mHealth for Smoking Cessation in Public Housing

Study Overview
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Brief Summary
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Smoking rates among public housing residents are more than twice as high as in the general population. In August 2018, the U.S. Department of Housing and Urban Development (HUD) required all public housing in the U.S. to become smoke-free. While HUD recommended that Public Housing Authorities provide smoking cessations services, at present, the D.C. Housing Authority (DCHA) does not offer any cessation services to its residents. Low-income smokers face unique challenges to smoking cessation and require sustained support for smoking cessation. Digital interventions such as text messaging programs and quitline (QL) phone counseling are scalable, evidence-based interventions for smoking cessation that can provide support over an extended timeframe at low cost. The aim of this proposed research is to conduct a feasibility trial to assess the acceptability, levels of engagement, and preliminary efficacy of an integrated program that combines text-messaging for smoking cessation and text messages providing proactive linkage to the quitline compared to a single passive quitline text message referral among DCHA residents. The investigators hypothesize that the integrated program (combining text messages for smoking cessation and proactive quitline linkage) will yield significantly higher rates of quit attempts than passive quitline referral only.

Official Title
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mHealth for Smoking Cessation in Public Housing

Conditions
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Smoking Cessation

Intervention / Treatment
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* Behavioral: Smoking cessation + quitline linkage text messages
* Behavioral: Passive quitline referral


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older resident of D.C. public housing smoked a cigarette in the 7 days prior to screening (self-report) has daily access to a working cell phone with an unlimited text message plan Exclusion Criteria: -

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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Smoking cessation + quitline linkage text messages<br>Text messaging for smoking cessation + text messages with proactive linkage to quitline | Behavioral: Smoking cessation + quitline linkage text messages<br>* Smoking cessation text messages will provide behavioral skills and support for quitting smoking. Quitline linkage text messages will include contact information for the quitline, option to be contacted by the quitline and active referral to the quitline upon setting a Quit Date.<br>|
| Placebo Comparator: Passive quitline referral<br>Single text message with contact information for the Quitline | Behavioral: Passive quitline referral<br>* Single text message with contact information for the Quitline<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of participants making a quit attempt | not smoking for 24 hours or more because trying to quit smoking | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of participants who quit smoking | self reported 7 day point prevalence abstinence | 3 months | 
| Number of cigarettes smoked per day | change in number of cigarettes smoked per day between baseline and follow-up | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mobile phone, mHealth, text messaging