Overview

This trial is active, not recruiting.

Condition cigarette smoking
Treatments culturally targeted cessation program, non-targeted cessation program
Sponsor University of Illinois at Chicago
Collaborator National Institute on Drug Abuse (NIDA)
Start date May 2012
End date January 2016
Trial size 400 participants
Trial identifier NCT01633567, 2010-0538, R01DA023935

Summary

For the approximately 4.6 million LGBT persons in the U.S., smoking rates among those living in urban areas are roughly twice that of heterosexuals. Targeted interventions have shown great promise in reducing health risk behaviors across a variety of behaviors and population groups by enhancing the relevance of the health information. The primary aim of this study is to test the efficacy of a culturally targeted group-based smoking cessation intervention (vs. a non-targeted intervention) on smoking outcomes among lesbian, gay, bisexual, and transgender (LGBT) smokers. The investigators anticipate that the culturally targeted intervention will be more effective at helping LGBT smokers to successfully stop smoking than will the non-targeted intervention.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose treatment
Arm
(Experimental)
The culturally targeted program will include the same cognitive and behavioral approaches and smoking education content that is used in the standard program. As such, we will maintain the integrity of the core program. However, cultural targeting of that program has been informed by local LGBT focus group input and testing, the available literature on LGBT smoking rates and behaviors, feedback from a panel of LGBT health experts, and data collected as part of a previous study.
culturally targeted cessation program
The culturally targeted version of the behavioral counseling intervention will consist of six group-based smoking cessation counseling sessions. Each smoking cessation therapy session will last approximately 90 minutes and will begin two weeks before the quit date. In addition, participants will be provided nicotine replacement therapy and peer support sessions will occur between the group sessions.
(Active Comparator)
Non-culturally targeted program with cognitive and behavioral approaches and smoking education content.
non-targeted cessation program
Behavioral counseling intervention will consist of six group-based smoking cessation counseling sessions. Each smoking cessation therapy session will last approximately 90 minutes and will begin two weeks before the quit date. In addition, participants will be provided nicotine replacement therapy and peer support sessions will occur between the group sessions.

Primary Outcomes

Measure
7-Day Point Prevalence Smoking Quit Rates 1 Month Post Quit Date
time frame: Assessed 1 month after quit date
7-Day Point Prevalence Smoking Quit Rates 3 Months Post Quit Date
time frame: Assessed 3 months after quit date
7-Day Point Prevalence Smoking Quit Rates 6 Months Post Quit Date
time frame: Assessed 6 months after quit date
7-Day Point Prevalence Smoking Quit Rates 12 Months Post Quit Date
time frame: Assessed 12 months after quit date

Eligibility Criteria

Male or female participants from 18 years up to 65 years old.

Inclusion Criteria: - Self identify as lesbian, gay, bisexual, or transgender - Age 18-65 - Current cigarette smoker - Desire to quit smoking (self-report rating of interest in quitting) - Relatively healthy, with no medical conditions that would adversely interact with study parameters (see exclusion criteria for specific details) - Agree to attend behavioral counseling sessions, be randomized, and be followed-up - Agrees to use nicotine patch and has no prior adverse reactions to patch - Has stable residence and telephone and can provide the name of an outside household collateral family member or close friend for contact and follow-up.

Additional Information

Principal investigator Alicia K Matthews, Ph.D.
Description In Phase 1 of this study we used focus groups to establish the cultural appropriateness and acceptability of the targeted elements of the intervention for the LGBT population. For Phase 2 of this study, we seek to enroll 400 participants in a randomized controlled trial of the targeted intervention vs. a non-targeted, comparison condition. Both conditions will consist of group counseling sessions combined with nicotine replacement therapy and peer support. We expect that quit rates, stage of readiness, perceived benefits, self-efficacy, and treatment adherence will be higher among those who received the targeted intervention than those in the non-targeted intervention. Furthermore, we expect that a stronger LGBT cultural identification and salience of that identity will be associated with more satisfaction and adherence to the targeted intervention.
Trial information was received from ClinicalTrials.gov and was last updated in August 2015.
Information provided to ClinicalTrials.gov by University of Illinois at Chicago.