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Trial registered on ANZCTR
Registration number
ACTRN12611000346976
Ethics application status
Approved
Date submitted
19/01/2011
Date registered
4/04/2011
Date last updated
4/04/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised controlled trial to evaluate the effectiveness of a smoking cessation intervention for people with chronic hepatitis C
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Scientific title
A randomised controlled trial to evaluate the effectiveness of a smoking cessation intervention (Quitline and Nicotine Replacement Therapy) versus Quitline Intervention only for people with chronic hepatitis C to stop or reduce smoking in this group.
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Secondary ID [1]
252413
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Nil
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Universal Trial Number (UTN)
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Trial acronym
Quit Time
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nicotine dependence
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Depression
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Anxiety
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Stress
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Condition category
Condition code
Mental Health
258095
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0
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Addiction
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Public Health
265653
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group receives a one off Quitline telephone counselling intervention (using behavioural techniques) and the provision of Nicotine replacement therapy (NRT) for a period of 8 weeks and the control group receive a one off Quitline counselling intervention only. The duration of the Quitline intervention varies from person to person. The NRT (patches) dose will vary according to the needs of the participants as assessed by the Nurse Practitioner . The needs will depend upon how many cigarettes the patients smoke per day. Those smoking > 15 cigarettes will receive 21 mg for 4 weeks then 14 mg for 2 weeks and 7 mgs for 2 weeks. Gum will also be given to the intervention group and again will be given to the participants according to their needs. Those smoking >15 cigarettes per day will receive 4mg gum and those smoking <15 will receive 2mg /day.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Behaviour
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Comparator / control treatment
Quitline telephone counselling
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Control group
Active
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Outcomes
Primary outcome [1]
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Compliance with Smoking Cessation/reduction as measured by a self report smoking diary and Fagerstrom Tolerance Questionnaire
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Assessment method [1]
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Timepoint [1]
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This Time 1: baseline prior to randomisation
Time 2: after 6 weeks
Time 3: after 12 weeks
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Secondary outcome [1]
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Reduced Nicotine addiction measured by Fagerstrom Test for NicotineDependence
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Assessment method [1]
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Timepoint [1]
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Time 1: baseline prior to randomisation
Time 2: after 6 weeks
Time 3: after 12 weeks
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Secondary outcome [2]
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Change in levels of Depression, Anxiety and Stress as measured by Depression, Anxiety and Stress Scale (DASS 21)
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Assessment method [2]
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Timepoint [2]
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Time 1: baseline prior to randomisation
Time 2: after 6 weeks
Time 3: after 12 weeks
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Secondary outcome [3]
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Quality of Life as measured by WHOQOLBREF (Quality of Life questionnaire),
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Assessment method [3]
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Timepoint [3]
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Time 1: baseline prior to randomisation
Time 2: after 6 weeks
Time 3: after 12 weeks
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Eligibility
Key inclusion criteria
The study will include people who visit the hepatology outpatient’s clinics RBWH, for management of chronic hepatitis-C disease.
Inclusion Criteria
adults over the age of 18 years
who smoke cigarettes
who attend the hepatology outpatients clinics at the Royal Brisbane & Women's Hospital for the management of chronic hepatitis-C.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. People who are currently undergoing interferon based treatment will be excluded from the study as symptoms from treatment may confound the health outcomes being measured in the project.
2. People who are currently undergoing a smoking cessation programme will be excluded
3.Occassional smokers are excluded as it is not recommended they use nicotine replacement therapy.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The Nurse practitioner will recruit potential participants for the study. The participants will be given an information and consent form and after signing the consent form they will be randomised using random numbers sequence and stratified according to number of cigarettes smoked eg >15 per day and <15 per day. The chief investigator is responsible forthe randomisation and stratification. This person is not associated with either the patients or the data collection and data input process.
Only the chief researcher (not associated with the patients will be responsible for the randomisation and allocation of participants. The participants and the nurse practitioner responsible for the Quitline referral and giving of Nicotine replacement therapy will be aware of who is in the treatment group. The research assistant responsible for data collection and who will give and take the questionnaires will not be aware of the allocation to intervention or control.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The random digits were generated using a randomisation table from a statistics book. A person (statistician) not involved with the study generated the numbers. Seperate numbers were generated for lighter smokers < 15 cigarettes per day and heavier smokers >15 cigarettes per day.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/10/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
132
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Queensland Health Nursing & Midwifery Research grants
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Address [1]
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Office of the Chief Nurse, Qld Health, Forestry House Mary St Brisbane, Queensland 4000
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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Queensland Health Office of Health and Medical Research grants
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Address [2]
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Qld Health, Charlotte St Brisbane, Queensland 4000
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Country [2]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Brisbane and Women's Hospital (RBWH)
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Address
Butterfield St Herston, Brisbane, QLD 4029.
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
256663
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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RBWH HREC
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Ethics committee address [1]
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Royal Brisbane and Women's Hospital, Butterfield St Herston Brisbane, Qld, 4029
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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10/05/2010
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Approval date [1]
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25/06/2010
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Ethics approval number [1]
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AU/2/FE76011
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Summary
Brief summary
The majority of smokers want to quit and support and advice from registered nurses has been proven effective (Rice et al., 2008) . Current literature reports that smokers with chronic hepatitis C have a higher risk of having poor health outcomes such as developing Hepatocellular Carcinoma (HCC) and they may also be at higher risk of having a lowered immune response . It is therefore recommended they should be advised to stop smoking before commencing on interferon based treatment (El-Zayadi 2004). This study aims to identify the effectiveness of evidence based smoking interventions (Quitline counselling intervention and Nicotine Replacement Therapy) which may have an impact on helping smokers quit and which may improve health outcomes for people who attend the RBWH for management of their chronic hepatitis C. This will be undertaken by conducting a randomised controlled trial of this high risk group of people. The results will inform the Nurse Practitioner for Hepatology, health services and policy makers of interventions which can be used to help smokers in this high risk group quit or reduce the amount of cigarettes they smoke and hence assist with better treatment outcomes for people with chronic hepatitis C.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Carol Reid
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Address
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Royal Brisbane and Women's Hospital, Butterfield St Herston 4029 Brisbane, Queensland
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Country
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Australia
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Phone
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+61 7 36362653
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Carol Reid
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Address
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Royal Brisbane and Women's Hospital, Butterfield St Herston 4029 Brisbane, QLD.
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Country
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Australia
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Phone
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+61 7 36362653
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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