Accepted for/Published in: JMIR Research Protocols
Date Submitted: Jan 27, 2024
Date Accepted: May 31, 2024
Smartphone-based smoking cessation intervention (OKquit) for Oklahoma Tobacco Helpline users: Protocol for a randomized controlled trial
ABSTRACT
Background:
Tobacco quitlines provide effective resources (eg, nicotine replacement therapy, smoking cessation counseling, text and web-based support) for those who want to quit smoking in the United States. However, quitlines only reach approximately 1%-3% of people who smoke each year. Novel, smartphone-based, and low burden interventions that offer 24/7 access to smoking cessation resources that are tailored to current readiness to quit may increase appeal, reach, and effectiveness of smoking cessation interventions.
Objective:
This study will examine the efficacy of OKquit, a low burden smartphone-based app for smoking cessation.
Methods:
Approximately 500 people who smoke that access the Oklahoma Tobacco Helpline (OTH) will be randomized to receive standard OTH care (SC) or SC plus the novel OKquit smartphone application for smoking cessation (OKquit). All participants will use a smartphone application to complete study surveys (ie, baseline, 27 weekly surveys, brief daily check-ins, and 27-week follow-up). Upon completion of daily check-ins and weekly surveys, participants will receive either trivia type messages (SC), or messages that are tailored to current readiness to quit smoking and currently experienced lapse triggers (OKquit). In addition, those assigned to receive the OKquit app will have access to on-demand smoking cessation content (eg, quit tips, smoking cessation medication tips). It is hypothesized that participants assigned to OKquit will be more likely to achieve biochemically verified 7-day point prevalence abstinence than those assigned to SC at 27 weeks post-enrollment. In addition, participants who use more OTH resources (eg, more cessation coaching sessions completed) or more OKquit resources (eg, access more quit tips) will have greater biochemically verified smoking cessation rates.
Results:
Data collection began in September 2022 and final follow-ups are expected to be completed by May 2025.
Conclusions:
Data from this randomized controlled trial will determine if the OKquit smartphone app combined with OTH care will increase smoking cessation rates over standard OTH care alone. If successful, OKquit could provide tailored intervention content at a fraction of the cost of traditional interventions. Further, this type of low burden intervention may offer a way to reach underserved populations of adults who smoke and want to quit. Clinical Trial: ClinicalTrials.gov NCT05539209; https://clinicaltrials.gov/study/NCT05539209
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