Trial Outcomes & Findings for Development of a mHealth Intervention for Ambivalent Smokers (NCT NCT04560868)

NCT ID: NCT04560868

Last Updated: 2023-01-23

Results Overview

Number of unique app user-sessions

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

57 participants

Primary outcome timeframe

Assessed at 3-month follow-up

Results posted on

2023-01-23

Participant Flow

Study enrollment began 12/16/2020 and study activities completed 9/27/21. Participants were recruited through two sources: (1) social media ads inviting individuals to email contact study staff to learn more and be screened for eligibility and (2) outreach to people our research waitlist.

Participant milestones

Participant milestones
Measure
Control
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Overall Study
STARTED
29
28
Overall Study
Completed 1-month Self-report Survey
28
21
Overall Study
Completed 3-month Self-report Survey
26
21
Overall Study
Completed App Utilization Period
29
28
Overall Study
COMPLETED
29
28
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Development of a mHealth Intervention for Ambivalent Smokers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Total
n=57 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
29 Participants
n=5 Participants
27 Participants
n=7 Participants
56 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
47.1 years
STANDARD_DEVIATION 9.1 • n=5 Participants
47.9 years
STANDARD_DEVIATION 11.5 • n=7 Participants
47.5 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
19 Participants
n=7 Participants
41 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=5 Participants
28 Participants
n=7 Participants
57 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 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
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
24 Participants
n=5 Participants
23 Participants
n=7 Participants
47 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Cigarettes per day
17.8 cigarettes/day
STANDARD_DEVIATION 6.6 • n=5 Participants
18.5 cigarettes/day
STANDARD_DEVIATION 8.7 • n=7 Participants
18.2 cigarettes/day
STANDARD_DEVIATION 7.6 • n=5 Participants
At least one quit attempt lasting a day or longer in the past 12 months
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
7-day point prevalence abstinence
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Assessed at 3-month follow-up

Population: All individuals who installed the app (n = 57).

Number of unique app user-sessions

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Program Engagement
7.3 User sessions
Standard Deviation 6.6
19.9 User sessions
Standard Deviation 16.2

PRIMARY outcome

Timeframe: Assessed at 3-month follow-up

Population: All individuals who installed the app (n = 57).

At least one intentional smoking quit attempt lasting at least 24 hours. Missing outcomes imputed as not making a quit attempt.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Quit Attempt Lasting at Least 24 Hours
11 Participants
11 Participants

PRIMARY outcome

Timeframe: Assessed at 3-month follow-up

Population: All individuals who installed the app (n = 57).

7-day point prevalent abstinence: self-report of not smoking, even a puff, in the last 7 days. Missing values were imputed as smoking.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Not Smoking (Even a Puff) in the Last 7 Days
2 Participants
4 Participants

SECONDARY outcome

Timeframe: Assessed at 1 month

Population: Responses were assessed among participants who earned at least one utilization badge by the one-month survey. This ensured participants had sufficient interaction with the app to rate their satisfaction with it.

Satisfaction with the overall "content and advice" of the assigned app, rated on a Likert scale from 1="not at all satisfied" to 5="extremely satisfied".

Outcome measures

Outcome measures
Measure
Control
n=25 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=19 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Satisfaction With Assigned App
3.6 score on a scale
Standard Deviation 1.2
3.8 score on a scale
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Assessed at 3 months

Population: Responses were assessed among participants who earned at least one utilization badge by the three-month survey. This was done to ensure participants had sufficient interaction with the app to rate their satisfaction with it.

Satisfaction with the overall "content and advice" of the assigned app on a Likert scale from 1="not at all satisfied" to 5="extremely satisfied".

Outcome measures

Outcome measures
Measure
Control
n=23 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=20 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Satisfaction With Assigned App
4.0 score on a scale
Standard Deviation 1.1
4.0 score on a scale
Standard Deviation 1.1

SECONDARY outcome

Timeframe: Assessed at 1 month.

Population: Participants who installed the app, self-reported use of all rated features, rated each feature on follow-up survey, and were confirmed via automated data to have used the app features.

Global helpfulness rating calculated as the average helpfulness rating of 8 app features, each rated on a Likert scale from 1="not at all helpful" to 5="extremely helpful".

Outcome measures

Outcome measures
Measure
Control
n=7 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=5 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Helpfulness of Assigned App
3.2 average scores on a scale
Standard Deviation 1.2
3.8 average scores on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Assessed at 3 months

Population: Individuals who installed the app, responded to questions about helpfulness of each rated feature, self-reported use of each app feature, and based on automated data had sufficient use of the app features to rate their helpfulness at follow-up.

Average helpfulness rating of 8 separate app features, with each feature rated on a Likert scale from 1="not at all helpful" to 5="extremely helpful".

Outcome measures

Outcome measures
Measure
Control
n=5 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=5 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Helpfulness of Assigned App
3.1 average scores on a scale
Standard Deviation 0.6
3.6 average scores on a scale
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Assessed at 1-month follow-up

Population: All individuals who installed the app (n = 57).

Number of accumulated badge rewards earned from using the assigned app.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Program Engagement - Earned Badges
5.7 badges
Standard Deviation 3.7
8.6 badges
Standard Deviation 5.8

SECONDARY outcome

Timeframe: Assessed at 3-month follow-up

Population: Includes all individuals who installed the app. Everyone used the app at least once.

Number of accumulated badge rewards earned from using the assigned app.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Program Engagement - Earned Badges
6.1 Badges
Standard Deviation 3.5
10.1 Badges
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Assessed at 1 month

Population: Respondents to the assessed question, which was only asked to those still smoking at follow-up and had installed the app.

Self-reported confidence in quitting smoking on Likert scale from 1="not at all" to 10="extremely".

Outcome measures

Outcome measures
Measure
Control
n=27 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=20 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Self-efficacy to Quit Smoking
7.5 score on a scale
Standard Deviation 2.3
7.4 score on a scale
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Assessed at 3 months

Population: Respondents to the assessed question, which was only asked among individuals who were still smoking at follow-up and had installed the app.

Self-reported confidence in quitting smoking on a Likert scale from 1="not at all" to 10="extremely".

Outcome measures

Outcome measures
Measure
Control
n=23 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=17 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Self-efficacy to Quit Smoking
7.9 score on a scale
Standard Deviation 2.1
6.8 score on a scale
Standard Deviation 2.7

SECONDARY outcome

Timeframe: Assessed at 1 month

Population: Respondents to a question only asked among participants who installed the app and reported they had not smoked in the past 7 days.

Self-reported confidence in ability to stay quit on a Likert scale from 1="not at all" to 10="extremely".

Outcome measures

Outcome measures
Measure
Control
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=1 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Self-efficacy to Stay Quit
6 score on a scale
Standard Deviation NA
The Overall Number of Participants Analyzed is 1, so the Standard Deviation was not calculated.

SECONDARY outcome

Timeframe: Assessed at 3 months

Population: Respondents to question asked among individuals who installed the app and reported not smoking in the past 7 days at 3 month follow-up.

Self-reported confidence in ability to stay quit (if no smoking in the past 7 days) on a Likert scale from 1="not at all" to 10="extremely".

Outcome measures

Outcome measures
Measure
Control
n=1 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=2 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Self-efficacy to Stay Quit
10 score on a scale
Standard Deviation NA
The Overall Number of Participants Analyzed is 1, so the Standard Deviation was not calculated.
9 score on a scale
Standard Deviation 1.4

SECONDARY outcome

Timeframe: Assessed at 1-month follow-up

Population: All individuals who installed the app (n = 57).

Earned and requested free nicotine replacement therapy (NRT); free NRT could be earned by earning 6 app utilization badges.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Earned and Requested Free Nicotine Replacement Therapy
2 Participants
4 Participants

SECONDARY outcome

Timeframe: Assessed at 3-month follow-up

Population: Individuals who installed the app (n = 57). Note that free NRT is earned when 6 utilization badges have been earned.

Earned and requested free nicotine replacement therapy (NRT); free NRT could be earned by earning 6 app utilization badges.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Earned and Requested Free Nicotine Replacement Therapy
2 Participants
8 Participants

SECONDARY outcome

Timeframe: Assessed at 1 month follow-up

Population: Individuals who installed the app (n = 57).

At least one intentional smoking quit attempt lasting at least 24 hours; non-respondents were assumed to not have a successful quit attempt.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Quit Attempt Lasting at Least 24 Hours
6 Participants
6 Participants

SECONDARY outcome

Timeframe: Assessed at baseline and 1 month

Population: Individuals who installed the app, returned the 1-month survey, and either responded to this item or reported not smoking in the past 7 days. If they reported not smoking for the past 7 days, number of cigarettes were day were coded as 0.

Change in number of cigarettes smoked per day from baseline, calculated as (1 month)-baseline.

Outcome measures

Outcome measures
Measure
Control
n=27 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=21 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Change in Cigarettes/Day
Baseline 30-day average cigarettes/day
17.9 Cigarettes/day
Standard Deviation 6.8
17.6 Cigarettes/day
Standard Deviation 8.2
Change in Cigarettes/Day
Change from baseline in number of cigarettes/day at 1 month (using one-month 7-day average)
-5.1 Cigarettes/day
Standard Deviation 5.2
-3.6 Cigarettes/day
Standard Deviation 4.6

SECONDARY outcome

Timeframe: Assessed at baseline and 3 months

Population: Individuals who installed the app, returned the 3-month survey, and either responded to this item or reported not smoking in the past 7 days. If they reported not smoking for the past 7 days, number of cigarettes were day were coded as 0.

Change in number of cigarettes smoked per day from baseline, calculated as (3 months)-baseline.

Outcome measures

Outcome measures
Measure
Control
n=25 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=21 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Change in Cigarettes/Day
Baseline 30-day average cigarettes/day
17.6 Cigarettes/day
Standard Deviation 6.9
17.9 Cigarettes/day
Standard Deviation 8.0
Change in Cigarettes/Day
Change in daily average cigarettes/day between baseline and three-month (using 7-day average)
-6.7 Cigarettes/day
Standard Deviation 7.9
-5.2 Cigarettes/day
Standard Deviation 7.0

SECONDARY outcome

Timeframe: Assessed at 1-month follow-up

Population: Individuals who installed the app (n = 57).

7-day point prevalent abstinence: a self-report of not smoking, even a puff, in the past 7 days. Missing outcomes were imputed as smoking.

Outcome measures

Outcome measures
Measure
Control
n=29 Participants
Control mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Experimental
n=28 Participants
Experimental mHealth program: The intervention includes a mHealth intervention that is grounded in best practice recommendations for treatment of nicotine dependence. Experimental participants also receive additional content designed to motivate smoking reduction/quitting and provide skills training. Nicotine patch: Participants in both arms can earn the ability to request a 2-week supply of over-the-counter nicotine patches. Patches are earned through accumulated use of the assigned mHealth program.
Refrain From Smoking (Even a Puff) in the Last 7 Days
0 Participants
1 Participants

Adverse Events

Control

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

Experimental

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

Director, Investigative Science

Kaiser Permanente Washington Health Research Institute

Phone: 206-287-2737

Results disclosure agreements

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