Trial Outcomes & Findings for Website Smoking Cessation Intervention for the Promotion of Smoking Cessation in Low-Income Veterans (NCT NCT04502524)

NCT ID: NCT04502524

Last Updated: 2023-04-07

Results Overview

Satisfaction ratings regarding the usefulness of specific components of the website program, user comments and suggestions for improvement, presented descriptively. Treatment satisfaction items are reported on a Likert-type scale, with response choices ranging from "not at all satisfied" to "very satisfied". Will dichotomize values at a threshold of "somewhat satisfied" or higher. We tested for differences between arms using a Fisher's Exact test.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

53 participants

Primary outcome timeframe

At 3 months post-randomization

Results posted on

2023-04-07

Participant Flow

Fifty-three participants were eligible and enrolled in the study. The final sample comprised 49 participants who were randomized between February 3, 2021 and October 22, 2021.

Four participants who were enrolled in the study were not randomized because they were lost to follow-up (n=3) or they withdrew (n=1) prior to randomization.

Participant milestones

Participant milestones
Measure
Arm I (New Website Program, Handout, Text Message)
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Overall Study
STARTED
25
24
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
7
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Website Smoking Cessation Intervention for the Promotion of Smoking Cessation in Low-Income Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (New Website Program, Handout, Text Message)
n=25 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=24 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Total
n=49 Participants
Total of all reporting groups
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
20 Participants
n=7 Participants
39 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants
24 participants
n=7 Participants
49 participants
n=5 Participants
Age, Continuous
47.9 years
n=5 Participants
54.8 years
n=7 Participants
51.3 years
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
17 Participants
n=7 Participants
37 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Fagerström Test for Nicotine Dependence (FTND)
4.3 units on a scale
n=5 Participants
4.2 units on a scale
n=7 Participants
4.3 units on a scale
n=5 Participants
Contemplation Ladder
8.0 units on a scale
STANDARD_DEVIATION 2.3 • n=5 Participants
7.8 units on a scale
STANDARD_DEVIATION 2.1 • n=7 Participants
7.9 units on a scale
STANDARD_DEVIATION 2.2 • n=5 Participants

PRIMARY outcome

Timeframe: At 3 months post-randomization

Population: All survey respondents

Satisfaction ratings regarding the usefulness of specific components of the website program, user comments and suggestions for improvement, presented descriptively. Treatment satisfaction items are reported on a Likert-type scale, with response choices ranging from "not at all satisfied" to "very satisfied". Will dichotomize values at a threshold of "somewhat satisfied" or higher. We tested for differences between arms using a Fisher's Exact test.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=17 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=19 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Satisfaction With Assigned Treatment
Not At All/A Little
0 Participants
1 Participants
Satisfaction With Assigned Treatment
Somewhat/Mostly/Very Much
17 Participants
18 Participants

PRIMARY outcome

Timeframe: At 3 months

Population: All survey respondents.

Will use negative binomial regression with adjustment for the stratification variable and baseline readiness to quit (high versus low) to compare treatment effects on the count outcome number of logins. There were no potential confounders to adjust for.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=17 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=19 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Number of Server-recorded Logins to Assigned Website
3.7 Count of number of times logged in
Standard Deviation 3.6
3.2 Count of number of times logged in
Standard Deviation 4.1

PRIMARY outcome

Timeframe: At 3 months

Population: All randomized participants.

Will use negative binomial regression with adjustment for the stratification variable baseline readiness to quit (high versus low) to compare treatment groups on the secondary acceptability outcome of duration of site usage (number of days elapsed from first to last use). There were no confounders to adjust for.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=17 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=19 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Duration of Website Use (Days Since First Login)
18.7 Days since first login
Standard Deviation 27.3
26.7 Days since first login
Standard Deviation 47.2

SECONDARY outcome

Timeframe: At 3 months

Population: All survey respondents.

Will use a negative binomial model with adjustment for the stratification variable and baseline readiness to quit (high versus low) to compare the count outcome number of quit attempts between arms. There were no confounders to address for.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=18 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=19 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Number of Quit Attempts
1.7 Number of quit attempts
Standard Deviation 1.1
3.2 Number of quit attempts
Standard Deviation 6.7

SECONDARY outcome

Timeframe: In the 7 days prior to the 3-month follow up

Population: All survey respondents.

Will use a logistic regression model with adjustment for the stratification variable and baseline readiness to quit (high versus low) to compare smoking abstinence between arms. There were no confounders to adjust for. Missing responses were considered as continued smokers.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=25 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=24 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Cotinine-confirmed, Self-reported Abstinence From Smoking
3 Participants
4 Participants

SECONDARY outcome

Timeframe: In the 30 days prior to the 3-month follow up

Population: All survey respondents.

Will use a logistic regression model with adjustment for the stratification variable and baseline readiness to quit (high versus low) to compare smoking abstinence between arms. There were no confounders to adjust for. Missing responses were considered continued smokers.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=25 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=24 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Cotinine-confirmed, Self-reported Abstinence From Smoking
3 participants
3 participants

SECONDARY outcome

Timeframe: In the 7 days prior to the 3-month follow up

Will use a logistic regression model with adjustment for the stratification variable and baseline readiness to quit (high versus low) to compare smoking abstinence between arms. There were no confounders to adjust for. The missing responses were considered continued smokers.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=24 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=24 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Self-reported Abstinence From All Nicotine and Tobacco Products (Except Nicotine Replacement Therapy)
2 participants
3 participants

SECONDARY outcome

Timeframe: Baseline up to 3-month follow-up

Population: All survey respondents.

Will be assessed by the Contemplation Ladder on a scale from 0 (no thought about quitting) to 10 (taking action to quit). Will calculate change score as follow-up minus baseline score and use a linear regression model with adjustment for the baseline value of the measure of interest and for the stratification variable and baseline readiness to quit (high versus low) to compare between study arms. There were no confounders to adjust for.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=18 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=19 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Change in Readiness to Quit
-0.4 score on a scale
Standard Deviation 3.3
-0.5 score on a scale
Standard Deviation 3.6

SECONDARY outcome

Timeframe: Baseline up to 3-month follow-up

Population: All survey respondents.

Will be assessed by the Avoidance and Inflexibility Scale (AIS) on a scale ranging from 0 (never/not at all) to 4 (always/very much/extensively). Will calculate change score as follow-up minus baseline score and use a linear regression model with adjustment for the baseline value of the measure of interest and for the stratification variable and baseline readiness to quit (high versus low) to compare between study arms. There were no confounders to adjust for. This is the AIS Feelings score change.

Outcome measures

Outcome measures
Measure
Arm I (New Website Program, Handout, Text Message)
n=18 Participants
Participants complete the new website smoking cessation program which provides values driven, mindfulness based coping skills and utilizes non-judgmental acceptance of uncomfortable internal states like cravings. Participants will also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with all session handouts and available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (New website): Complete the new website smoking cessation program Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Arm II (Standard Care VA Website, Handout, Text Message)
n=20 Participants
Participants use the standard of care website, which provides educational materials about cessation treatments, tools to cope with urges and relapse, how to stay motivated, and brief tips on coping with physical and mental health problems. Participants also receive text messages consisting of motivational messages and reminders to use the program. At the end of the program, participants receive an email with a handout of available resources provided by the VA for continued support for smoking cessation. Smoking Cessation Intervention (Standard of care website): Complete the standard of care website smoking cessation intervention Health Education: Receive information about the cost of smoking, benefits of quitting, ways to prepare for quitting, ways to handle triggers and withdrawal symptoms, and available medications to help with quitting. And will receive additional resources available at the VA handout via email at the end of the study. Health Promotion and Education: Receive motivational and reminder text messages Questionnaire Administration: Ancillary studies
Change in Acceptance of Smoking Triggers
0.4 score on a scale
Standard Deviation 0.6
0.3 score on a scale
Standard Deviation 0.8

Adverse Events

Arm I (New Website Program, Handout, Text Message)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm II (Standard Care VA Website, Handout, Text Message)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jaimee Heffner, Ph.D., Associate Professor

Fred Hutchinson Cancer Center

Phone: 206.667.7314

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place