Status:
COMPLETED
Pilot Testing a Digital Intervention to Improve Smoking Cessation in Persons With Serious Mental Illness
Lead Sponsor:
University of Maryland, Baltimore
Collaborating Sponsors:
Sheppard Pratt Health System
Truth Initiative
Conditions:
Tobacco Cessation
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
All patients with serious mental illness are abstinent while in the hospital for a psychiatric admission yet almost all return to smoking after discharge. The investigators propose to adapt a digital ...
Detailed Description
Persons with serious mental illness (SMI) die on average 10-15 years earlier than those in the general population. Smoking is the strongest risk factor for their elevated mortality. Helping SMI smoker...
Eligibility Criteria
Inclusion
- Age 18 or greater
- Diagnosis of serious mental illness (schizophrenia, schizoaffective disorder, bipolar disorder, or major depression)
- Current smoker \[prior to admission, smoked at least one cigarette or small cigar per day in the past month (unless restricted, e.g. due to ER/hospital visit) and smoked at least 100 cigarettes lifetime\]
- Interested in remaining quit after hospital discharge or quitting within the following 30 days
- Expected Internet use at least 3 times/week post-discharge and ownership of mobile device with text messaging plan post-discharge.
- Discharge destination within 1-hour of SPH given that Aim 3 involves biochemical verification (carbon monoxide testing).
- Reading competence as demonstrated by a score of \>= 37 on the Word Reading subtest of the Wide Range Achievement Test - 4th Edition (WRAT-4)168 to ensure the ability to engage in the intervention.
Exclusion
- Intellectual disability (DSM5 317, 318), traumatic brain injury, or deafness.
- Homeless prior to admission or anticipated to be homeless at discharge.
- Discharge to a residential setting where smoking is prohibited.
- Medical condition for which the use of nicotine replacement therapy (NRT) is contraindicated including pregnant, planning to become pregnant, or breastfeeding; within 4 weeks post myocardial infarction; severe arrhythmia, severe angina pectoris; peptic ulcer; severe renal failure; poorly controlled insulin-dependent diabetes; severely uncontrolled hypertension; peripheral vascular disease.
Key Trial Info
Start Date :
January 1 2021
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 18 2024
Estimated Enrollment :
59 Patients enrolled
Trial Details
Trial ID
NCT04367506
Start Date
January 1 2021
End Date
December 18 2024
Last Update
January 23 2025
Active Locations (2)
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1
Melanie Bennett
Baltimore, Maryland, United States, 21021
2
University of Maryland School of Medicine
Baltimore, Maryland, United States, 21201