Trial Outcomes & Findings for Incentive-based and Media Literacy Informed Approaches to Improve Vaping Cessation (NCT NCT05586308)

NCT ID: NCT05586308

Last Updated: 2026-01-29

Results Overview

Engagement will be assessed by proportions of participants who submitted the remote saliva cotinine sample at remote checkin 3.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

3 months

Results posted on

2026-01-29

Participant Flow

We worked with READi Core at the University of Nebraska Medical Center to first generate a list of potentially eligible participants, filtering for age and using smart text data to determine the vaping or smoking status. A study invitation email was sent to individuals on this potential participant list . In this email, interested individuals will be directed to complete web-based screening questions via REDCap to assess their eligibility.

Participant milestones

Participant milestones
Measure
Active Control
Participants in this arm will receive an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program.
Media Literacy
Participants will receive media literacy e-learning lessons and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Media literacy: Media literacy e-learning lessons cover topics regarding what e-cigarettes are and how they work, how nicotine and nicotine addiction affects the brain and behavior, how to prepare to quit vaping, developing a quit plan and how to deal with cravings and relapse. The program focuses on changing knowledge, attitudes and beliefs related to e-cigarette use, as well as emphasizing vaping related media literacy.
Financial Incentive
Participants will receive financial incentive intervention and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Financial incentive: 1. Participants will earn $3 for each saliva cotinine sample submission regardless of positive or negative results after the quit day (an assessments at Week 6, Week 8, Week 10, and Week 12, during the abstinence phase) 2. Participants will earn additional escalating rewards for each negative sample- $7 for Week 6, $12 for Week 8, $17 for Week 10, and $22 for Week 12 (2 months after the target quit date). The bonus starts at $7 and increase by $5 for each subsequent negative cotinine sample (i.e., $7, $12, $17, and $22). 3\. A reset contingency will be used. That is the reward amount will be returned back to original $7 if there is a missing or positive saliva cotinine sample
Combined
Participants will receive media literacy e-learning lessons, financial incentive, and an evidence-based text-messaging support program.
Overall Study
STARTED
9
11
10
10
Overall Study
COMPLETED
6
5
5
5
Overall Study
NOT COMPLETED
3
6
5
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Incentive-based and Media Literacy Informed Approaches to Improve Vaping Cessation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Control
n=9 Participants
Participants in this arm will receive an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program.
Media Literacy
n=11 Participants
Participants will receive media literacy e-learning lessons and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Media literacy: Media literacy e-learning lessons cover topics regarding what e-cigarettes are and how they work, how nicotine and nicotine addiction affects the brain and behavior, how to prepare to quit vaping, developing a quit plan and how to deal with cravings and relapse. The program focuses on changing knowledge, attitudes and beliefs related to e-cigarette use, as well as emphasizing vaping related media literacy.
Financial Incentive
n=10 Participants
Participants will receive financial incentive intervention and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Financial incentive: 1. Participants will earn $3 for each saliva cotinine sample submission regardless of positive or negative results after the quit day (an assessments at Week 6, Week 8, Week 10, and Week 12, during the abstinence phase) 2. Participants will earn additional escalating rewards for each negative sample- $7 for Week 6, $12 for Week 8, $17 for Week 10, and $22 for Week 12 (2 months after the target quit date). The bonus starts at $7 and increase by $5 for each subsequent negative cotinine sample (i.e., $7, $12, $17, and $22). 3\. A reset contingency will be used. That is the reward amount will be returned back to original $7 if there is a missing or positive saliva cotinine sample
Combined
n=10 Participants
Participants will receive media literacy e-learning lessons, financial incentive, and an evidence-based text-messaging support program.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
23 years
n=35 Participants
25 years
n=4328 Participants
24 years
n=8687 Participants
22.5 years
n=153 Participants
23.5 years
n=200 Participants
Sex/Gender, Customized
Female
7 Participants
n=35 Participants
9 Participants
n=4328 Participants
7 Participants
n=8687 Participants
7 Participants
n=153 Participants
30 Participants
n=200 Participants
Sex/Gender, Customized
Male
1 Participants
n=35 Participants
1 Participants
n=4328 Participants
1 Participants
n=8687 Participants
2 Participants
n=153 Participants
5 Participants
n=200 Participants
Sex/Gender, Customized
Non-binary
1 Participants
n=35 Participants
1 Participants
n=4328 Participants
2 Participants
n=8687 Participants
1 Participants
n=153 Participants
5 Participants
n=200 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=35 Participants
2 Participants
n=4328 Participants
2 Participants
n=8687 Participants
2 Participants
n=153 Participants
9 Participants
n=200 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=35 Participants
9 Participants
n=4328 Participants
8 Participants
n=8687 Participants
8 Participants
n=153 Participants
31 Participants
n=200 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=35 Participants
0 Participants
n=4328 Participants
0 Participants
n=8687 Participants
0 Participants
n=153 Participants
0 Participants
n=200 Participants
Race/Ethnicity, Customized
White
6 Participants
n=35 Participants
9 Participants
n=4328 Participants
8 Participants
n=8687 Participants
8 Participants
n=153 Participants
31 Participants
n=200 Participants
Race/Ethnicity, Customized
Black
0 Participants
n=35 Participants
2 Participants
n=4328 Participants
2 Participants
n=8687 Participants
2 Participants
n=153 Participants
6 Participants
n=200 Participants
Race/Ethnicity, Customized
Other (e.g/., Asian or American Indian/Alaskan Native)
0 Participants
n=35 Participants
0 Participants
n=4328 Participants
0 Participants
n=8687 Participants
0 Participants
n=153 Participants
0 Participants
n=200 Participants
Race/Ethnicity, Customized
Unknown
3 Participants
n=35 Participants
0 Participants
n=4328 Participants
0 Participants
n=8687 Participants
0 Participants
n=153 Participants
3 Participants
n=200 Participants
Region of Enrollment
United States
9 participants
n=35 Participants
11 participants
n=4328 Participants
10 participants
n=8687 Participants
10 participants
n=153 Participants
40 participants
n=200 Participants

PRIMARY outcome

Timeframe: 3 months

Engagement will be assessed by proportions of participants who submitted the remote saliva cotinine sample at remote checkin 3.

Outcome measures

Outcome measures
Measure
Active Control
n=9 Participants
Participants in this arm will receive an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program.
Media Literacy
n=11 Participants
Participants will receive media literacy e-learning lessons and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Media literacy: Media literacy e-learning lessons cover topics regarding what e-cigarettes are and how they work, how nicotine and nicotine addiction affects the brain and behavior, how to prepare to quit vaping, developing a quit plan and how to deal with cravings and relapse. The program focuses on changing knowledge, attitudes and beliefs related to e-cigarette use, as well as emphasizing vaping related media literacy.
Financial Incentive
n=10 Participants
Participants will receive financial incentive intervention and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Financial incentive: 1. Participants will earn $3 for each saliva cotinine sample submission regardless of positive or negative results after the quit day (an assessments at Week 6, Week 8, Week 10, and Week 12, during the abstinence phase) 2. Participants will earn additional escalating rewards for each negative sample- $7 for Week 6, $12 for Week 8, $17 for Week 10, and $22 for Week 12 (2 months after the target quit date). The bonus starts at $7 and increase by $5 for each subsequent negative cotinine sample (i.e., $7, $12, $17, and $22). 3\. A reset contingency will be used. That is the reward amount will be returned back to original $7 if there is a missing or positive saliva cotinine sample
Combined
n=10 Participants
Participants will receive media literacy e-learning lessons, financial incentive, and an evidence-based text-messaging support program.
Engagement_remote checkin_3
Submitted
6 Participants
5 Participants
6 Participants
5 Participants
Engagement_remote checkin_3
Missing
3 Participants
6 Participants
4 Participants
5 Participants

PRIMARY outcome

Timeframe: 3 months

The number of participants who completed the end-of-study assessment (Week 12).

Outcome measures

Outcome measures
Measure
Active Control
n=9 Participants
Participants in this arm will receive an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program.
Media Literacy
n=11 Participants
Participants will receive media literacy e-learning lessons and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Media literacy: Media literacy e-learning lessons cover topics regarding what e-cigarettes are and how they work, how nicotine and nicotine addiction affects the brain and behavior, how to prepare to quit vaping, developing a quit plan and how to deal with cravings and relapse. The program focuses on changing knowledge, attitudes and beliefs related to e-cigarette use, as well as emphasizing vaping related media literacy.
Financial Incentive
n=10 Participants
Participants will receive financial incentive intervention and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Financial incentive: 1. Participants will earn $3 for each saliva cotinine sample submission regardless of positive or negative results after the quit day (an assessments at Week 6, Week 8, Week 10, and Week 12, during the abstinence phase) 2. Participants will earn additional escalating rewards for each negative sample- $7 for Week 6, $12 for Week 8, $17 for Week 10, and $22 for Week 12 (2 months after the target quit date). The bonus starts at $7 and increase by $5 for each subsequent negative cotinine sample (i.e., $7, $12, $17, and $22). 3\. A reset contingency will be used. That is the reward amount will be returned back to original $7 if there is a missing or positive saliva cotinine sample
Combined
n=10 Participants
Participants will receive media literacy e-learning lessons, financial incentive, and an evidence-based text-messaging support program.
Retention
Missing
3 Participants
6 Participants
5 Participants
5 Participants
Retention
Completed
6 Participants
5 Participants
5 Participants
5 Participants

SECONDARY outcome

Timeframe: 3 months

Biochemically verified vaping abstinence (negative results- \< 30 ng/mL) will be measured by saliva cotinine samples at end of study (Week 12).

Outcome measures

Outcome measures
Measure
Active Control
n=9 Participants
Participants in this arm will receive an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program.
Media Literacy
n=11 Participants
Participants will receive media literacy e-learning lessons and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Media literacy: Media literacy e-learning lessons cover topics regarding what e-cigarettes are and how they work, how nicotine and nicotine addiction affects the brain and behavior, how to prepare to quit vaping, developing a quit plan and how to deal with cravings and relapse. The program focuses on changing knowledge, attitudes and beliefs related to e-cigarette use, as well as emphasizing vaping related media literacy.
Financial Incentive
n=10 Participants
Participants will receive financial incentive intervention and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Financial incentive: 1. Participants will earn $3 for each saliva cotinine sample submission regardless of positive or negative results after the quit day (an assessments at Week 6, Week 8, Week 10, and Week 12, during the abstinence phase) 2. Participants will earn additional escalating rewards for each negative sample- $7 for Week 6, $12 for Week 8, $17 for Week 10, and $22 for Week 12 (2 months after the target quit date). The bonus starts at $7 and increase by $5 for each subsequent negative cotinine sample (i.e., $7, $12, $17, and $22). 3\. A reset contingency will be used. That is the reward amount will be returned back to original $7 if there is a missing or positive saliva cotinine sample
Combined
n=10 Participants
Participants will receive media literacy e-learning lessons, financial incentive, and an evidence-based text-messaging support program.
Biochemically Verified Vaping Abstinence
Negative
4 Participants
5 Participants
5 Participants
3 Participants
Biochemically Verified Vaping Abstinence
Missing
3 Participants
6 Participants
5 Participants
5 Participants
Biochemically Verified Vaping Abstinence
Postive
2 Participants
0 Participants
0 Participants
2 Participants

SECONDARY outcome

Timeframe: 3 months

Self-reported vaping abstinence will be assessed by the question "In the past 30 days, did you vape at all, even a puff of someone else?" at the end-of-study visit.

Outcome measures

Outcome measures
Measure
Active Control
n=9 Participants
Participants in this arm will receive an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program.
Media Literacy
n=11 Participants
Participants will receive media literacy e-learning lessons and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Media literacy: Media literacy e-learning lessons cover topics regarding what e-cigarettes are and how they work, how nicotine and nicotine addiction affects the brain and behavior, how to prepare to quit vaping, developing a quit plan and how to deal with cravings and relapse. The program focuses on changing knowledge, attitudes and beliefs related to e-cigarette use, as well as emphasizing vaping related media literacy.
Financial Incentive
n=10 Participants
Participants will receive financial incentive intervention and an evidence-based text-messaging support. Text-massaging suport: Text-messaging quitting support program (i.e., This is Quitting) is an evidence-based, free mobile program from Truth Initiative designed to help young people quit vaping. The program is fully automated and interactive. To establish or reinforce perceived social norms and social support around quitting, a majority of messages come from other users who have submitted them to the program. Financial incentive: 1. Participants will earn $3 for each saliva cotinine sample submission regardless of positive or negative results after the quit day (an assessments at Week 6, Week 8, Week 10, and Week 12, during the abstinence phase) 2. Participants will earn additional escalating rewards for each negative sample- $7 for Week 6, $12 for Week 8, $17 for Week 10, and $22 for Week 12 (2 months after the target quit date). The bonus starts at $7 and increase by $5 for each subsequent negative cotinine sample (i.e., $7, $12, $17, and $22). 3\. A reset contingency will be used. That is the reward amount will be returned back to original $7 if there is a missing or positive saliva cotinine sample
Combined
n=10 Participants
Participants will receive media literacy e-learning lessons, financial incentive, and an evidence-based text-messaging support program.
Self-reported Vaping Abstinence
Positive
2 Participants
3 Participants
1 Participants
2 Participants
Self-reported Vaping Abstinence
Negative
4 Participants
2 Participants
4 Participants
3 Participants
Self-reported Vaping Abstinence
Missing
3 Participants
6 Participants
5 Participants
5 Participants

Adverse Events

Active Control

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

Media Literacy

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

Financial Incentive

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

Combined

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

Tzeyu Michaud

University of Nebraska Medical Center

Phone: 4028369195

Results disclosure agreements

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