Establishing the Effectiveness of Publicly Available Smoking Cessation Resource

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effectiveness of SmokefreeTXT, a smoking cessation text messaging program currently available to anyone in the United States through www.smokefree.gov, and to compare cessation outcomes for smokers living in different regions of Virginia while participants use the program. Participants will be asked to complete assessments at Baseline, 7 weeks, 3 months, and 6 months and will be asked to use a research version of SmokefreeTXT.

Official Title
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Establishing the Effectiveness of Publicly Available Smoking Cessation Resources: Does Rurality Matter?

Conditions
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Smoking Cessation

Intervention / Treatment
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* Behavioral: SmokefreeTXT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 and over Current cigarette smoker (has smoked at least 100 cigarettes in their lifetime and currently smokes) Ability to read and speak English Resident of Virginia Owns a cell phone Exclusion Criteria: Not a current smoker (e.g., started a quit attempt between providing interest information and starting the study) Identity not able to be verified from information provided on interest form Does not own a cell phone Pregnant smoker or may become pregnant in the next 6 months Lives in an area that has met recruitment criteria (after recruitment has begun)

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SmokfreeTXT<br>Research version of the publicly available SmokefreeTXT program | Behavioral: SmokefreeTXT<br>* The program is identical to the publicly available program available through the National Cancer Institute Smokefree.gov Initiative but has been set up to be delivered through a research account. The program will send 3-5 messages a day over 7 weeks, with one week to prepare for a quit attempt and 6 weeks of cessation support messages. Participants can get real time support for cravings, mood, and slips by texting keywords to the program. They keywords are CRAVE, MOOD, and SLIP. Participants can also re-set their quit date by texting NEW. The program asks questions each week to ask about smoking status and about mood and cravings.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported smoking cessation | 7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No) | 7 weeks after study start | 
| Self-reported smoking cessation | 7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No) | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-reported continuous abstinence | Continuous abstinence, 6 weeks after initiating the quit attempt (Question wording: In the last 6 weeks, have you smoked at all? Response options: Yes; No; Not sure) | 7 weeks after study start | 
| Self-reported continuous abstinence | Continuous abstinence 3 months after initiating the quit attempt (Question wording: In the last 3 months, have you smoked at all? Response options: Yes; No; Not sure) | 3 months | 
| Self-reported smoking cessation | 7-day point prevalence of abstinence (Question wording: Have you smoked a cigarette (even a puff) in the past 7 days? Response options: Yes; No) | 6 months | 
| Self-reported continuous abstinence | Continuous abstinence 3 months after initiating the quit attempt (Question wording: In the last 6 months, have you smoked at all? Response options: Yes; No; Not sure) | 6 months |