of the rules of the game; 3) watching a 10 minute tutorial given by the game narrator (avatar); 4) answering all patient questions; and 5) evaluation of the patient's comprehension of game play via a 17 question survey. Once patients have access to QuitIT, they will also receive a set of Coping Cards

Treatment:

Other: web-based video game (Quit IT)

Other: Salvia sample

Behavioral: Questionnaires