Trial Outcomes & Findings for Behavioral Activation Intervention for Smoking Cessation in Smokers With Depressive Symptoms (NCT NCT01199380)

NCT ID: NCT01199380

Last Updated: 2022-05-18

Results Overview

7 days of smoking abstinence confirmed biochemically at 52 week post quit attempt

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

184 participants

Primary outcome timeframe

52 weeks post quit date

Results posted on

2022-05-18

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Treatment (ST)
Eight, 60-minute group sessions over an 8-week period. Participants will also receive 8 weeks of the transdermal nicotine patch. Eight weeks of transdermal nicotine patch, which will begin at the time of quitting smoking and will continue even after the treatment sessions have ended. Standard nicotine patch dosing will be used. Transdermal Nicotine Patch: 8 weeks of the Transdermal Nicotine Patch Nicoderm CQ at 24 hour doses of 21, 14, and 7 mg respectively depending on participant's initial level of nicotine use. Nicotine patch dose will decrease at 2 or 4 week increments also specific to the participant's initial nicotine level.
Behavioral Activation for Smoking
Behavioral Activation Treatment for Smoking (BATS) includes standard smoking cessation strategies and identifying life areas, values, and daily activities to help manage mood. Eight, 60-minute group sessions over an 8-week period. Participants will also receive 8 weeks of the transdermal nicotine patch. Eight weeks of transdermal nicotine patch, which will begin at the time of quitting smoking and will continue even after the treatment sessions have ended. Standard nicotine patch dosing will be used. Transdermal Nicotine Patch: 8 weeks of the Transdermal Nicotine Patch Nicoderm CQ at 24 hour doses of 21, 14, and 7 mg respectively depending on participant's initial level of nicotine use. Nicotine patch dose will decrease at 2 or 4 week increments also specific to the participant's initial nicotine level.
Overall Study
STARTED
88
96
Overall Study
COMPLETED
78
81
Overall Study
NOT COMPLETED
10
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Behavioral Activation Intervention for Smoking Cessation in Smokers With Depressive Symptoms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Treatment (ST)
n=88 Participants
Eight, 60-minute group sessions over an 8-week period. Participants will also receive 8 weeks of the transdermal nicotine patch. Eight weeks of transdermal nicotine patch, which will begin at the time of quitting smoking and will continue even after the treatment sessions have ended. Standard nicotine patch dosing will be used. Transdermal Nicotine Patch: 8 weeks of the Transdermal Nicotine Patch Nicoderm CQ at 24 hour doses of 21, 14, and 7 mg respectively depending on participant's initial level of nicotine use. Nicotine patch dose will decrease at 2 or 4 week increments also specific to the participant's initial nicotine level.
Behavioral Activation for Smoking
n=96 Participants
Behavioral Activation Treatment for Smoking (BATS) includes standard smoking cessation strategies and identifying life areas, values, and daily activities to help manage mood. Eight, 60-minute group sessions over an 8-week period. Participants will also receive 8 weeks of the transdermal nicotine patch. Eight weeks of transdermal nicotine patch, which will begin at the time of quitting smoking and will continue even after the treatment sessions have ended. Standard nicotine patch dosing will be used. Transdermal Nicotine Patch: 8 weeks of the Transdermal Nicotine Patch Nicoderm CQ at 24 hour doses of 21, 14, and 7 mg respectively depending on participant's initial level of nicotine use. Nicotine patch dose will decrease at 2 or 4 week increments also specific to the participant's initial nicotine level.
Total
n=184 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
87 Participants
n=99 Participants
96 Participants
n=107 Participants
183 Participants
n=206 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Age, Continuous
45.25 years
STANDARD_DEVIATION 10.38 • n=99 Participants
44.02 years
STANDARD_DEVIATION 12.47 • n=107 Participants
44.61 years
STANDARD_DEVIATION 11.51 • n=206 Participants
Sex: Female, Male
Female
43 Participants
n=99 Participants
39 Participants
n=107 Participants
82 Participants
n=206 Participants
Sex: Female, Male
Male
45 Participants
n=99 Participants
57 Participants
n=107 Participants
102 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
65 Participants
n=99 Participants
74 Participants
n=107 Participants
139 Participants
n=206 Participants
Race (NIH/OMB)
White
9 Participants
n=99 Participants
12 Participants
n=107 Participants
21 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=99 Participants
7 Participants
n=107 Participants
12 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
8 Participants
n=99 Participants
2 Participants
n=107 Participants
10 Participants
n=206 Participants
Region of Enrollment
United States
88 participants
n=99 Participants
96 participants
n=107 Participants
184 participants
n=206 Participants

PRIMARY outcome

Timeframe: 52 weeks post quit date

7 days of smoking abstinence confirmed biochemically at 52 week post quit attempt

Outcome measures

Outcome measures
Measure
Standard Treatment (ST)
n=88 Participants
Participants will receive a standard, group smoking cessation treatment equated for contact time, based on the most recent clinical practice guideline for treating tobacco. Treatment will be delivered in 8, 60-minute group sessions over an 8-week period. Patients in ST will complete between group exercises and will also keep a weekly written journal throughout treatment elaborating on observations about the day's events, their thoughts, feelings, and insights about their reactions to these events. Participants will also receive 8 weeks of the transdermal nicotine patch.
Behavioral Activation for Smoking
n=96 Participants
Behavioral Activation Treatment for Smoking (BATS) includes standard smoking cessation strategies and identifying life areas, values, and daily activities to help manage mood. Participants will complete between group exercises and will also monitor and plan daily activities in line with their values. Treatment will be delivered in 8, 60-minute group sessions over an 8-week period. Participants will also receive 8 weeks of the transdermal nicotine patch.
Number of Participants Smoking-Abstinent for 7 Days, 52 Weeks Post Quit Date
26 Participants
19 Participants

Adverse Events

Standard Treatment (ST)

Serious events: 2 serious events
Other events: 0 other events
Deaths: 2 deaths

Behavioral Activation for Smoking

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Standard Treatment (ST)
n=88 participants at risk
One 60-minute individual session Seven 2-hour group sessions Two individual brief telephone contacts over an eight-week period. Eight weeks of transdermal nicotine patch, which will begin at the time of quitting smoking and will continue even after the treatment sessions have ended. Standard nicotine patch dosing will be used. Transdermal Nicotine: Participants will use the full strength 21mg. patch for 4 weeks, will taper to the 14 mg. patch for the next 2 weeks, and then to the 7 mg. patch for the remaining 2 weeks of treatment.
Behavioral Activation for Smoking
n=96 participants at risk
Behavioral Activation Treatment for Smoking (BATS) includes standard smoking cessation strategies and identifying life areas, values, and daily activities to help manage mood. Participants will complete between group exercises and will also monitor and plan daily activities in line with their values. Treatment will be delivered in 8, 60-minute group sessions over an 8-week period. Participants will also receive 8 weeks of the transdermal nicotine patch.
Gastrointestinal disorders
Hospitalization
1.1%
1/88 • Number of events 1 • 3 years, 8 months
Definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions.
0.00%
0/96 • 3 years, 8 months
Definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions.
Nervous system disorders
Seizure
1.1%
1/88 • Number of events 1 • 3 years, 8 months
Definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions.
0.00%
0/96 • 3 years, 8 months
Definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions.
Respiratory, thoracic and mediastinal disorders
Throat cancer
0.00%
0/88 • 3 years, 8 months
Definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions.
1.0%
1/96 • Number of events 1 • 3 years, 8 months
Definition of adverse event and/or serious adverse event does not differ from clinicaltrials.gov definitions.

Other adverse events

Adverse event data not reported

Additional Information

Laura MacPherson

University of Maryland

Phone: 6198578425

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place