Motivating a Spectrum of Cancer Patients to Quit Smoking

Study Overview
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Brief Summary
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This study will assess feasibility and acceptability of an intervention designed to increase smoking cessation motivation among patients with a cancer not widely known to be smoking related.

Official Title
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Motivating a Spectrum of Cancer Patients to Quit Smoking: Intervention Development and Feasibility

Conditions
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Cancer, Smoking

Intervention / Treatment
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* Behavioral: Self-help Materials


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Smoking at least 1 cigarette in previous 30 days Diagnosis of breast, colorectal, gynecological, skin melanoma, or bladder cancer within the last 6 months Able to read/write English Able to give informed consent Not currently enrolled in a smoking cessation program Exclusion Criteria: Having distant metastases Male patients with breast cancer

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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Self Help Materials<br>Participants will receive a smoking cessation booklet/pamphlet corresponding to their cancer type. | Behavioral: Self-help Materials<br>* Self-help booklet targeted by cancer type to increase smoking cessation motivation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants Who Consent to Participate in the Study- Feasibility | Number of participants who consent to participate in the study | Baseline | 
| Number of Participants That Complete 1-week Follow-up Assessments - Feasibility | Number of participants who complete 1-week follow-up assessments | 1-week post-treatment | 
| Number of Participants That Complete 1 Month Follow-up Assessments - Feasibility | Number of participants who complete 1-month follow-up assessments | 1-month post-treatment | 
| Number of Participants Who Read the Booklet - Demand - 1 Week Post Treatment | Number of study participants who read the booklet | 1-week post-treatment | 
| Number of Participants Who Read the Booklet - Demand - 1 Month Post Treatment | Number of study participants who read the booklet | 1-month post-treatment | 
| Acceptability | Treatment satisfaction measured with 8 items adapted from the Client Satisfaction Questionnaire, values between 8 and 32, with higher scores mean a better outcome. | 1-month post-treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motivation to Quit Smoking Assessed With the Contemplation Ladder | Changes in motivation to quit smoking will be assessed using the Contemplation Ladder. This is a validated measure for the assessment of readiness to quit smoking on a scale from 0 to 10. Higher scores indicate greater motivation to quit smoking. | Baseline, 1-week post-treatment, 1-month post-treatment | 
| Motivation to Quit Smoking Assessed With the Short Form of the Smoking Abstinence-related Motivational Engagement (ARME). | Changes in motivation to quit smoking will be assessed using the short form of the smoking abstinence-related motivational engagement (ARME), which is a valid and reliable measure of cessation motivation that includes 5 items related to the smokers' daily experience with scores ranging from 5 to 35. Higher scores indicate greater motivation to quit smoking. | Baseline, 1-week post-treatment, 1-month post-treatment | 
| Participants Change in Motivation - Action Stage | Changes in motivation to quit smoking will be assessed using the Stages of Change algorithm (SOC). This is a widely used measure for the assessment of readiness to quit smoking. | Baseline, at 1 week and 1 month post treatment | 
| Motivation to Quit Smoking Assessed With the Number of Visits to the Study Website | A personal code will be able to track the number of participants who visited the study website where participants will find existing smoking cessation resources. This will be considered a behavioral indicator of motivation to quit smoking. | 1-month post-treatment | 
| Motivation to Quit Smoking Assessed by Contact With the Tobacco Treatment Specialist - 1 Week | Participants will be asked if they have contacted the tobacco treatment specialist or if they would like us to make a referral for them. This will be considered a behavioral indicator of motivation to quit smoking. | At 1 Week Post Treatment | 
| Motivation to Quit Smoking Assessed by Contact With the Tobacco Treatment Specialist - 1 Month | Participants will be asked if they have contacted the tobacco treatment specialist or if they would like us to make a referral for them. This will be considered a behavioral indicator of motivation to quit smoking. | At 1 Month Post Treatment | 
| Participants That Had a Quit Attempt - 1 Week | Number of participants that had a quit attempt that lasted at least 24 hours (at the 1-week assessment) | At 1 Week Post Treatment | 
| Participants That Had a Quit Attempt - 1 Month | Number of participants that had a quit attempt that lasted at least 24 hours | At 1 Month Post Treatment | 
| Motivation to Quit Smoking Assessed With the Number of Quit Attempts - 1 Month | Number of times participants quit smoking in the last 30 days (at the 1-month assessment). | At 1 Month Post Treatment | 
| Number of Participants Reporting 7-day Point Prevalence Abstinence | Smoking abstinence will be determined by a self-report of not smoking in the last 7 days | 1-week post-treatment | 
| Number of Participants Reporting 30-day Point Prevalence Abstinence | Smoking abstinence will be determined by a self-report of not smoking in the last 30 days | 1-month post-treatment |