Trial Outcomes & Findings for A Mobile App Based Cognitive Dissonance Intervention for Smoking Cessation (NCT NCT05797155)

NCT ID: NCT05797155

Last Updated: 2025-11-24

Results Overview

Based on 1-item that asked "In the past 7 days, have you smoked any cigarettes?". The variable is coded 1 if they the participants indicated they did not smoke any cigarettes otherwise coded 0. A value of 1 = abstinence and 0 = not abstinent.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

437 participants

Primary outcome timeframe

1-month and 3-month follow-up

Results posted on

2025-11-24

Participant Flow

Participant milestones

Participant milestones
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Overall Study
STARTED
292
145
Overall Study
COMPLETED
259
133
Overall Study
NOT COMPLETED
33
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Overall Study
Lost to Follow-up
33
12

Baseline Characteristics

A Mobile App Based Cognitive Dissonance Intervention for Smoking Cessation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
n=292 Participants
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support Without Cognitive Dissonance Activities
n=145 Participants
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Total
n=437 Participants
Total of all reporting groups
Age, Continuous
49.21 years
STANDARD_DEVIATION 12.00 • n=45 Participants
48.84 years
STANDARD_DEVIATION 11.50 • n=12929 Participants
49.08 years
STANDARD_DEVIATION 11.82 • n=6349 Participants
Sex/Gender, Customized
Female
215 Participants
n=45 Participants
104 Participants
n=12929 Participants
319 Participants
n=6349 Participants
Sex/Gender, Customized
Male
76 Participants
n=45 Participants
38 Participants
n=12929 Participants
114 Participants
n=6349 Participants
Sex/Gender, Customized
Transgender
1 Participants
n=45 Participants
1 Participants
n=12929 Participants
2 Participants
n=6349 Participants
Sex/Gender, Customized
Non-binary
0 Participants
n=45 Participants
2 Participants
n=12929 Participants
2 Participants
n=6349 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
17 Participants
n=45 Participants
12 Participants
n=12929 Participants
29 Participants
n=6349 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
275 Participants
n=45 Participants
133 Participants
n=12929 Participants
408 Participants
n=6349 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=45 Participants
0 Participants
n=12929 Participants
0 Participants
n=6349 Participants
Race (NIH/OMB)
American Indian or Alaska Native
6 Participants
n=45 Participants
3 Participants
n=12929 Participants
9 Participants
n=6349 Participants
Race (NIH/OMB)
Asian
5 Participants
n=45 Participants
1 Participants
n=12929 Participants
6 Participants
n=6349 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=45 Participants
0 Participants
n=12929 Participants
1 Participants
n=6349 Participants
Race (NIH/OMB)
Black or African American
32 Participants
n=45 Participants
13 Participants
n=12929 Participants
45 Participants
n=6349 Participants
Race (NIH/OMB)
White
224 Participants
n=45 Participants
119 Participants
n=12929 Participants
343 Participants
n=6349 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=45 Participants
0 Participants
n=12929 Participants
0 Participants
n=6349 Participants
Race (NIH/OMB)
Unknown or Not Reported
24 Participants
n=45 Participants
9 Participants
n=12929 Participants
33 Participants
n=6349 Participants
Region of Enrollment
United States
292 participants
n=45 Participants
145 participants
n=12929 Participants
437 participants
n=6349 Participants
Highest level of education
Did not graduate high school
12 Participants
n=45 Participants
1 Participants
n=12929 Participants
13 Participants
n=6349 Participants
Highest level of education
High school graduate
63 Participants
n=45 Participants
23 Participants
n=12929 Participants
86 Participants
n=6349 Participants
Highest level of education
Some college, no degree
91 Participants
n=45 Participants
44 Participants
n=12929 Participants
135 Participants
n=6349 Participants
Highest level of education
Technical school or associate degree
52 Participants
n=45 Participants
36 Participants
n=12929 Participants
88 Participants
n=6349 Participants
Highest level of education
Bachelor's degree
52 Participants
n=45 Participants
34 Participants
n=12929 Participants
86 Participants
n=6349 Participants
Highest level of education
Master's degree
17 Participants
n=45 Participants
6 Participants
n=12929 Participants
23 Participants
n=6349 Participants
Highest level of education
Doctorate
4 Participants
n=45 Participants
1 Participants
n=12929 Participants
5 Participants
n=6349 Participants
Highest level of education
Declined to answer
1 Participants
n=45 Participants
0 Participants
n=12929 Participants
1 Participants
n=6349 Participants
Annual household income
Under $10,000
20 Participants
n=45 Participants
8 Participants
n=12929 Participants
28 Participants
n=6349 Participants
Annual household income
$10,000 - $19,999
35 Participants
n=45 Participants
15 Participants
n=12929 Participants
50 Participants
n=6349 Participants
Annual household income
$20,000 - $29,999
40 Participants
n=45 Participants
23 Participants
n=12929 Participants
63 Participants
n=6349 Participants
Annual household income
$30,000 - $39,999
19 Participants
n=45 Participants
12 Participants
n=12929 Participants
31 Participants
n=6349 Participants
Annual household income
$40,000 - $49,999
25 Participants
n=45 Participants
10 Participants
n=12929 Participants
35 Participants
n=6349 Participants
Annual household income
$50,000 - $59,999
30 Participants
n=45 Participants
14 Participants
n=12929 Participants
44 Participants
n=6349 Participants
Annual household income
$60,000 - $69,999
8 Participants
n=45 Participants
12 Participants
n=12929 Participants
20 Participants
n=6349 Participants
Annual household income
$70,000 - $79,999
19 Participants
n=45 Participants
10 Participants
n=12929 Participants
29 Participants
n=6349 Participants
Annual household income
$80,000 - $89,999
15 Participants
n=45 Participants
6 Participants
n=12929 Participants
21 Participants
n=6349 Participants
Annual household income
Over $90,000
28 Participants
n=45 Participants
16 Participants
n=12929 Participants
44 Participants
n=6349 Participants
Annual household income
Decline to answer
53 Participants
n=45 Participants
19 Participants
n=12929 Participants
72 Participants
n=6349 Participants

PRIMARY outcome

Timeframe: 1-month and 3-month follow-up

Based on 1-item that asked "In the past 7 days, have you smoked any cigarettes?". The variable is coded 1 if they the participants indicated they did not smoke any cigarettes otherwise coded 0. A value of 1 = abstinence and 0 = not abstinent.

Outcome measures

Outcome measures
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
n=292 Participants
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities
n=145 Participants
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Number of Participants With Cigarette Abstinence
1-Month Follow-Up
102 Participants
38 Participants
Number of Participants With Cigarette Abstinence
3-Month Follow-Up
112 Participants
54 Participants

PRIMARY outcome

Timeframe: Baseline, 1-month follow-up, 3-month follow-up

This is a 6 item measure of tobacco dependence and response options are a mix of ordered categorical and dichotomous items. Item 1 "How many cigarettes per day to you smoke?" (0 = less than 10 cigarettes a day, 3 = 31 or more cigarettes a day). Item 2 "How soon after you wake do you smoke your first cigarette (0 = after 60 minutes, 3 = within 5 minutes). Item 3 "Is it hard to keep from smoking in places where it is prohibited (1 = yes, 0 = no). Item 4 "Which cigarette would you hate to give up most (1 = the first in the morning, 0 = any other). Item 5 "Do you smoke more cigarettes during the first 2 hours of the day compared to the rest of the day (1 = yes, 0 = no). Item 6 "Do you smoke when you are so ill you are in bed?" (1 = yes, 0 = no). A total sum score is computed and can range from 0 to 10 points with higher scores indicating higher levels of tobacco dependence.

Outcome measures

Outcome measures
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
n=292 Participants
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities
n=145 Participants
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Fagerstrom Tobacco Dependence Scale
Baseline
5.7 units on a scale
Standard Deviation 2.0
5.4 units on a scale
Standard Deviation 1.9
Fagerstrom Tobacco Dependence Scale
1-Month Follow-Up
4.1 units on a scale
Standard Deviation 2.4
4.4 units on a scale
Standard Deviation 2.2
Fagerstrom Tobacco Dependence Scale
3-Month Follow-Up
4.0 units on a scale
Standard Deviation 2.1
4.2 units on a scale
Standard Deviation 2.4

PRIMARY outcome

Timeframe: 1-month and 3-month follow-up

Represents whether or not (1 = yes, 0 = no) a reduction of cigarettes smoked per day is reported from the baseline assessment. A higher score indicates a reduction in cigarettes smoked.

Outcome measures

Outcome measures
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
n=292 Participants
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities
n=145 Participants
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Number of Participants With Reduction in Number of Cigarettes Smoked Per Day
1-Month Follow-Up
191 Participants
91 Participants
Number of Participants With Reduction in Number of Cigarettes Smoked Per Day
3-Month Follow-Up
218 Participants
110 Participants

PRIMARY outcome

Timeframe: 1-month and 3-month follow-up

Represents whether or not (1 = yes, 0 = no) a reduction of cigarettes smoked per day is reported from the baseline assessment and is the number of daily cigarettes in 0-5 per day. A higher score indicates a reduction in cigarettes smoked per day and the number smoked is 5 or less.

Outcome measures

Outcome measures
Measure
Support2Quit App - Cognitive Dissonance Based Smoking Cessation
n=292 Participants
This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips: Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members
Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities
n=145 Participants
This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component. Tips for Smoking Cessation App: App containing daily tips for smoking cessation
Number of Participants With Reduction in the Number of Cigarettes Smoked Per Day and Reduced to 0-5 Cigarettes
1-Month Follow-Up
144 Participants
56 Participants
Number of Participants With Reduction in the Number of Cigarettes Smoked Per Day and Reduced to 0-5 Cigarettes
3-Month Follow-Up
165 Participants
74 Participants

Adverse Events

Support2Quit App - Cognitive Dissonance Based Smoking Cessation

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

Comparison App - Smoking Cessation App without Cognitive Dissonance Activities

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. Dana Smith

Oregon Research Behavioral Intervention Strategies Inc.

Phone: 541-484-2123

Results disclosure agreements

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