Comparing Two Behavioral Approaches to Quitting Smoking in Mental Health Settings

Launched by WAKE FOREST UNIVERSITY HEALTH SCIENCES · Aug 26, 2021

Keywords

ClinConnect Summary

This clinical trial is studying two different ways to help people with serious mental illnesses quit smoking. Researchers want to see if a new app called "Quit on the Go," which is designed specifically for people with mental health challenges, is more effective than the usual support methods for quitting smoking. The trial will take place at three locations: Duke University, the University at Buffalo, and Wake Forest University, and they are looking for participants who smoke at least five cigarettes a day and have a serious mental health condition like schizophrenia or bipolar disorder.

To join the study, participants need to be 18 years or older, have a diagnosis of a serious mental illness, and want to quit smoking within the next six months. It's also important that they are currently receiving treatment for their mental health. Participants can expect to use the app or receive standard smoking cessation support and will be monitored throughout the study to see how well each method works. This trial aims to find better ways to help individuals with mental health issues quit smoking, which is important for their overall health and wellbeing.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. DSM-5 diagnosis of schizophrenia, schizoaffective, bipolar, recurring major depressive disorder or Persistent Depressive Disorder
• • 2. Functional impairment as indicated by a score of 2 or greater on the WHODAS 8 item version
• • 3. Smoker as indicated by smoking greater than or equal to 5 cigarettes per day over the past 6 months;
• • 4. Desire to quit smoking as indicated by self-reported serious intention to quitting tobacco within the next 6 months;
• • 5. Age 18 and older;
• • 6. Willing and medically eligible to use NRT;
• • 7. Currently receiving psychiatric treatment and intent to receive treatment for the duration of the study (therapy, medications, etc.).
• • Exclusion Criteria
• • 1. Problematic substance use, as defined by the Addiction Severity Index, within the last 30 days, twice within the past 6 months, or hospitalization for substance abuse within the past year.
• • 2. Current acute psychotic episode or unsafe to participate in the study as defined by the Mini International Neuropsychiatric Interview for Psychotic Disorders (Sheehan et al., 1998);
• • 3. Being pregnant or the intention to become pregnant in the next 6 months;
• • 4. Currently receiving any pharmacological and/or behavioral intervention or counseling for smoking cessation;
• • 5. Currently using e-cigarettes or other tobacco products besides cigarettes \> 10 days in the past 30 days.
• • 6. Unsafe to participate in the study due to moderate or high risk of suicide determined by the Columbia-Suicide Severity Rating Scale (C-SSRS) - Screen Version, defined as answering 'yes' to both question 3 for the last month and 'yes' to question 6 for lifetime (moderate risk), or 'yes' to questions 4 and 5 for the recent month, or 'yes' to question 6 for the last 3 months (high risk).