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Effectiveness of Free Nicotine Patches, an Online Smoking Cessation Program, and Telephone Counseling at Improving Smoking Cessation Rates
This study is not yet open for participant recruitment.
Verified by National Heart, Lung, and Blood Institute (NHLBI), July 2009
First Received: September 21, 2007   Last Updated: July 29, 2009   History of Changes
Sponsor: National Heart, Lung, and Blood Institute (NHLBI)
Information provided by: National Heart, Lung, and Blood Institute (NHLBI)
ClinicalTrials.gov Identifier: NCT00534404
  Purpose

People who smoke cigarettes have an increased risk of developing emphysema, heart disease, and certain types of cancer. This study will evaluate the effectiveness of providing free nicotine patches from an online smoking cessation program, with and without telephone counseling, at improving quit rates in cigarette smokers.


Condition Intervention
Smoking Cessation
Tobacco Use Disorder
Drug: Nicotine patches
Behavioral: Telephone counseling
Behavioral: Quitnet.com Web site

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: A Randomized Trial of Internet Access to Nicotine Patches

Resource links provided by NLM:


Further study details as provided by National Heart, Lung, and Blood Institute (NHLBI):

Primary Outcome Measures:
  • Self-reported 6-month prolonged abstinence from smoking [ Time Frame: Measured at Month 9 ] [ Designated as safety issue: No ]

Estimated Enrollment: 2475
Study Start Date: October 2009
Estimated Study Completion Date: June 2012
Estimated Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Nicotine Patches, Telephone Counseling, and Internet: Experimental
As adjuncts to an internet-assisted tobacco treatment website, research participants in this arm will have access to free 8-week supply of nicotine patches, contingent upon participation in proactive telephone counseling. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks.
Drug: Nicotine patches
Participants will wear nicotine patches.
Behavioral: Telephone counseling
Participants receiving telephone counseling will receive three phone calls over a 2-week period to discuss their personal smoking cessation plan.
Behavioral: Quitnet.com Web site
Participants will access the Quitnet.com Web site.
Nicotine Patches and Internet: Active Comparator
As adjuncts to an internet-assisted tobacco treatment, research participants in this arm will have access to free 8-week supply of nicotine patches. Patch therapy will begin with the 21 mg patch for 4 weeks, followed by 14 mg patch for 2 weeks, then 7 mg patch for 2 weeks.
Drug: Nicotine patches
Participants will wear nicotine patches.
Behavioral: Quitnet.com Web site
Participants will access the Quitnet.com Web site.
Internet: Placebo Comparator
Research participants in this arm will have free access to internet-assisted tobacco treatment website.
Behavioral: Quitnet.com Web site
Participants will access the Quitnet.com Web site.

Detailed Description:

Tobacco use is the single most preventable cause of death in the United States, with cigarette smoking accounting for nearly one-third of all cancer deaths each year. Although a number of inexpensive and effective smoking cessation methods exist, including the nicotine patch and nicotine gum, smoking rates have not declined in the past few years. More than 8 million people in this country use the Internet to seek assistance with quitting smoking. Research suggests that people who use interactive smoking cessation Web sites typically only experience a short period of smoking abstinence. Smokers who receive nicotine patches in addition to online assistance are more than twice as likely to quit smoking. The purpose of this study is to evaluate the effectiveness of a combination of free nicotine patches and an online smoking cessation program, with and without access to telephone counseling, at improving smoking cessation rates in cigarette smokers.

This study will enroll people who accessed the Quitnet.com Web site. Participants will complete a baseline survey about their smoking habits and quit history. Participants will then be randomly assigned to one of the following three treatment groups:

  • Group 1 participants will receive free access to nicotine patches, telephone counseling, and Quitnet.com services.
  • Group 2 participants will receive free access to nicotine patches and Quitnet.com services.
  • Group 3 participants will receive Quitnet.com services.

Participants receiving telephone counseling will receive three phone calls over a 2-week period to discuss their personal smoking cessation plan; they must complete all three calls in order to receive the nicotine patches. At Months 1, 3, and 9, all participants will complete online surveys about their smoking cessation experience. Participants will be contacted by phone to complete the surveys if they do not complete them online.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Currently smokes 10 or more cigarettes per day
  • Actively searching online for smoking cessation assistance on the Quitnet.com Web site
  • Does not use any tobacco products other than cigarettes
  • Willing to set a quit date within 2 to 4 weeks following study entry
  • Willing to use a nicotine patch
  • Able to speak English
  • Access to Internet, email, and telephone at work or home
  • Resident of the United States
  • Only one person per household is eligible to enroll

Exclusion Criteria:

  • Medically unable to use the nicotine patch (e.g., pregnant, history of a heart attack)
  • Currently uses nicotine replacement therapy (NRT) products
  • Currently uses or plans to use Bupropion SR, Wellbutrin, or Zyban
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00534404

Contacts
Contact: Larry C. An, MD 612-624-6925 lcan@umn.edu
Contact: Colleen M. Klatt, PhD 763-670-0065 klat0040@umn.edu

Sponsors and Collaborators
Investigators
Principal Investigator: Larry C. An, MD University of Minnesota - Clinical and Translational Science Institute
  More Information

No publications provided

Responsible Party: NHLBI ( Jared B. Jobe, Program Official )
Study ID Numbers: 511, R01 HL086684-01
Study First Received: September 21, 2007
Last Updated: July 29, 2009
ClinicalTrials.gov Identifier: NCT00534404     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Heart, Lung, and Blood Institute (NHLBI):
Internet-Assisted Tobacco Treatments
Online Smoking Cessation Programs
Nicotine Patches
Telephone Counseling
Smoking Abstinence

Additional relevant MeSH terms:
Smoking
Nicotine polacrilex
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Cholinergic Agonists
Nicotinic Agonists
Tobacco Use Disorder
Physiological Effects of Drugs
Disorders of Environmental Origin
Central Nervous System Stimulants
Cholinergic Agents
Pharmacologic Actions
Habits
Mental Disorders
Nicotine
Autonomic Agents
Therapeutic Uses
Substance-Related Disorders
Ganglionic Stimulants
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on February 08, 2010