Building Capacity and Promoting Smoking Cessation in the Community Via "Quit to Win" Contest 2016

NCT ID: NCT02804880

Last Updated: 2017-10-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-01

Study Completion Date

2017-08-31

Brief Summary

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The present study will examine (1) the effectiveness of personalised active referral to smoking cessation (SC) services and text messaging on encouraging SC services (2) explore the use of CBPR model to build capacity and to engage community partners in taking on this important public health issue for sustainability in the community. In addition, process evaluation will be conducted to assess the effectiveness of the recruitment activity and how it is linked with the overall program outcomes.

Detailed Description

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Although smoking prevalence is decreasing in Hong Kong, there are still 641,300 daily smokers (10.5%; Census and Statistics Department, 2015) and half will be killed by smoking (Lam, 2012) which accounts for over 7,000 deaths per year (Lam, Ho, Hedley, Mak, \& Peto, 2001). Smoking also accounts for a large amount of medical cost, long-term care and productivity loss of US$688 million (0.6% Hong Kong GDP) (Census \& Statistics Department, 2001; McGhee et al., 2006) . Smoking is a highly addictive behavior and it is difficult for smokers with strong nicotine dependence to quit without assistance. On the other hand, reaching and helping the many smokers who have no intention to quit is a challenge, because they are unlikely to seek professional help from smoking cessation services.

The Quit and Win programme provides an opportunity to reach and encourage a large group of smokers to make quit attempt and maintain abstinence. The Quit and Win model posits that smokers participating in the contest will have higher motivation to quit with incentives and better social support (Cahill \& Perera, 2011). Studies have found that such quitting contests or incentive programs appeared to reach a large number of smokers and demonstrated a significantly higher quit rate for the quit and win group than for the control group (Cahill \& Perera, 2015).

Smoking cessation services in Hong Kong are under-used with most of the adult daily smokers (79.6%) who had never used smoking cessation services (Census and Statistics Department, 2015). Among these smokers, only 2.4% were willing to use the services. Our previous RCT in previous QTW Contest 2015 evaluated the effects of low-intensity active referral (LAR) vs. very brief general SC advice (VBA) on quitting. LAR included onsite AWARD counselling and collection of smokers' personal contact information for SC services providers to connect with the smokers. Findings at 3-month follow-up of this RCT suggested the LAR intervention resulted in significantly higher self-reported quit rate than VBA in the control group (18.7% vs 14.0%. P\<0.001).

It is warranted to evaluate if a higher intensity active referral (HAR) and/or text messaging on encouraging SC services use can achieve even higher quit rate when compared with only VBA is given in the control group. Noted the use of text-messaging is the cheaper method than HAR. By using the same design of control group in QTW 2015, we can combine and compare the 2 years QTW intervention of HAR, LAR and text-messaging using network meta-analysis. This will contribute to finding out a more cost-effective way to increase the quit rate through using SC services.

Therefore, the present study will examine (1) the effectiveness of personalised active referral to smoking cessation (SC) services and text messaging on encouraging SC services (2) explore the use of CBPR model to build capacity and to engage community partners in taking on this important public health issue for sustainability in the community. In addition, process evaluation will be conducted to assess the effectiveness of the recruitment activity and how it is linked with the overall program outcomes.

Conditions

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Smoking Cessation

Keywords

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Smoking cessation Quit to Win Brief intervention Personalized active referral Instant messaging SMS Smoking Cessation Intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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Group A

HAR + AWARD + Referral Card + A4 leaflet

Group Type EXPERIMENTAL

HAR

Intervention Type BEHAVIORAL

Smokers will be introduced to various smoking cessation (SC) services in Hong Kong (using the referral card) and be motivated to use the services. Field research staff will assist on-site booking SC services for smokers. Tailored messages, including: harm of smoking, benefit of smoking cessation, importance of adherence to smoking cessation appointment and encouragement on abstinence will be sent via instant messaging (IM) services (e.g. WhatsApp, WeChat) to smokers after initial contact.

AWARD

Intervention Type BEHAVIORAL

Ask about smoking history, Warn about the high risk of smoking, Advise to quit as soon as possible, Refer to the smoking cessation services, and Do it again: to repeat the intervention during tel. follow-ups.

Referral card

Intervention Type OTHER

The 3-folded "Smoking Cessation Services" card consists of brief information and highlights of existing smoking cessation services, contact methods, motivation information and strong supporting messages or slogans.

A4 leaflet

Intervention Type OTHER

The 2-side color printed A4 leaflet, which systematically covers the most important messages to motivate smoking cessation

Group B

LTM + AWARD + Referral Card + A4 leaflet

Group Type EXPERIMENTAL

LTM

Intervention Type BEHAVIORAL

Fix-schedule SMS messages will be sent to encourage them to book the smoking cessation services appointment. Smokers are required to book the SC appointments by themselves.

AWARD

Intervention Type BEHAVIORAL

Ask about smoking history, Warn about the high risk of smoking, Advise to quit as soon as possible, Refer to the smoking cessation services, and Do it again: to repeat the intervention during tel. follow-ups.

Referral card

Intervention Type OTHER

The 3-folded "Smoking Cessation Services" card consists of brief information and highlights of existing smoking cessation services, contact methods, motivation information and strong supporting messages or slogans.

A4 leaflet

Intervention Type OTHER

The 2-side color printed A4 leaflet, which systematically covers the most important messages to motivate smoking cessation

Group C

Brief advice + 12-page booklet

Group Type ACTIVE_COMPARATOR

Brief advice

Intervention Type BEHAVIORAL

Very brief, minimal and general smoking cessation advice

12-page booklet

Intervention Type OTHER

12-page smoking cessation self-help booklet

Interventions

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HAR

Smokers will be introduced to various smoking cessation (SC) services in Hong Kong (using the referral card) and be motivated to use the services. Field research staff will assist on-site booking SC services for smokers. Tailored messages, including: harm of smoking, benefit of smoking cessation, importance of adherence to smoking cessation appointment and encouragement on abstinence will be sent via instant messaging (IM) services (e.g. WhatsApp, WeChat) to smokers after initial contact.

Intervention Type BEHAVIORAL

LTM

Fix-schedule SMS messages will be sent to encourage them to book the smoking cessation services appointment. Smokers are required to book the SC appointments by themselves.

Intervention Type BEHAVIORAL

AWARD

Ask about smoking history, Warn about the high risk of smoking, Advise to quit as soon as possible, Refer to the smoking cessation services, and Do it again: to repeat the intervention during tel. follow-ups.

Intervention Type BEHAVIORAL

Referral card

The 3-folded "Smoking Cessation Services" card consists of brief information and highlights of existing smoking cessation services, contact methods, motivation information and strong supporting messages or slogans.

Intervention Type OTHER

A4 leaflet

The 2-side color printed A4 leaflet, which systematically covers the most important messages to motivate smoking cessation

Intervention Type OTHER

Brief advice

Very brief, minimal and general smoking cessation advice

Intervention Type BEHAVIORAL

12-page booklet

12-page smoking cessation self-help booklet

Intervention Type OTHER

Other Intervention Names

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Higher intensity and personalized active referral (HAR) Low-intensity text messaging on using SC services (LTM) Ask, Warn, Advise, Refer, Do-it-again Smoking Cessation Service Card Brief leaflet on health warning and smoking cessation Brief smoking cessation advice 12-page smoking cessation booklet

Eligibility Criteria

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Inclusion Criteria

Hong Kong residents aged 18 or above

* Smoke at least 1 cigarette per day in the past 3 months
* Able to communicate in Cantonese
* Exhaled carbon monoxide (CO) 4 ppm or above, assessed by a validated CO smokerlyzer
* Have Intention to quit / reduce smoking

Exclusion Criteria

* Smokers who have difficulties (either physical or cognitive condition) to communicate
* Currently following other smoking cessation programs
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hong Kong Council on Smoking and Health

OTHER

Sponsor Role collaborator

The University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Dr. Wang Man-Ping

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Man Ping Kelvin Wang, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Hong Kong

Locations

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The Hong Kong Council on Smoking and Health (COSH)

Hong Kong, , China

Site Status

Countries

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China

References

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Weng X, Wang MP, Suen YN, Li WHC, Wu Y, Cheung DYT, Kwong ACS, Lai VWY, Chan SSC, Lam TH. Comparing different intensities of active referral to smoking cessation services in promoting smoking cessation among community smokers: a study protocol of a cluster randomized controlled trial. BMC Public Health. 2018 Jul 4;18(1):830. doi: 10.1186/s12889-018-5782-1.

Reference Type DERIVED
PMID: 29973191 (View on PubMed)

Other Identifiers

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QTW2016

Identifier Type: -

Identifier Source: org_study_id