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OpenTrials
Completed

NCT Number: NCT03108651

Mobile Motivational Messages for Change (3M4Chan) Intervention in TMU

About 100 (50 from TMU Hospital and 50 from Wellcome Clinic) current smokers will be recruited who contact smoke cession clinics in teaching hospitals of Taipei Medical University (TMU) and Wellcome Clinic. They will be randomly assigned either to Usual Care (UC) or Usual Care plus 3M4Chan Intervention group (IG). A randomized comparative effectiveness trial will be conducted. Patient will enroll from September 2017 to May 2018. In UC group, the physician provides a brief advice to quit during first consultation, a quit plan template, and medication prescription (Varenicline, Bupropion, Champix, Nicotinell TTS20) as decided by the physician. IG group includes UC plus a mobile App that is programmed to push tailored messages for health concern and readiness to quit, tips for sustaining abstinence, use of interactive self-assessments, helpful cessation information. This group of smokers will benefit from tailored cessation interventions with integrated body weight management elements that take into consideration the prevailing local and cultural influences on diet and levels of physical activity. IG will be continued even after stopping of the UC.

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Syed Abdul Shabbir

Taipei, 11031, Taiwan

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Age 20 years or older and approach smoke cessation clinic at TMU hospital
  • Have an Android mobile phone
  • Able to read Traditional Chinese
  • Willing to participate in all study components
  • Willing to be followed-up for 6 months
  • Smoked at least once every month in the last two years
  • Current smoker

Exclusion criteria

  • • Below 20 years on the day of enrolment
  • Not willing to participate in the study
  • Those who do not have Android mobile phone or unable to read Mandarin
  • Not willing to share medical information from EHR
  • Subjects who develop adverse effects related to the pharmacological treatment included in the study

Treatment and study plan

CASE

Other

Motivational message will be administrated.

Primary outcomes

  1. Smoking cessation rate at two months

    Time frame: Up to 2 months

    Smoking cessation rate will be measured as the ratio of the total number of patients who relapsed with total number of patients in their group. Patients will be considered to have relapsed if they fail at least one of their urine cotinine and carbon monoxide tests.

  2. Smoking cessation rate at four months

    Time frame: Up to 4 months

    Smoking cessation rate will be measured as the ratio of the total number of patients who relapsed with total number of patients in their group. Patients will be considered to have relapsed if they fail at least one of their urine cotinine and carbon monoxide tests.

  3. Smoking cessation rate at six months

    Time frame: Up to 6 months

    Smoking cessation rate will be measured as the ratio of the total number of patients who relapsed with total number of patients in their group. Patients will be considered to have relapsed if they fail at least one of their urine cotinine and carbon monoxide tests.

Secondary outcomes

  1. User engagement at an individual level

    Time frame: Up to 6 months

    Engagement at individual level will be assessed based on the rate of read messages by the patients. This is calculated as the quotient between the messages the patients have read, and the total number of messages the system has sent to the patients. This metric will be assessed throughout the observation until its end.

  2. Engagement at aggregated level - Mobile application rolling retention

    Time frame: Up to 6 months

    The percentage of users still active N days after installation. This is a ratio of the number of users whose last day of activity is past day N to the number of users who could have been active on day N. This metric will be assessed throughout the observation until its end.

  3. Engagement at aggregated level - Mobile application session length distribution

    Time frame: Up to 6 months

    The session length is defined as the length of time between the start of the application event and the end of the application event. The session length determines the engagement as it is relevant to know how much time patients spend in the app per session. This metric will be assessed throughout the observation until its end.

  4. Engagement at aggregated level - Mobile application session frequency

    Time frame: Up to 6 months

    The session frequency is a measure of how often each unique patient used the app within a given time interval. This metric will be assessed throughout the observation until its end.

  5. Engagement at aggregated level - Mobile application sessions per user

    Time frame: Up to 6 months

    A session is one use of the mobile application by a patient. This begins when the application is launched and ends when the application is terminated. This metric will be assessed throughout the observation until its end.

  6. Engagement at aggregated level - Mobile application return rate

    Time frame: Up to 6 months

    Return rate measures the percentage of patients who return to the app on a specific time after installation. It is measured by cohort group - that is, based on when patients first opened the app. It is calculated as the ratio of the number of users active on a given period to the size of the cohort. This metric will be assessed throughout the observation until its end.

  7. User quitting attempts

    Time frame: Up to 6 months

    Number of quitting attempts per patient, including the frequency of the quitting attempts.

  8. User app behavior

    Time frame: Up to 6 months

    It will be measured as the time spent per app section.

  9. User satisfaction with messages

    Time frame: At 6 months after enrolment.

    Patients' answers to a satisfaction questionnaire that will be handed to them at the end of the study.

  10. User message ratings

    Time frame: Up to 6 months

    User's votes for each message in a 5 star scale.

  11. User lifestyle feedback

    Time frame: At enrollment and at 6 months after enrollment

    Comparison of changes in user lifestyle (at baseline and after 6 months) through the combined questionnaire EQ-5D-5L.

  12. User lifestyle feedback

    Time frame: At enrollment and at 6 months after enrollment

    Comparison of changes in user lifestyle (at baseline and after 6 months) through the combined questionnaire IPAQ for physical activity.

  13. User lifestyle feedback

    Time frame: At enrollment and at 6 months after enrollment

    Comparison of changes in user lifestyle (at baseline and after 6 months) through the combined questionnaires SF-36.

  14. Physical activity

    Time frame: Up to 6 months

    The physical activity would be measured as the total time (minutes) of activity per user, retrieved by GoogleFit in the app.

Sponsors and collaborators

Lead sponsor

Taipei Medical University

Other

Registry information

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Apr 11, 2017
Registry last updated
Apr 10, 2019

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.