Online Program for Quitting Smoking

Overseen By Divya Ramamurthi

Age: < 65

Sex: Any

Trial Phase: Academic

Sponsor: Stanford University

Disqualifiers: Non-English speakers

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

Duration: 3 years

2540 Participants Needed

Trial Summary

What is the purpose of this trial?

The Healthy Futures: Alternative-to-Suspension Curriculum is a free, online curriculum developed to educate students and provide them with resources to quit tobacco/nicotine use. The investigation aims to estimate the extent to which Healthy Futures: Alternative-to-Suspension changes high school student's knowledge of, attitudes towards, intentions to use, and actual use of tobacco/nicotine.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on quitting tobacco and nicotine use.

What data supports the effectiveness of the treatment Healthy Futures: Alternative-to-Suspension Curriculum for quitting smoking?

The research highlights the success of various smoking cessation programs, such as the SAMHSA partnership and the Fax-to-Quit program, which increased quit attempts and engagement with quitting services. These programs demonstrate that structured support and education can effectively help people quit smoking, suggesting that similar approaches in the Healthy Futures program may also be effective. ^{1 2 3 4 5}

How is the Healthy Futures online program for quitting smoking different from other treatments?

The Healthy Futures program is unique because it offers an online, alternative-to-suspension curriculum specifically designed to help individuals quit smoking, which may include interactive components and personalized support through the internet, making it more accessible and potentially more engaging than traditional in-person programs. ^{6 7 8 9 10}

Research Team

Bonnie Halpern-Felsher, Ph.D

Principal Investigator

Stanford University

Eligibility Criteria

This trial is for high school students who are currently using tobacco or nicotine products and may be interested in quitting. There's no specific exclusion criteria provided, so it seems open to any student willing to participate.

Inclusion Criteria

I am between 14-18 years old and agree to join the study.

Agree that parental consent, where required, will be sought from students prior to survey administration

I agree to possibly use a new care approach instead of the standard one.

Exclusion Criteria

I am a teenager aged 14-18 and do not speak English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Students receive the Healthy Futures: Alternative-to-Suspension Curriculum

3 years

Ongoing online curriculum

Follow-up

Participants are monitored for changes in tobacco/nicotine use and intentions

2.5 years

Surveys at baseline, 1 year, 1.5 years, 2 years, and 2.5 years

Treatment Details

Interventions

• Healthy Futures: Alternative-to-Suspension Curriculum

Trial Overview The trial is testing the 'Healthy Futures: Alternative-to-Suspension' online curriculum designed to educate students about tobacco/nicotine use and help them quit. It measures changes in their knowledge, attitudes, intentions, and actual usage of these substances.

Participant Groups

Group I: Stanford REACH Lab Healthy Futures Curriculum Experimental Treatment 1 Intervention

At the start of Year 1, schools will be randomized in a 1:1 ratio to either receive 'Stanford REACH Lab's Healthy Futures: Alternative-to-Suspension Curriculum' or 'delay-in-treatment (standard of care)'. Students in these schools who are found using tobacco/nicotine or who want to quit these products will be administered the Healthy Futures: Alternative-to-Suspension curriculum for 3 years.

Group II: Delay In Treatment Experimental Treatment 1 Intervention

At the start of Year 1, schools will be randomized in a 1:1 ratio to either receive 'Stanford REACH Lab's Healthy Futures: Alternative-to-Suspension Curriculum' or 'delay-in-treatment (standard of care).' Schools in this arm will receive a standard of care for one year. After year 1, the delay-in-treatment group will crossover to receive 'Stanford REACH Lab's Healthy Futures: Alternative-to-Suspension Curriculum until year 3 (receive intervention for years 2 and 3).

Who Is Running the Clinical Trial?

Stanford University

Lead Sponsor

Trials

2,527

Recruited

17,430,000+

California School-Based Health Alliance

Collaborator

Trials

2

Recruited

3,100+

Findings from Research

A train-the-trainer program for respiratory therapy faculty significantly improved their confidence and ability to teach tobacco cessation, with 97.4% of participants finding the training format effective for learning.

The initiative reached 270 faculty members from 248 respiratory therapy schools, leading to an anticipated median of 3 hours of tobacco cessation training for 1,248 students in the following academic year.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of an Interprofessional Tobacco Cessation Train-the-Trainer Program for Respiratory Therapy Faculty. Hudmon, KS., Vitale, FM., Elkhadragy, N., et al.[2023]

The Fax-to-Quit program in West Virginia successfully engaged pregnant smokers by connecting them with cessation services, with 25.9% of referred women enrolling in Quitline services, indicating a feasible approach to support smoking cessation during pregnancy.

The program highlights the importance of provider involvement and communication in facilitating referrals, suggesting that structured support can enhance access to quitting resources for pregnant women who smoke.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Encouraging smoking cessation during pregnancy in West Virginia: using Fax-to-Quit as a cessation strategy. Tworek, C., Horn, KA., Anderson, RH., et al.[2013]

References

1. United States pubmed.ncbi.nlm.nih.gov

From the sidelines to the frontline: how the Substance Abuse and Mental Health Services Administration embraced smoking cessation. [2022]

2. Switzerland pubmed.ncbi.nlm.nih.gov

Training Tobacco Treatment Specialists through Virtual Asynchronous Learning. [2023]

3. England pubmed.ncbi.nlm.nih.gov

A tele-mentoring tobacco cessation case consultation and education model for healthcare providers in community mental health centers. [2020]

4. United States pubmed.ncbi.nlm.nih.gov

Evaluation of an Interprofessional Tobacco Cessation Train-the-Trainer Program for Respiratory Therapy Faculty. [2023]

5. United States pubmed.ncbi.nlm.nih.gov

Encouraging smoking cessation during pregnancy in West Virginia: using Fax-to-Quit as a cessation strategy. [2013]

6. United States pubmed.ncbi.nlm.nih.gov

The RealU online cessation intervention for college smokers: a randomized controlled trial. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Systematic review: internet-based program for youth smoking prevention and cessation. [2022]

8. Ireland pubmed.ncbi.nlm.nih.gov

Delivery of smoking cessation treatment via live chat: An analysis of client-centered coaching skills and behavior change techniques. [2022]

9. United States pubmed.ncbi.nlm.nih.gov

Reaching Spanish-speaking smokers online: a 10-year worldwide research program. [2022]

10. United States pubmed.ncbi.nlm.nih.gov

Using the internet to assist smoking prevention and cessation in schools: a randomized, controlled trial. [2017]