APPSPIRE App in Preventing Students From Smoking

Study Overview
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Brief Summary
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This trial studies how well APPSPIRE, a smartphone app, works in preventing students from smoking. Technology-driven intervention programs, such as the APPSPIRE app, have the potential to increase access to health behavior treatments and therapies, such as tobacco cessation support, and provide effective prevention messaging.

Detailed Description
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PRIMARY OBJECTIVES: I. Develop a prototype of the APPSPIRE (phone application [app] of a smoking prevention interactive experience). II. At post assessment, students enrolled in the study will qualitatively provide information about the usability and usefulness for the prevention and cessation sites. III. Investigate frequency of use of and exposure to APPSPIRE modules via an objective measure of general use. IV. Investigate how feasible the program will be. V. Obtain a maintained use of APPSPIRE with high completeness and extent of completion. VI. Evaluate change in stage of change from baseline to about 1 and 4-month follow-ups among participants. OUTLINE: Participants attend an audio-taped focus group over 1 hour and are given the APPSPIRE app. After 1 and 4 months of using the app, participants complete a telephone survey over 1 hour to discuss how they liked the app and its usefulness.

Official Title
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APPSPIRE: Expanding the Reach of an Innovative Tobacco Control Program for Youth

Conditions
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Student, Cigarette Smoker, Current Every Day Smoker

Intervention / Treatment
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* Behavioral: APPSPIRE
* Behavioral: Focus Group
* Other: Survey Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Student at Houston Community College (HCC) Speak and read English Own an iPhone Be enrolled in at least one class at HCC Provide current contact information Smoke 1 or more cigarettes a day (cessation group) Have access to the internet (cessation and prevention/advocacy groups) Evidence of smoking susceptibility as defined by the Smoking Susceptibility Scale Exclusion Criteria: Does not plan to continue as a student at their campus sometime during the year of the study (cessation and prevention/advocacy groups) Current tobacco use (prevention/advocacy group)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 24 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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Prevention (focus group, APPSPIRE app, survey)<br>Participants attend an audio-taped focus group over 1 hour and are given the APPSPIRE app. After 1 and 4 months of using the app, participants complete a telephone survey over 1 hour to discuss how they liked the app and its usefulness. | Behavioral: APPSPIRE<br>* Given APPSPIRE app<br>* Other names: APPSPIRE Smartphone Application; APPSPIRE Smartphone App; APPSPIRE App; APPSPIRE Application;Behavioral: Focus Group<br>* Attend focus group<br>Other: Survey Administration<br>* Complete survey<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of APPSPIRE application (app) use | Will be measured in minutes per day and with descriptive statistics. Will measure using mean, median and standard deviation for continuous variables. | Up to 4 months | 
| The Feasibility of the tobacco control program. | Feasibly will be measured by multiplying the variable of two concepts: ease of use and ability to fit the program into routine schedules. | Up to 4 months | 
| The Completeness with the Percentages of Participants surveyed. | Completeness will be measured as the percentage of participants who continue to use AppSPIRE until the 4 month follow up survey. | Up to 4 months | 
| The extent of completion for the modules AppSPIRE. | The extent of completion includes the various modules of AppSPIRE. High extent of completion is obtained if 75% of the participants have completed all modules of AppSPIRE. | Up to 4 months | 
| The Stages of the Change Scale | A validated measure, The Stages of Change Scale, will be used to clarify smokers into 3 categories: pre-contemplation, contemplation and preparation. | Baseline up to 4 months |