Acceptance and Commitment Therapy for Smoking Cessation in the Primary Care Setting

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the feasibility and potential efficacy of Acceptance and Commitment Therapy (ACT) in enhancing smoking cessation among attendees in primary healthcare settings.

Detailed Description
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The program is preventive and corrective, and carries brief messages by approaching and influencing services attendees who may not be able to reach in traditional reactive approach method of service users. Those traditional approaches are, for example, quitline and smoking cessation clinic. It can therefore benefit a larger population at low cost.

Official Title
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Individual, Telephone-delivered Acceptance and Commitment Therapy for Smoking Cessation in the Primary Healthcare Setting: Feasibility and Potential Efficacy

Conditions
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Smoking Cessation

Intervention / Treatment
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* Other: Control
* Behavioral: Acceptance and Commitment Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 18 years and older currently smoking at least one cigarette per day in the past 30 days Hong Kong residents able to communicate in Cantonese currently residing in Hong Kong and expecting to continue to do so for the next 6 months have access to a telephone Exclusion Criteria: currently undergoing another smoking cessation or similar program

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Control<br>Participants are given printed self-help leaflet on smoking cessation developed by the Department of Health, Hong Kong. | Other: Control<br>* Participants in the control group are provided a self-help leaflet on smoking cessation only<br>* Other names: Control intervention;|
| Experimental: Acceptance and Commitment Therapy<br>All participants are given a self-help leaflet on smoking cessation. Participants are also given an initial session of face-to-face ACT at a primary health service clinic. In addition, two more subsequent ACT sessions are provided by telephone at one week and one month after the initial intervention. | Behavioral: Acceptance and Commitment Therapy<br>* All participants are given an initial smoking cessation session via face to face by Acceptance and Commitment Therapy. Two other sessions using the same therapy will be provided by telephone. The total contact time by ACT will be 45 mins (15 mins per session).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 7-day point prevalence by self report | self-reports on stopped smoking for a consecutive 7 days proceeding to the assessment at 6 months post-intervention | at 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| validated self-report not smoking measured | Obtaining CO measurement and testing urinary cotinine for those participants who report quitting smoking | at 6 months after the baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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smoking cessation, Acceptance and Commitment Therapy, primary care setting, randomised controlled trial