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Trial registered on ANZCTR
Registration number
ACTRN12616000664448
Ethics application status
Approved
Date submitted
2/05/2016
Date registered
23/05/2016
Date last updated
26/04/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Can the uptake of smoking cessation support be increased through text messages?
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Scientific title
'Evaluation of positive response rates to SMS text messages offering support for smoking cessation
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Secondary ID [1]
289080
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Nil
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Universal Trial Number (UTN)
U1111-1178-2404
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Trial acronym
TICTOC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Smoking
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Condition category
Condition code
Public Health
298618
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention 1: In addition to usual care (see control below) patients who do not respond will receive another message in four weeks time. This message will be slightly different to the first, but will ask them to respond. A third message will be sent to patients who do not respond in another four weeks. The second and third messages will be different in that it will acknowledge that we have already sent a previous text and this is a follow-up and it will enable people to opt out of further messages.
Intervention 2: In addition to usual care (see control below) patients will receive a text message with a hyperlink to the YouTube video will be sent to patients four weeks after the usual care text message. A GP from one of the study practices will record a brief (30-60 seconds) motivational message to patients who smoke. The motivational message will contain the following: a brief introduction by the GP recording the message, including a short message on the benefits of quitting and then an offer of support to quit, including a brief description of the support available. The video will be uploaded onto YouTube. A template will be designed that will help GPs to deliver this message.
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Intervention code [1]
294590
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Lifestyle
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Comparator / control treatment
Usual care: A single SMS text message sent to current smokers asking them to (a) confirm current smoking status and (b) ask if they would like help in stopping smoking in the following way
‘Hi [PAT_FIRSTNAME], [PAT_PROV]s nurse updating our records. Are you still smoking, would you like help to quit? Reply what suits best. Help me quit. Not ready to quit yet. Quit in the last year. Quit over a year ago.’
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Control group
Active
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Outcomes
Primary outcome [1]
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'Proportion of smokers who respond with "help me quit" to a question asking if they would like help in stopping smoking through SMS text message'
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Assessment method [1]
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Timepoint [1]
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Three months after the first SMS usual care text message is sent.
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Secondary outcome [1]
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Proportion of smokers who respond to the message.
The proportion of smokers who respond to the message will be measured by collecting incoming text messages.
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Assessment method [1]
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Timepoint [1]
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Within three months after the first SMS usual care text message is sent.
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Secondary outcome [2]
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Patient feedback on the intervention.
Patient feedback on the intervention will be assessed by asking patients to respond to two text messages:
(a) Was it appropriate to receive the message from your doctor? (Reply Y or N)
(b) Did it increase your motivation to quit? (Score range 0 not at all to 5 extremely)
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Assessment method [2]
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Timepoint [2]
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Three months after the first SMS usual care text message is sent.
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Eligibility
Key inclusion criteria
1. 25 years of age or over
2. Recorded as a current smoker in the Practice Management System
3. Have a mobile phone number without any advised restriction of contact
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Minimum age
25
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?
Yes
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Key exclusion criteria
1. less than 25 years of age or over
2. do not have a mobile phone number
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Study design
Purpose of the study
Educational / counselling / training
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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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
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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
23/05/2016
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Actual
1/06/2016
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Date of last participant enrolment
Anticipated
23/08/2016
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Actual
1/08/2016
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Date of last data collection
Anticipated
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Actual
1/11/2016
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Sample size
Target
714
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Accrual to date
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Final
714
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Recruitment outside Australia
Country [1]
7840
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New Zealand
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State/province [1]
7840
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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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New Zealand Ministry of Health
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Address [1]
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PO Box 5013
Wellington 6140
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Country [1]
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New Zealand
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Primary sponsor type
Other
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Name
Whanganui Regional Health Network
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Address
100 Heads Rd,
Whanganui 4501
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Country
New Zealand
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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]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
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PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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08/01/2016
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Approval date [1]
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21/03/2016
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Ethics approval number [1]
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16/NTB/13
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Summary
Brief summary
Whilst personal, face-to-face interventions are the ‘gold standard’, not all patients visit their GP over the course of a year. The tobacco health target now focuses on the entire enrolled population and so ways to engage all patients are needed. Many PHOs have invested resource in telephoning patients who smoke to offer support to quit. Whilst effective in engaging smokers these calls can be time and resource intensive. Technology, such as mobile phone messaging and the Internet, offers potential low cost solutions. PHOs have been sending single text messages to known smokers to support practice efforts in encouraging their patients to quit. This appears to have some success. However, it is possible that multiple messages sent out over an extended time frame will prompt a greater response than a single message. Provision of a more emotionally salient offer of help to quit (e.g. a short video message from the patients GP) and more detailed information on what is available may make patients more likely to accept this offer of help to quit. This study examines the effects of two innovations to delivering an offer of support to quit smoking to current smokers enrolled with a primary health care organisation. The study objectives are: 1. To compare the response rate of increased frequency of SMS text messages that offer support to patients who smoke to quit with a single SMS text messages (current best practice). 2. To compare the response rate of a SMS text messages containing a link to a YouTube video of a GP making an offer of support to quit smoking with a single SMS text messages (current best practice). 3. To assess patients acceptability of the messages.
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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 John McMenamin
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Address
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Wicksteed Medical Centre
220 Wicksteed Street
Whanganui 4500
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Country
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New Zealand
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Phone
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+646 349 1800
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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John McMenamin
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Address
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Wicksteed Medical Centre
220 Wicksteed Street
Whanganui 4500
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Country
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New Zealand
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Phone
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+646 349 1800
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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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Hayden McRobbie
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Address
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The Dragon Institute for Innovation
PO Box 28854
Remuera
Auckland 1541
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Country
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New Zealand
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Phone
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+6421476247
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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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