Internet-Administered Smoking Cessation Treatment for Overweight and Obese Smokers
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Purpose
This project will be a randomized clinical trial testing the efficacy of an internet-administered smoking cessation treatment for overweight and obese smokers. Research on internet-administered behavioral treatments for smoking cessation has found that compared to control treatments (e.g., self-help materials), cessation rates in internet-administered treatments are significantly higher. Research testing the applicability of these treatments to overweight and obese individuals has not yet been conducted. Given that a substantial portion of smokers are also overweight and at elevated cardiovascular risk, there is a need for directed treatment efforts for this group. The current trial proposes to be the first to test the effectiveness of internet-administered smoking cessation treatment for overweight and obese (BMI≥25) smokers. Adult participants will be randomized to receive 12 weeks of internet-administered treatment consisting of either: a) standard smoking cessation treatment with general health education, or b) standard smoking cessation treatment with cognitive behavioral therapy (CBT) for weight concerns. Participants in both conditions will receive open-label treatment with the 21 mg transdermal nicotine patch.
| Condition | Intervention |
|---|---|
|
Smoking Cessation Overweight Obesity |
Drug: Nicotine patch |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Internet-Administered Smoking Cessation Treatment for Overweight and Obese Smokers |
- Smoking cessation (abstinence) [ Time Frame: Post-treatment (12-weeks) ] [ Designated as safety issue: No ]Continuous abstinence during the last 28 days of treatment, confirmed by biologically verified abstinence (CO level <10ppm)
- Weight change [ Time Frame: Post-treatment (12 weeks) ] [ Designated as safety issue: No ]% Weight change: (pre-treatment weight - post-treatment weight)/ pre-treatment weight
| Estimated Enrollment: | 84 |
| Study Start Date: | July 2010 |
| Estimated Study Completion Date: | July 2013 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Cognitive Behavioral Treatment + Nicotine Replacement |
Drug: Nicotine patch
Transdermal Nicotine Replacement Therapy - 21 mg daily for 10 weeks
|
| Active Comparator: Health Education + Nicotine Replacement |
Drug: Nicotine patch
Transdermal Nicotine Replacement Therapy - 21 mg daily for 10 weeks
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Smoking 10 or more cigarettes per day
- Regular access to the internet
- BMI>=25
Exclusion Criteria:
- Type I diabetes or Type II diabetes requiring medication
- Alcohol or drug dependence within the past year
- Females with current pregnancy or breastfeeding or intention to become pregnant within the next 12 months
- Uncontrolled hypertension
- Severe chronic obstructive pulmonary disease
- Use of an investigational drug within 30 days or current participation in another clinical trial
- Current use of tobacco products other than cigarettes or use of marijuana
- Use of nicotine replacement therapy, clonidine, varenicline, bupropion, or nortriptyline within the month prior to enrollment
- Use of a medication that might affect weight or appetite
- History of allergic reactions to adhesives.
Contacts and Locations| Contact: Loren Gianini, PhD | 203-737-3473 | loren.gianini@yale.edu |
| Contact: Marney A White, PhD, MS | 203-785-4349 | marney.white@yale.edu |
| United States, Connecticut | |
| Yale University School of Medicine | Recruiting |
| New Haven, Connecticut, United States, 06520 | |
| Principal Investigator: Marney A White, PhD, MS | |
| Principal Investigator: | Marney A White, PhD, MS | Yale University |
More Information
No publications provided
| Responsible Party: | Marney A. White, Assistant Professor of Psychiatry, Yale University |
| ClinicalTrials.gov Identifier: | NCT01259466 History of Changes |
| Other Study ID Numbers: | 1001006181 |
| Study First Received: | November 11, 2010 |
| Last Updated: | February 5, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Yale University:
|
Smoking cessation Overweight Obesity Internet treatment |
Additional relevant MeSH terms:
|
Obesity Smoking Overweight Overnutrition Nutrition Disorders Body Weight Signs and Symptoms Habits Nicotine Nicotine polacrilex Ganglionic Stimulants Autonomic Agents |
Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Nicotinic Agonists Cholinergic Agonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Central Nervous System Stimulants Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013