Smoking Cessation Program in the Construction Sector

NCT ID: NCT06098144

Last Updated: 2025-09-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

608 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-10

Study Completion Date

2027-02-28

Brief Summary

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The main objective of this study is to identify the optimal adaptive smoking cessation program for the construction sector in terms of effectiveness, cost-effectiveness, and potential implementation.

Detailed Description

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Conditions

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Smoking Cessation Tobacco Use Cessation Tobacco Smoking

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster-randomized clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Phase 1 Group A: Tobacco Quit-line (TQL) Group

Participants will be referred to the TQL and will be followed up for up to 12 months.

Group Type EXPERIMENTAL

Tobacco Quit-line

Intervention Type BEHAVIORAL

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Phase 1 Group B: Brief Behavioral Counseling Group

Participants will receive one brief behavioral counseling session and two phone call follow-ups, then be followed up for 12 months. Besides the counseling session, they will be provided with Nicotine Replacement Therapy (NRT) and a referral to the TQL.

For the NRT, participants will receive one box of Nicorette nicotine gums, 2 mg or 4 mg (depending on the number of cigarettes smoked), as well as 8 additional gums for a total of 168 gums during the counseling session. This amount is enough for 3 weeks. An additional 3-week supply will be provided at the second follow-up.

Group Type EXPERIMENTAL

Nicorette

Intervention Type DRUG

Participants will receive a 6-week supply of nicotine replacement treatment (NRT). Based on participants' self-report on the number of cigarettes smoked, these are the possible dosages of NRT gum (2 mg and 4 mg). Participants should not smoke and use the nicotine gum at the same time. Nicotine gum should only be used when cravings for cigarettes arise and should not be treated like regular chewing gum. It is not to be constantly chewed

NRT will be distributed based on the treatment condition.

Tobacco Quit-line

Intervention Type BEHAVIORAL

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Brief Behavioral Counseling

Intervention Type BEHAVIORAL

The counseling session will discuss preparing to quit, coping with job-related stress, getting social support, the "5A's" for preventing relapse (Avoid, Alter, Alternatives, Anticipate, and Active), proper use of NRT, and last approximately 30 minutes.

Phase 2 Group A: Second Tobacco Quit-line (TQL) Group

Participants from Group A who did not quit smoking at the 3-month follow-up may receive a second referral to the TQL and will be followed up for up to 12 months.

Group Type EXPERIMENTAL

Tobacco Quit-line

Intervention Type BEHAVIORAL

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Phase 2 Group B: Second Brief Behavioral Counseling Group

Participants from Group B who did not quit smoking at the 3-month follow-up may receive a second brief behavioral counseling session and two phone call follow-ups, then be followed up for 12 months. Besides the counseling session, they will be provided with Nicotine Replacement Therapy (NRT) and a second referral to the TQL.

For the NRT, participants will receive one box of Nicorette nicotine gums, 2 mg or 4 mg (depending on the number of cigarettes smoked), as well as 8 additional gums for a total of 168 gums during the counseling session. This amount is enough for 3 weeks. An additional 3-week supply is provided at the second follow-up.

Group Type EXPERIMENTAL

Nicorette

Intervention Type DRUG

Participants will receive a 6-week supply of nicotine replacement treatment (NRT). Based on participants' self-report on the number of cigarettes smoked, these are the possible dosages of NRT gum (2 mg and 4 mg). Participants should not smoke and use the nicotine gum at the same time. Nicotine gum should only be used when cravings for cigarettes arise and should not be treated like regular chewing gum. It is not to be constantly chewed

NRT will be distributed based on the treatment condition.

Tobacco Quit-line

Intervention Type BEHAVIORAL

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Brief Behavioral Counseling

Intervention Type BEHAVIORAL

The counseling session will discuss preparing to quit, coping with job-related stress, getting social support, the "5A's" for preventing relapse (Avoid, Alter, Alternatives, Anticipate, and Active), proper use of NRT, and last approximately 30 minutes.

Phase 2 Group A + C: TQL and Intensive Behavioral Counseling Group

Participants from Phase 1 Group A who did not quit smoking at the 3-month follow-up may receive four behavioral counseling sessions, two phone-call follow-ups, and Nicotine Replacement Therapy (NRT) and be followed up for 12 months.

For the NRT, participants will receive one box of Nicorette nicotine gums, 2 mg or 4 mg (depending on the number of cigarettes smoked), as well as 8 additional gums for a total of 168 gums during the first counseling session. This amount is enough for 3 weeks. An additional 3-week supply is provided at the fourth session.

Group Type EXPERIMENTAL

Nicorette

Intervention Type DRUG

Participants will receive a 6-week supply of nicotine replacement treatment (NRT). Based on participants' self-report on the number of cigarettes smoked, these are the possible dosages of NRT gum (2 mg and 4 mg). Participants should not smoke and use the nicotine gum at the same time. Nicotine gum should only be used when cravings for cigarettes arise and should not be treated like regular chewing gum. It is not to be constantly chewed

NRT will be distributed based on the treatment condition.

Tobacco Quit-line

Intervention Type BEHAVIORAL

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Intensive Behavioral Counseling

Intervention Type BEHAVIORAL

Participants will receive four weekly counseling sessions which include information about how to quit, challenges, and short and long-term relapse prevention. Each session will last approximately 20 minutes.

Phase 2 Group B + C: Brief Counseling and Intensive Behavioral Counseling Group

Participants from Phase 1 Group B who did not quit smoking at the 3-month follow-up may receive four behavioral counseling sessions, two phone-call follow-ups, and Nicotine Replacement Therapy (NRT) and be followed up for 12 months.

For the NRT, participants will receive one box of Nicorette nicotine gums, 2 mg or 4 mg (depending on the number of cigarettes smoked), as well as 8 additional gums for a total of 168 gums during the first counseling session. This amount is enough for 3 weeks. An additional 3-week supply is provided at the fourth session.

Group Type EXPERIMENTAL

Nicorette

Intervention Type DRUG

Participants will receive a 6-week supply of nicotine replacement treatment (NRT). Based on participants' self-report on the number of cigarettes smoked, these are the possible dosages of NRT gum (2 mg and 4 mg). Participants should not smoke and use the nicotine gum at the same time. Nicotine gum should only be used when cravings for cigarettes arise and should not be treated like regular chewing gum. It is not to be constantly chewed

NRT will be distributed based on the treatment condition.

Tobacco Quit-line

Intervention Type BEHAVIORAL

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Brief Behavioral Counseling

Intervention Type BEHAVIORAL

The counseling session will discuss preparing to quit, coping with job-related stress, getting social support, the "5A's" for preventing relapse (Avoid, Alter, Alternatives, Anticipate, and Active), proper use of NRT, and last approximately 30 minutes.

Intensive Behavioral Counseling

Intervention Type BEHAVIORAL

Participants will receive four weekly counseling sessions which include information about how to quit, challenges, and short and long-term relapse prevention. Each session will last approximately 20 minutes.

Interventions

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Nicorette

Participants will receive a 6-week supply of nicotine replacement treatment (NRT). Based on participants' self-report on the number of cigarettes smoked, these are the possible dosages of NRT gum (2 mg and 4 mg). Participants should not smoke and use the nicotine gum at the same time. Nicotine gum should only be used when cravings for cigarettes arise and should not be treated like regular chewing gum. It is not to be constantly chewed

NRT will be distributed based on the treatment condition.

Intervention Type DRUG

Tobacco Quit-line

The TQL is free, and the TQL counselor will provide three phone counseling sessions lasting approximately 15 minutes to devise a specific plan to quit smoking and arrange the delivery of 4 to 12 weeks of NRT based on need. Participants will be advised to request nicotine gums instead of patches to accommodate their job circumstances.

Intervention Type BEHAVIORAL

Brief Behavioral Counseling

The counseling session will discuss preparing to quit, coping with job-related stress, getting social support, the "5A's" for preventing relapse (Avoid, Alter, Alternatives, Anticipate, and Active), proper use of NRT, and last approximately 30 minutes.

Intervention Type BEHAVIORAL

Intensive Behavioral Counseling

Participants will receive four weekly counseling sessions which include information about how to quit, challenges, and short and long-term relapse prevention. Each session will last approximately 20 minutes.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Company leaders:

* ≥ 18 years
* Involved in decision making
* Willing to participate in the implementation development and evaluation

Safety Managers:

\- ≥ 18 years Self-identified as a safety manager or superintendent Have no plans to leave the company in the next year Speak either English or Spanish Non-cigarette smoker Willing to receive training in smoking cessation treatment Willing to deliver the smoking cessation treatment to workers

Construction Workers:

* Be a construction worker
* ≥ 18 years
* Have smoked on average 5 or more cigarettes daily for the past year
* Willing to make a serious quit attempt in the next 30 days
* Willing to receive treatment from the Florida Tobacco Quitline.
* Planning to stay in the company for the next 6 months
* Own a telephone and plan to keep it active for the next 12 months

Exclusion Criteria

Safety Managers:

\- Current cigarette smoker
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Florida Department of Health

OTHER_GOV

Sponsor Role collaborator

University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Taghrid Asfar

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Taghrid Asfar, MD

Role: PRINCIPAL_INVESTIGATOR

[email protected]

Locations

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Don Soffer Clinical Research Center

Miami, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Taghrid Asfar, MD

Role: CONTACT

305-243-3826

Roxana de Dios Despaux, MPH

Role: CONTACT

786-317-7927

Facility Contacts

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Roxana De Dios Despaux, MPH

Role: primary

786-317-7927

Daniela Avendano, MS

Role: backup

305-915-0061

References

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Asfar T, Lee DJ, Salloum RG, LeLaurin JH, Kobetz E, Pradhananga N, De Dios Despaux RA, McCollister KE, Oluwole O, Corbin L, Laine J, Bursac Z. Empowering safety managers to champion the implementation of smoking cessation services in the construction industry: Protocol for a sequential multiple assignment randomized trial. PLoS One. 2025 Jun 9;20(6):e0324717. doi: 10.1371/journal.pone.0324717. eCollection 2025.

Reference Type DERIVED
PMID: 40489501 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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20230549

Identifier Type: -

Identifier Source: org_study_id

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