About this trial
The proposed project aims to refine and test a novel biobehavioral smoking cessation intervention that integrates the strategic application of olfactory stimulation to reduce cigarette craving with an established smartphone-based smoking cessation application. The specific aims of this study are: (1) refine the design and methodology of our olfactory stimulation delivery system (OSDS) and (2) compare, in a pilot randomized controlled trial (RCT), the effects of a smartphone based app for smoking cessation (Smart-T) with and without the OSDS on smoking cessation outcomes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
At least 18 years of age
Ability to read, understand and speak English
Currently smoke at least 5 cigarettes daily for one year or longer
Do not currently smoke marijuana or currently smoke marijuana but willing to not smoke during the duration of the study
Disqualifiers
Olfactory dysfunction including inability to smell, a very weak or distorted sense of smell, or sensitivity to odors
Report any allergies or negative reactions to odors/fragranced products
Being pregnant, breastfeeding, or planning to become pregnant within the next month
Report hypertension that is not under control
Trial design
Crossover
Treatments tested in this trial
Ad Libitum Use followed by Instructed Use of the Inspire Device
DeviceParticipants in this condition will use the novel olfactory stimulation delivery system (Inspire), to smell a specific order designed to assist with smoking cessation for 7 days. Participants will then be instructed to record every urge to smoke and report times when they think they might smoke in the smartphone-based smoking cessation app, Insight™. When urges above 0 are reported, the app will instruct participants to use the Inspire device. On day 8, participants will receive a notification on the smartphone-based smoking cessation app, Insight™, to switch to the Instructed Use condition. Participants will then be instructed to use the Inspire device only when participants report a cigarette craving above 0 at each of the surveys prompted from the smartphone-based smoking cessation app, Insight™.
Instructed Use followed by Ad Libitum Use of the Inspire Device
DeviceParticipants in this condition will use the novel olfactory stimulation delivery system (Inspire), to smell a specific order designed to assist with smoking cessation for 7 days. Participants will be instructed to use the Inspire device only when participants report a cigarette craving above 0 at each of the surveys prompted from the smartphone-based smoking cessation app, Insight™. On day 8, participants will receive a notification on the smartphone-based smoking cessation app, Insight™, to switch to the Ad Libitum condition. Participants will then control how often they use Inspire and will be instructed to record every urge to smoke and report times when they think they might smoke in the smartphone-based smoking cessation app, Insight™.
Smart-T Smoking Cessation App with the Inspire Device Condition
DeviceSmart-T provides content during the pre-quit and post-quit periods to prepare and support participants during their quit attempts. Smart-T app contains multiple components, including an EMA delivery and data transfer system, automated messages based on EMA responses, and on-demand content. Participants will use Smart-T for 13 weeks. Participants will also use the Inspire device.
Smart-T Smoking Cessation App Without the Inspire Device Condition
DeviceSmart-T provides content during the pre-quit and post-quit periods to prepare and support participants during their quit attempts. Smart-T app contains multiple components, including an EMA delivery and data transfer system, automated messages based on EMA responses, and on-demand content. Participants will use Smart-T for 13 weeks.
Nicotine replacement therapy (NRT)
DrugNRT patches will be provided to assist with cravings and withdrawal symptoms following the quit attempts.
Inspire Device
DeviceThe Inspire Device is a novel olfactory stimulation delivery system. It is a self-contained system with seven sealed chambers, with six gel matrix's that contain a distinct odor and one odorless gel matrix. Participants will press a button on the device to release an odor for participants to smell.
Treatment groups
Trial outcomes
Primary outcomes
OSDS Use
Descriptive data regarding use times and frequency will be assessed.
Odor Assessment
Reports of odor assessment will be used to determine if sniffing specific odors reduce craving more than an odor blank.
Craving Reduction
Participants will report craving levels multiple times per day via the app. Reduction in craving levels over time will be analyzed.
Device Acceptability
Participant satisfaction ratings and qualitative feedback. Acceptability will be assessed through post-intervention surveys and qualitative interviews, focusing on perceived usefulness, ease of use, and overall satisfaction.
Sponsors and contacts
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University of Houston
Lead sponsor
University of Pittsburgh
Collaborator
University of Oklahoma
Collaborator
Brown University
Collaborator