Addressing Tobacco Use Disparities in Rural Older Adults Through an Innovative Mobile Phone Intervention

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the feasibility, acceptability and preliminary efficacy of a Scheduled Gradual Reduction (SGR) intervention via SMS (short message service) text messaging plus SMS Support Messages in decreasing smoking in an older adult rural population. The SGR group (n=20) will receive a four-week SGR program delivered via SMS text messages plus SMS support messages. The control group (n=20) will receive SMS support messages to aid in quitting.

Official Title
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Addressing Tobacco Use Disparities in Rural Older Adults Through an Innovative Mobile Phone Intervention: Testing the Feasibility of the Textto4gotobacco Intervention

Conditions
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Tobacco Cessation

Intervention / Treatment
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* Behavioral: SGR
* Behavioral: Support message only


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Over 60 years of age, Have smoked 100 cigarettes in their lifetime and currently smoke five or more cigarettes a day on average, Have an address in a rural census tract defined by a RUCA code of 4-10, Interested in participating in a cessation program, Own a phone that has texting ability and free texting, Have general knowledge of text messaging and Are willing to receive and respond to text messages from the study teams, throughout the duration of the study. Exclusion Criteria: criteria include non-English speaking patients already participating in a smoking cessation intervention study.

Ages Eligible for Study
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Minimum Age: 60 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Scheduled Gradual Reduction (SGR)<br>Four week SGR program plus support text messages. | Behavioral: SGR<br> <br> Behavioral: Support message only<br> <br> |
| Active Comparator: Support Message Only<br>Support text messages only. | Behavioral: Support message only<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tobacco cessation, defined as quit rate at 30 days, as measured by self-reported abstinence from tobacco use | Quit rate at 30 days, as measured by self-reported abstinence from tobacco use | 30-days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility, as measured by proportion of return text messages | Proportion of return text messages sent per participants upon receiving alert text messages to use tobacco in the intervention group at 30 days Proportion of SMS support messages opened and/or read per participant | 30 days | 
| Acceptability, as measured by percentage of participants who reported that they would recommend the program to a friend | Percentage of participants who reported that they would recommend the program to a friend | 30 days |