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Completed

NCT Number: NCT04893460

CoQuit Study for Smoking Cessation

This study investigated the feasibility of a cognitive dissonance-based mobile app for smoking cessation (CDI). Cognitive dissonance refers to the conflict between beliefs and behaviors; interventions are designed to promote this conflict to motivate people to change their behavior. Recent research has demonstrated the efficacy and potential of using cognitive dissonance interventions for a wide range of health and behavioral problems including smoking cessation. This study developed an initial version of the CDI mobile app and evaluated the app in an evaluation study with 60 adult smokers.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

ORBIS/Oregon Research Institute

Springfield, Oregon, 97477, United States

About this study

An initial version of the CoQuit app was developed and tested with 60 adult smokers. All participants were recruited through social media and were screened and consented online. After enrolling, participants received a link to the baseline survey which asked about past and current tobacco use, nicotine dependence, motivation to quit, cognitive dissonance and demographic information. All participants were assigned to an online support group of 5 or 6 people. The group received simultaneous invites to the app so they were able to move through the 25 day program together. The app contained short videos of a CoQuit facilitator who presented instructions for specific tasks, such as writing a brief letter to a friend or family member explaining their commitment to stop smoking. Participants recorded videos of themselves related to these activities and posted the videos within the app where they were viewed by other members of the group. All participants completed a six weeks post baseline online assessment asking about past and current tobacco use, quit attempts, as well as feedback on usability and possible improvements to the app.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 or older
  • Self-reported daily smoking
  • Having a valid home mailing address
  • English speaking
  • Access to a smart phone with video capability and internet
  • Expressed desire to quit smoking

Exclusion criteria

  • Currently participating in any tobacco cessation programs

Treatment and study plan

CoQuit App

Behavioral

The CoQuit App is a cognitive dissonance based app for smoking cessation.

Primary outcomes

  1. Cognitive Dissonance

    Time frame: Baseline, 5 times during app use (days 3, 6, 10, 14 and 19 of the 25 day program), Six weeks post baseline

    Participants were asked to give a "gut-level response" to 14 words used to describe various attributes of cognitive dissonance (e.g., uncomfortable, shame). Response options for each attribute were on a 7-point scale (1 = does not apply at all, 7 = applies very much). A mean score was computed across all 14 words. A higher score was associated with greater levels of cognitive dissonance. In addition to the baseline and six-week follow-up assessment of cognitive dissonance, participants were asked five times during the 25 days of using the app. The five times were after completing the "Costs" activity on day 3, the "Quit Letter" activity on day 6, the "Planning for Pitfalls" activity on day 10, the "Staying Smoke Free" activity on day 14, and the "Letter to Youth" activity on day 19.

  2. Number of Participants With Number Cigarettes Smoked Per Day

    Time frame: Baseline and Six Weeks Post Baseline

    A one-item question that asked about the number of cigarettes smoked per day. Response options were on a 6-point scale, where 1 = 5 or less, 2 = 6-10, 3 = 11-15, 4 = 16-20, 5 = 21-30, and 6 = 31 or more. A higher score indicates a greater number of cigarettes smoked per day.

Secondary outcomes

  1. Readiness to Quit

    Time frame: Baseline, 5 times during app use (days 3, 6, 10, 14 and 19 of the 25 day program), Six weeks post baseline

    Participants were asked to rate what best describes how they currently think about quitting smoking. The one item had a 1-point scale (0 = I have no thought about quitting smoking, 2 = I think I need to consider quitting smoking someday, 5 = I think I should quit smoking, but I am not quite ready, 8 = I am starting to think about how to reduce the number of cigarettes I smoke a day, 10 = I am taking action to quit smoking, 11 = I have stopped smoking). A higher score was associated with greater readiness to quit smoking. In addition to the baseline and six-week follow-up assessment of readiness to quit, participants were asked five times during the 25 days of using the app. The five times were after completing the "Costs" activity on day 3, the "Quit Letter" activity on day 6, the "Planning for Pitfalls" activity on day 10, the "Staying Smoke Free" activity on day 14, and the "Letter to Youth" activity on day 19.

Sponsors and collaborators

Lead sponsor

Oregon Research Behavioral Intervention Strategies, Inc.

Industry

Registry information

Official study title

A Mobile App Based Cognitive Dissonance Intervention for Smoking Cessation

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
May 19, 2021
Registry last updated
Sep 4, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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