My Path to Quit Tobacco

Primary Objective: Identify the most effective treatment for increasing long-term smoking abstinence among Black adults who smoke.

Secondary Objectives:

• Compare the 3 interventions on key patient-relevant outcomes (e.g., treatment satisfaction, smoke fewer cigarettes per day, quality of life) using validated measures collected at 8 and 26 weeks post-target quit day (TQD)
• Identify subgroups for whom these treatments are especially effective or ineffective with respect to the primary and secondary outcomes.
• Compare indices of treatment engagement (e.g., percentage of counseling sessions attended, percentage of days used nicotine patch) among Black people who smoke and are randomly assigned to the 3 different treatment conditions.

The Standard Intervention will include 2 weeks of nicotine patches + 4 quitline-style counseling phone calls.

Drug: Nicotine patch · Other: Quitline Counseling Phone Calls

The Intensive Intervention will include 8 weeks of nicotine patches (if eligible) + 8 counseling sessions (choice of individual phone or virtual group) + the Pathways to Freedom video content on the study website with additional smoking cessation content.

Drug: Nicotine patch · Other: Counseling Sessions · Other: Pathways to Freedom

The Intensive Incentivized Intervention will include all components provided in the Intensive intervention (8 weeks of nicotine patches (if eligible) + 8 counseling sessions (choice of individual phone or virtual group) + the Pathways to Freedom video content on the study website with additional smoking cessation content) and up to $50 for completing counseling sessions ($5 for completing sessions 1-6 and $10 for completing sessions 7 and 8)

Drug: Nicotine patch · Other: Counseling Sessions · Other: Pathways to Freedom · Other: Monetary Incentive

Patch dosing will be consistent with the package insert

4, 10 to 15-minute counseling sessions (the duration of a typical quitline call) will occur via phone one week prior to the TQD, 1 day after the TQD, and 1 and 2 weeks after the TQD.

Participants will have the option of choosing 8, 30-minute counseling phone calls or 8, 60-minute video group counseling sessions

Pathways to Freedom video content, a 60-minute video that addresses key issues such as emotional dependence, nicotine replacement, identifying smoking triggers, developing coping skills, and other behavioral strategies people can use to support a quit attempt.

up to $50 for completing counseling sessions ($5 for completing sessions 1-6 and $10 for completing sessions 7 and 8)

Plazo: 26 weeks post-TQD

The primary outcome for this study will be biochemically confirmed (anabasine less than 2 ng/ml) 7-day point-prevalence smoking abstinence at 26- weeks post-TQD

Plazo: 26 weeks post-TQD

salivary cotinine using a cut-off of less than 10 ng/ml to indicate abstinence from any nicotine product (combusted cigarettes, e-cigarettes, nicotine replacement therapy \[NRT\])

Plazo: 8 weeks post-TQD

Scored from 1 to 7 where higher scores indicate increased satisfaction with treatment.

Plazo: baseline, 8 and 26 weeks post-TQD

Cigarettes per day based on the past 7 days.

Plazo: baseline, 8 and 26 weeks post-TQD

Scores range from 0 to 100 where higher scores indicate better quality of life.

Plazo: baseline, 8 and 26 weeks post-TQD

No informado en este registro.

Plazo: baseline, 8 and 26 weeks post-TQD

Scores range from 1 to 10 where higher scores mean higher cessation self-efficacy.

Plazo: baseline, 8 and 26 weeks post-TQD

Total range of scores is from 0-24 where higher scores mean decreased psychological distress.

Comparing Three Multicomponent Interventions to Help Adults Quit Smoking