About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
≥ 18 years
Involved in decision making
Willing to participate in the implementation development and evaluation
Be a construction worker
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Nicorette
DrugParticipants 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
BehavioralThe 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
BehavioralThe 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
BehavioralParticipants 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.
Treatment groups
6
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Program Effectiveness Measure in Percentage
Will be collected as the difference in percentage of participants who quit smoking at the 12-month follow-up assessment between the three treatment groups.
Program Cost-Effectiveness Measured by Number of U.S Dollars
Will be measured as the difference in the number of U.S. dollars between the three programs.
Program Cost-Effectiveness Measured by Quality Adjusted Life Years
Will be measured by quality-adjusted life years defined as the difference in the number of years lived in perfect health between the three programs.
Secondary outcomes
Program's Implementation- Acceptability Measured by Likert Scale
Using the Acceptability of Intervention Measure, acceptability will be scored on a 5-point Likert scale, with higher scores indicating greater acceptability.
Program's Implementation- Feasibility Measured by Likert Scale
Using the Feasibility of Intervention Measure, feasibility will be scored on a 5-point Likert scale, with higher scores indicating greater feasibility.
Program's Implementation- Sustainability Measured by Likert Scale
Using the Intervention Sustainability Assessment Tool, sustainability will be scored on a 7-point Likert scale, with higher scores indicating greater sustainability.
Sponsors and contacts
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University of Miami
Lead sponsor
Florida Department of Health
Collaborator