Harm Reduction for Smokers With Mental Illness

NCT ID: NCT06543407

Last Updated: 2026-01-15

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

NA

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-01

Study Completion Date

2028-03-31

Brief Summary

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To compare the efficacy of e-cigarette (e-cig) provision with or without behavioral support (SWITCH IT) delivered via telehealth to reduce harm among smokers with MI who cannot quit smoking and are not ready to pursue cessation treatment, and to examine self-regulation (using e-cigs instead of cigarettes to cope with stress/distress and self-efficacy) as a potential mechanism for behavior change from SWITCH IT

Detailed Description

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Conditions

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Tobacco Dependence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Outcomes assessor blind

Study Groups

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E-cigarette provision only

Participants randomized to this condition will receive a supply of NJOY Daily e-cigarettes for the first 8 weeks of the study.

Group Type ACTIVE_COMPARATOR

E-cig Provision Only

Intervention Type OTHER

Provision of e-cigarettes (NJOY) based on combusible use for the first 8 weeks of the study.

SWITCH IT

Participants randomized to this condition will receive a supply of e-cigarettes and behavioral support and coaching, protocolized intervention, SWITCH IT, for the first 8 weeks of the study.

Group Type EXPERIMENTAL

SWITCH IT

Intervention Type BEHAVIORAL

Behavioral support for switching, 7-10 sessions with SWITCH IT coach delivered during the first 8 weeks of the study. SWITCH IT participants will also have the opportunity to receive supported "field trips" to explore e-cigarette options based on availability, cost, and preferences during week 4 and week 6.

Interventions

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SWITCH IT

Behavioral support for switching, 7-10 sessions with SWITCH IT coach delivered during the first 8 weeks of the study. SWITCH IT participants will also have the opportunity to receive supported "field trips" to explore e-cigarette options based on availability, cost, and preferences during week 4 and week 6.

Intervention Type BEHAVIORAL

E-cig Provision Only

Provision of e-cigarettes (NJOY) based on combusible use for the first 8 weeks of the study.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Schizophrenia
* Bipolar disorder
* Major Depressive Disorders
* Posttraumatic disorder
* Other anxiety disorders


* 21 years or older;
* English-speaking;
* Daily smoker (at least 10 cigarettes/day);
* At least one quit attempt in the past 5 years using evidence- based pharmacotherapy or behavioral cessation support;
* Not currently interested in quitting.

Exclusion Criteria

* Currently residing in a nursing home;
* Current diagnosis of Asthma;
* Cognitive impairment (score \<26 on the Telephone Interview for Cognitive Status (TICS);
* Current use of e-cigarettes (\>once a week);
* Psychiatric instability (hospitalized in the past month);
* Current AND moderate to severe substance use disorder;
* Pregnant or planning to become pregnant;
* Use of any smoked products other than cigarettes;
* Current unstable medical illness making e-cigarette unsafe (e.g., recent heart attack, cancer);
* Participation in SWITCH IT pilot study.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dartmouth College

OTHER

Sponsor Role collaborator

Fordham University

OTHER

Sponsor Role collaborator

Seven Counties Services

UNKNOWN

Sponsor Role collaborator

Western Michigan University School of Medicine

OTHER

Sponsor Role collaborator

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

Dartmouth-Hitchcock Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Sarah Pratt

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sarah I. Pratt, PhD

Role: PRINCIPAL_INVESTIGATOR

Dartmouth Health

Locations

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Seven Counties Services

Louisville, Kentucky, United States

Site Status RECRUITING

The Providence Center

Providence, Rhode Island, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Meghan M. Santos, MSW

Role: CONTACT

978-494-4260

Gail Williams, MS, MFT

Role: CONTACT

Facility Contacts

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Cheri Green, EdD, MSN, RN

Role: primary

Dylan Hillerich, MEd

Role: backup

Diane Beckman, PhD

Role: primary

4012764020

Other Identifiers

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R01DA057729-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

02002328

Identifier Type: -

Identifier Source: org_study_id

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