About this trial
This study aims to investigate the associations between emotion regulation ability, stress-induced neural activity changes, and susceptibility to relapse in smokers attempting to quit. Participants will undergo assessments of emotion regulation, neural activity via quantitative electroencephalography (qEEG), and stress responses before and during a 24-hour nicotine abstinence period. They will then participate in a computerized smoking cessation intervention, and their abstinence status will be monitored for 6 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-60 years
Smoking at least 10 cigarettes daily for at least 2 years
Intention to quit smoking
Medication-free
Disqualifiers
Presence of psychiatric or medical treatment
Pregnancy
Current unstable medical illness
Recent (prior 6 months) drug or alcohol use disorder
Trial design
Single group
Treatments tested in this trial
Flexiquit Computerized Smoking Cessation Program
BehavioralFlexiquit is an avatar-led, self-directed computerized program delivering evidence-based techniques to assist with smoking cessation. It includes motivational interviewing, psychoeducation on nicotine addiction, cognitive-behavioral strategies for coping with cravings, relapse prevention, and stress/emotion regulation skills training. Participants receive the program over 6 months and their adherence is monitored. The program provides tailored feedback to support abstinence.
Treatment groups
Trial outcomes
Primary outcomes
Maintenance of Abstinence
Defined as biochemically verified (via expired carbon monoxide) continuous abstinence from smoking for the full 6 month period after the quit date
Time to First Smoking Lapse
Defined as the number of days between the quit date and the first smoking lapse (smoking even a puff of a cigarette). Smoking lapses will be monitored continuously via self-report.
Secondary outcomes
Withdrawal Symptoms
Assessed via standardized withdrawal symptom questionnaires at baseline and after 24 hours of abstinence.
Emotion Regulation
Measured via heart rate variability before and after stress exposure at baseline and 24-hour timepoints
Neural Activity
Quantitative EEG spectral power and coherence between brain regions involved in emotion regulation assessed at baseline and after 24-hour abstinence.
Stress Responses
Salivary cortisol levels measured before and after stress exposure at baseline and 24-hour timepoints
Sponsors and contacts
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