My Path to Quit Tobacco

Comparing Three Multicomponent Interventions to Help Adults Quit Smoking

The overarching goal of this program of research is to reduce smoking-related health disparities by increasing smoking cessation among Black adults. The goal of this research proposal is to determine whether more intensive, culturally specific, evidence-based interventions are more effective at promoting long-term cessation and other key patient-centered outcomes compared to the usual evidence-based standard of care: services provided by a state-run quitline. This study compares the relative effectiveness of three different treatments (Standard, Intensive, and Intensive Incentivized) on long-term smoking cessation (biochemically confirmed abstinence from combusted tobacco at 26-weeks post-target quit day) among Black adults who smoke and want to quit.

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.

Inclusion Criteria:

• self-identify as Black
• smoke cigarettes (greater than or equal to 1 cigarette on greater than or equal to 4 days/week)
• motivated to quit smoking
• willing to discontinue any non-study smoking cessation pharmacotherapy use during study treatment.

Exclusion Criteria:

• currently taking bupropion for non-smoking cessation reasons