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Trial registered on ANZCTR
Registration number
ACTRN12616000269437
Ethics application status
Approved
Date submitted
13/01/2016
Date registered
29/02/2016
Date last updated
29/02/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Qualitative Study of the Efficacy of Physical Activity Consultation as an Adjunct to Standard Smoking Cessation Treatment in the Context of Malaysia
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Scientific title
A Qualitative Study of the Efficacy of Physical Activity Consultation as an Adjunct to Standard Smoking Cessation Treatment in the Context of Malaysia
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Secondary ID [1]
288296
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
smoking addiction
297259
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smoking withdrawal symptoms
297260
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Condition category
Condition code
Public Health
297461
297461
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0
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Health promotion/education
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Mental Health
297462
297462
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0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is a combination of the standard smoking cessation treatment in Malaysia and Physical Activity Consultation (PAC).
PAC is a customized intervention that combines a number of techniques supported by research, including motivational interviewing, self-efficacy theory, including mastery goal setting, the Transtheoretical Model of Behaviour Change and relapse prevention. In this study, the PAC aimed to increase physical activity among smokers trying to quit smoking.
Smoking cessation consultation sessions were provided by a nurse with a counselling licence approved by the Malaysian Board of Counsellors. The nurse gave participants behavioural counselling and nicotine replacement therapy in the form of varenicline (Champix). Participants attended the clinic after one week for follow-up. Subsequent visits were scheduled by the clinic nurse depending on participants’ needs. These consultation sessions were conducted as often as needed by the participants until they were successfully abstinent.
Smokers who attended the clinic for the first time to seek smoking cessation treatment were invited to participate in the study. They were approached one week after their first smoking cessation consultation. This ensured participants established their smoking cessation program before starting another intervention.
PAC was conducted by a facilitator who maintained contact with participants for 21 weeks. PAC consisted of one face-to-face consultation session which lasted for 30 to 40 minutes and two follow-up phone sessions which lasted between 15 to 20 minutes. In the face-to-face consultation, we sought to understand participants’ level of physical activity, general view on physical activity, provide motivation and help them shape their own path for change, at the same time providing them with a sense of autonomy. We assessed participants for their current stage of change and advised on physical activity to suit their current fitness levels. Advice also covered realistic goal setting and relapse prevention. Phone calls at Weeks 3 and 6 functioned as follow-ups with participants on their progress, as well as providing encouragement and motivation. The phone calls were also strategies to help monitor adherence. The intervention ended at Week 8 and follow up interviews (post-intervention) were conducted at Week 9 and Week 21.
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Intervention code [1]
293593
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Treatment: Other
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Intervention code [2]
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Lifestyle
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Intervention code [3]
293595
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Behaviour
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Participants' scores for withdrawal symptoms measured using the Shiffman-Jarvik Withdrawal Scale.
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Assessment method [1]
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Timepoint [1]
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At Week 0 (baseline), Week 9 and Week 21
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Primary outcome [2]
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Participants' scores for smoking cessation self-efficacy measured using the Cessation Self-Efficacy Questionnaire.
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Assessment method [2]
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Timepoint [2]
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At Week 0 (baseline), Week 9 and Week 21
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Primary outcome [3]
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Participants' scores for physical activity involvement measured using the International Physical Activity Questionnaire
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Assessment method [3]
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Timepoint [3]
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At Week 0 (baseline), Week 9 and Week 21
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Secondary outcome [1]
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Participants qualitative experiences with smoking cessation and the PAC, assessed through face-to-face post-intervention interviews.
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Assessment method [1]
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Timepoint [1]
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At Week 9 and Week 21
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Secondary outcome [2]
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Participants' scores for mood measured using the Brunel Mood Scale.
[Note: This is a primary outcome]
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Assessment method [2]
321043
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Timepoint [2]
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Week 0 (baseline), Week 9 and Week 21
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Secondary outcome [3]
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Participants' scores for exercise self-efficacy measured using the Exercise Self-Efficacy Questionnaire.
[Note: This is a primary outcome]
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Assessment method [3]
321044
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Timepoint [3]
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Week 0 (baseline), Week 9 and Week 21
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Eligibility
Key inclusion criteria
Males, over 18 years of age, smoked 10 or more cigarettes per day, the first cigarette smoked within 30 minutes of waking, and were not medically dependent or intellectually impaired.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
Started smoking less than 6 months ago,
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
15/04/2013
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Date of last participant enrolment
Anticipated
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Actual
15/01/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
41
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Recruitment outside Australia
Country [1]
7510
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Malaysia
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State/province [1]
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Wilayah Persekutuan Kuala Lumpur
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Malaya
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Address [1]
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Jalan Universiti, 50603 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
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Country [1]
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Malaysia
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Primary sponsor type
University
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Name
Dr. Selina Khoo
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Address
Jalan Universiti, 50603 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
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Country
Malaysia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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None
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Country [1]
291394
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294144
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Malaysian Ministry of Health Medical Research Ethics Committee
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Ethics committee address [1]
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Secretariat of National Institutes of Health (NIHSEC) c/o Institute for Health Management Jalan Rumah Sakit, Bangsar 59000 Kuala Lumpur
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Ethics committee country [1]
294144
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Malaysia
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Date submitted for ethics approval [1]
294144
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Approval date [1]
294144
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08/04/2013
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Ethics approval number [1]
294144
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Summary
Brief summary
In the present study, we examined the effectiveness of PAC as an adjunct to the standard smoking cessation treatment used in Malaysia. This study aimed to measure and monitor abstinence, changes in self-efficacy for physical activity, withdrawal, smoking cessation, and mood states at baseline, Week 9, and Week 21 of the study. We also aimed to explore individual experiences of participants who undergo a combined physical activity and smoking cessation intervention using in-depth interviews supported by tests of withdrawal, cessation self-efficacy, physical activity involvement, self-efficacy for physical activity and mood. We hypothesized that the PAC will help to increase physical activity involvement, physical activity self-efficacy, smoking cessation self-efficacy and decrease withdrawal symptoms and negative moods.
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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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Dr Selina Khoo
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Address
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Pusat Sukan, Jalan Universiti, 50603 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
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Country
62682
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Malaysia
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Phone
62682
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+60 3-7955 2595
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Fax
62682
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Email
62682
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[email protected]
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Contact person for public queries
Name
62683
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Selina Khoo
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Address
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Pusat Sukan, Jalan Universiti, 50603 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
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Country
62683
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Malaysia
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Phone
62683
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+60 3-7955 2595
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Fax
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Email
62683
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[email protected]
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Contact person for scientific queries
Name
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Selina Khoo
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Address
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Pusat Sukan, Jalan Universiti, 50603 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
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Country
62684
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Malaysia
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Phone
62684
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+60 3-7955 2595
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Fax
62684
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Email
62684
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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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