Trial Outcomes & Findings for Testing Integrative Smoking Cessation for HIV Patients (NCT NCT05030766)

NCT ID: NCT05030766

Last Updated: 2025-06-04

Results Overview

Defined as self-report of not smoking in the past 7-days, not even a puff and confirmed by expired carbon monoxide (CO) level cutoff of \< 8 ppm using a coVita iCO™ Smokerlyzer® and/or NicoTests saliva sample of ≤ 30 ng/mL.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

95 participants

Primary outcome timeframe

4 weeks (end of treatment), and 3 months

Results posted on

2025-06-04

Participant Flow

Phase 2 participants are participants that did not quit smoking in their respective Phase 1 group, who were then assigned to the opposite group in Phase 2. Phase 1 MT participants who did not quit smoking go to Phase 2 CM, Phase 1 CM participants who did not quit smoking go to Phase 2 MT. Those participants who quit smoking do not get randomized again.

Participant milestones

Participant milestones
Measure
Mindfulness Training (MT) and NRT (Phase 1)
Participants who receive the Mindfulness Training (MT) intervention for 4 weeks in addition to 6 weeks of Nicotine Replacement Therapy (NRT).These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions.
Contingency Management (CM) and NRT (Phase 1)
Participants who receive the Contingency Management (CM) intervention for 4 weeks in addition to 6 weeks of NRT. These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Mindfulness Training (MT) and NRT + Additional CM Group (Phase 2)
Participants who received the MT intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional CM intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Contingency Management (CM) and NRT + Additional MT Group (Phase 2)
Participants who received the CM intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional MT intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Phase 1 Participants
STARTED
49
46
0
0
Phase 1 Participants
COMPLETED
21
15
0
0
Phase 1 Participants
NOT COMPLETED
28
31
0
0
Phase 2 Participants
STARTED
0
0
12
10
Phase 2 Participants
COMPLETED
0
0
6
8
Phase 2 Participants
NOT COMPLETED
0
0
6
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Mindfulness Training (MT) and NRT (Phase 1)
Participants who receive the Mindfulness Training (MT) intervention for 4 weeks in addition to 6 weeks of Nicotine Replacement Therapy (NRT).These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions.
Contingency Management (CM) and NRT (Phase 1)
Participants who receive the Contingency Management (CM) intervention for 4 weeks in addition to 6 weeks of NRT. These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Mindfulness Training (MT) and NRT + Additional CM Group (Phase 2)
Participants who received the MT intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional CM intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Contingency Management (CM) and NRT + Additional MT Group (Phase 2)
Participants who received the CM intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional MT intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Phase 1 Participants
Lost to Follow-up
12
22
0
0
Phase 1 Participants
Did not attend sessions after being randomized
16
9
0
0
Phase 2 Participants
Lost to Follow-up
0
0
6
2

Baseline Characteristics

Testing Integrative Smoking Cessation for HIV Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mindfulness Training (MT) and NRT (Phase 1)
n=49 Participants
Participants who receive the Mindfulness Training (MT) intervention for 4 weeks in addition to 6 weeks of Nicotine Replacement Therapy (NRT).These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions.
Contingency Management (CM) and NRT (Phase 1)
n=46 Participants
Participants who receive the Contingency Management (CM) intervention for 4 weeks in addition to 6 weeks of NRT. These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Total
n=95 Participants
Total of all reporting groups
Age, Continuous
54.54 years
STANDARD_DEVIATION 8.49 • n=5 Participants
51.59 years
STANDARD_DEVIATION 11.63 • n=7 Participants
53.07 years
STANDARD_DEVIATION 10.24 • n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
21 Participants
n=7 Participants
46 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
25 Participants
n=7 Participants
49 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
39 Participants
n=5 Participants
36 Participants
n=7 Participants
75 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 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/Ethnicity, Customized
Non-Hispanic White
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Non-Hispanic Black
35 Participants
n=5 Participants
33 Participants
n=7 Participants
68 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian/ Asian American / Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks (end of treatment), and 3 months

Population: Only those who participated in their treatment (completed at least one session).

Defined as self-report of not smoking in the past 7-days, not even a puff and confirmed by expired carbon monoxide (CO) level cutoff of \< 8 ppm using a coVita iCO™ Smokerlyzer® and/or NicoTests saliva sample of ≤ 30 ng/mL.

Outcome measures

Outcome measures
Measure
Mindfulness Training (MT) and NRT (Phase 1)
n=49 Participants
Participants who receive the Mindfulness Training (MT) intervention for 4 weeks in addition to 6 weeks of Nicotine Replacement Therapy (NRT).These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions.
Contingency Management (CM) and NRT (Phase 1)
n=46 Participants
Participants who receive the Contingency Management (CM) intervention for 4 weeks in addition to 6 weeks of NRT. These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Mindfulness Training (MT) and NRT + Additional CM Group (Phase 2)
n=12 Participants
Participants who received the MT intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional CM intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Contingency Management (CM) and NRT + Additional MT Group (Phase 2)
n=10 Participants
Participants who received the CM intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional MT intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Number of Participants Reporting 7-day Point-prevalence Abstinence
4 weeks (end of treatment)
8 participants
12 participants
3 participants
2 participants
Number of Participants Reporting 7-day Point-prevalence Abstinence
3 months
12 participants
9 participants
1 participants
2 participants

SECONDARY outcome

Timeframe: 3 months

Population: All participants who enrolled and were randomized.

Treatment specific retention rates reported as the percentage of participants who completed their final 3-month assessment divided by the total of participants enrolled.

Outcome measures

Outcome measures
Measure
Mindfulness Training (MT) and NRT (Phase 1)
n=49 Participants
Participants who receive the Mindfulness Training (MT) intervention for 4 weeks in addition to 6 weeks of Nicotine Replacement Therapy (NRT).These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions.
Contingency Management (CM) and NRT (Phase 1)
n=46 Participants
Participants who receive the Contingency Management (CM) intervention for 4 weeks in addition to 6 weeks of NRT. These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Mindfulness Training (MT) and NRT + Additional CM Group (Phase 2)
n=12 Participants
Participants who received the MT intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional CM intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Contingency Management (CM) and NRT + Additional MT Group (Phase 2)
n=10 Participants
Participants who received the CM intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional MT intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Retention Rate
42.83 percentage of patients
32.61 percentage of patients
50.00 percentage of patients
80.00 percentage of patients

SECONDARY outcome

Timeframe: 3 months

Population: Includes all participants who were randomized to a treatment arm. Note that Phase 1 and Phase 2 participants are not mutually exclusive (Phase 2 participants come from Phase 1). Mindfulness Training participants did one call per week of treatment, 4 calls in total. Contingency management did 3 calls per week of treatment for a total of 12 calls.

Defined as number of phone-call check-ins attended by each participant (4 for mindfulness training, 12 for contingency management).

Outcome measures

Outcome measures
Measure
Mindfulness Training (MT) and NRT (Phase 1)
n=49 Participants
Participants who receive the Mindfulness Training (MT) intervention for 4 weeks in addition to 6 weeks of Nicotine Replacement Therapy (NRT).These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions.
Contingency Management (CM) and NRT (Phase 1)
n=46 Participants
Participants who receive the Contingency Management (CM) intervention for 4 weeks in addition to 6 weeks of NRT. These participants are responders (have quit smoking at the 1 month follow up) or non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive no additional intervention. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Mindfulness Training (MT) and NRT + Additional CM Group (Phase 2)
n=12 Participants
Participants who received the MT intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional CM intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Contingency Management (CM) and NRT + Additional MT Group (Phase 2)
n=10 Participants
Participants who received the CM intervention for 4 weeks with 6 weeks of NRT and are non-responders (those who have not quit smoking at the 1 month follow up) and randomized to receive an additional MT intervention for another 4 weeks. Nicotine Replacement Therapy: 6 weeks of Nicotine replacement patches Mindfulness Training Smoking Cessation Intervention: Mindfulness Training Smoking Cessation Intervention administered online via Zoom. Each session lasts 60-90 minutes, twice weekly for 4 weeks for a total of 8 sessions. Contingency Management Smoking Cessation Intervention: Contingency Management Smoking Cessation Intervention includes one orientation session lasting about 60-90 minutes administered via Zoom. Participants will then be required to contact the research associate about their quitting progress three times a week for 4 weeks also by zoom.
Treatment Specific Adherence Rates
Less than half the check-ins
4 participants
21 participants
9 participants
1 participants
Treatment Specific Adherence Rates
More than half the check-ins but did not complete all
9 participants
5 participants
2 participants
4 participants
Treatment Specific Adherence Rates
Completed all check-ins
16 participants
0 participants
0 participants
4 participants
Treatment Specific Adherence Rates
0 check-ins
18 participants
15 participants
1 participants
0 participants
Treatment Specific Adherence Rates
Half of the check-ins
2 participants
5 participants
0 participants
1 participants

Adverse Events

Mindfulness Training (MT) and NRT (Phase 1)

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

Contingency Management (CM) and NRT (Phase 1)

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

Mindfulness Training (MT) and NRT + Additional CM Group (Phase 2)

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

Contingency Management (CM) and NRT + Additional MT Group (Phase 2)

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

Dr. Taghrid Asfar

University of Miami

Phone: +1 (901) 371-7229

Results disclosure agreements

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