Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Multilevel Tobacco Intervention in Community Clinics for Underserved Families
Brief Summary: The purpose of this randomized controlled trial is to develop and test the efficacy of a multilevel, multimodal intervention designed to modify maternal smoking behavior to reduce children's exposure to secondhand tobacco smoke (primary outcome) and promote their smoking cessation (secondary outcome). Low-income mothers who smoke will be enrolled. Mothers will be recruited from the supplemental nutrition program, Women, Infants and Children (WIC) clinics. All mothers visiting WIC clinics will receive a clinic-level intervention, which consists of nutrition counselors following an "ask, advise, and refer" protocol to identify if their children are exposed to secondhand tobacco smoke, advise mothers who smoke about the harms of such exposure and the benefits of reducing exposure, and referring mothers to the trial. Screened eligible mothers will be consented and randomized to an attention control condition focused on nutrition (CTL) or to an experimental (EXP) multimodal behavioral intervention that integrates telebased counseling to promote the reduction of child secondhand smoke exposure (SHSE) and maternal smoking with an adjunct smoking cessation mobile app and nicotine replacement therapy use. The investigators will test the primary hypothesis that relative to children in the CTL condition, those in the EXP condition will have lower exposure SHSE as measured by mothers' reports and child cotinine levels. The investigators will also test the secondary hypothesis that relative to mothers in the CTL condition, those in the EXP condition will have higher bioverified 7-day point prevalence quit rates. In addition, the study will: (a) evaluate if specific psychosocial and behavioral factors-- social support, urge coping skills, self-efficacy, and SHSe protective behaviors--mediate the effects of the EXP intervention on outcomes and (b) explore whether other residential smokers, level of nicotine dependence, depressive/anxious symptoms, weight concerns, intervention dosage, and pregnancy status predict outcomes and moderate treatment effects.


Options:
A: Arm Label: 1; Type: PLACEBO_COMPARATOR; Interventions: Behavioral: Low Contact | Arm Label: 2; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: QuitTXT Study | Arm Label: 3; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: QuitTXT Study | Intervention Type: BEHAVIORAL; Name: QuitTXT Study; Assigned to Arm(s): 2, 3 | Intervention Type: BEHAVIORAL; Name: Low Contact; Assigned to Arm(s): 1
B: Arm Label: AAR+Behavioral Intervention (EXP); Type: EXPERIMENTAL; Interventions: Behavioral: Ask, Advise, Refer, Behavioral: Telebased tobacco counseling, Device: Mobile phone smoking cessation application, Drug: Nicotine polacrilex | Arm Label: AAR+Attention Control Intervention (CTL); Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Ask, Advise, Refer, Behavioral: Telebased nutrition counseling, Device: Mobile phone nutrition application | Intervention Type: BEHAVIORAL; Name: Ask, Advise, Refer; Assigned to Arm(s): AAR+Attention Control Intervention (CTL), AAR+Behavioral Intervention (EXP) | Intervention Type: BEHAVIORAL; Name: Telebased tobacco counseling; Assigned to Arm(s): AAR+Behavioral Intervention (EXP) | Intervention Type: BEHAVIORAL; Name: Telebased nutrition counseling; Assigned to Arm(s): AAR+Attention Control Intervention (CTL) | Intervention Type: DEVICE; Name: Mobile phone smoking cessation application; Assigned to Arm(s): AAR+Behavioral Intervention (EXP) | Intervention Type: DEVICE; Name: Mobile phone nutrition application; Assigned to Arm(s): AAR+Attention Control Intervention (CTL) | Intervention Type: DRUG; Name: Nicotine polacrilex; Assigned to Arm(s): AAR+Behavioral Intervention (EXP)
C: Arm Label: Twitter; Type: EXPERIMENTAL; Interventions: Behavioral: smoking cessation aides, Behavioral: Twitter | Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: smoking cessation aides | Intervention Type: BEHAVIORAL; Name: smoking cessation aides; Assigned to Arm(s): Control, Twitter | Intervention Type: BEHAVIORAL; Name: Twitter; Assigned to Arm(s): Twitter
D: Arm Label: intensive cessation message; Type: EXPERIMENTAL; Interventions: Behavioral: intensive cessation message | Arm Label: No cessation message intervention; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Not intensive cessation message; Type: EXPERIMENTAL; Interventions: Behavioral: Not intensive cessation message | Intervention Type: BEHAVIORAL; Name: intensive cessation message; Assigned to Arm(s): intensive cessation message | Intervention Type: BEHAVIORAL; Name: Not intensive cessation message; Assigned to Arm(s): Not intensive cessation message

Answer: B