Smoking CessationBANSARNCT03671707
Brief Advice, Nicotine Replacement Therapy Sampling and Active Referral (BANSAR) for Smoking Fathers
A study testing Brief AWARD advice, Nicotine replacement therapy sampling and Active referral in people with Smoking Cessation and Tobacco Use Cessation, run by The University of Hong Kong at 1 site in Hong Kong.
Trial summary
This study aims to evaluate the effects of a combined "cocktail", cessation intervention of brief advice, nicotine replacement therapy sampling and active referral (BANSAR) for smoking expectant fathers on smoking cessation outcomes Read more about this study
- Who is it for?
- Ages 18 years and older, men onlyHealthy volunteers can take part
- Conditions the study is for
- Smoking Cessation, Tobacco Use Cessation
- What is being tested?
- Brief AWARD advice, Nicotine replacement therapy sampling and Active referral
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,053 participants
- Where
- 1 siteHong Kong
- Study dates
- 10 Oct 2018to 31 Dec 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Hong Kong resident aged 18 or above
- Able to read and communicate in Chinese
- Living together in the past 7 days
- Having smoked 1 or more cigarettes daily in the past 3 months
- Having a telephone or mobile phone contact
- 1. Not having smoked any cigarette in the past 30 days
Who cannot join
- Having any history of severe angina, arrhythmia, or acute myocardial infarction
- Having psychiatric/psychological diseases or regular psychotropic medications
- Having used smoking cessation aids or participated in other smoking cessation services or projects in the past 3 months
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Combined Cessation Intervention of Brief Advice, Nicotine Replacement Therapy Sampling and Active Referral (BANSAR) for Smoking Fathers: a Multicenter, Single-blinded, Pragmatic Randomised Controlled Trial
This study aims to evaluate the effects of a combined "cocktail", cessation intervention of brief advice, nicotine replacement therapy sampling and active referral (BANSAR) for smoking expectant fathers on smoking cessation outcomes
Read the detailed description
Secondhand smoke (SHS) exposure cause substantial harms to pregnant women, foeti and infants. Smoking cessation (SC) interventions for smoking expectant fathers are needed particularly in China where male smoking predominates and many pregnant women (about 30% in Hong Kong) were exposed to SHS. Prenatal period presents a valuable teachable moment to engage smoking expectant father in tobacco dependence treatment. However, most smoking cessation trials were conducted in the Western countries on smoking pregnant women or smoking couples. Very few trials were designed to target fathers quitting.
Given the busy clinical settings in Hong Kong Public Hospitals, evidence-based, low-cost and sustainable brief cessation intervention applicable in real-world practice is imperative. Informed by previous research, a combined cessation intervention of brief advice, nicotine replacement therapy sampling and active referral (BANSAR) has been developed for smoking expectant father. This multicentre, pragmatic, assessor-blinded, individually-randomized controlled trial aims to evaluate BANSAR for smoking cessation outcomes in smoking expectant father visiting prenatal clinics in Hong Kong
- Conditions
- Smoking Cessation, Tobacco Use Cessation
- Being tested
- Brief AWARD advice, Nicotine replacement therapy sampling, Active referral, Very brief advice, Leaflet
- Keywords
- tobacco dependence treatment, combined brief intervention, AWARD advice, active referral, nicotine replacement therapy, pregnancy, family health, Chinese
- Medical subject headings
- Smoking Cessation, Tobacco Use Cessation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Brief AWARD adviceBehavioural
Also called Ask, Warn, Advise, Refer and Do-it-again
Subject will receive brief, face-to-face counselling following a structured AWARD model at baseline :
- Ask: smokers will be asked about their smoking behaviour
- Warn about the harms of smoking using a leaflet which contain information about harms of secondhand smoke to women, fetus and infant, motivational messages to quit and smoking cessation services.
- Advise to quit or reduce their smoking and use the provided 1-week nicotine replace therapy sample as soon as possible
- Refer smokers to smoking cessation services if they agree.
- Do-it-again: repeat the AWARD advise through telephone boosters at 2-week and 4-week after baseline
Nicotine replacement therapy samplingDrug
Also called NRT sample
Subjects will receive 1-week supply of free nicotine patch or gum with dosage based on participants' number of cigarette per day. An information card containing reminders of nicotine replacement therapy use and actions to handle potential side effects will be provided.
Active referralBehavioural
Subjects will be encouraged to select and access a smoking cessation services in Hong Kong. If the subjects agree, their contact information will be sent to the smoking cessation service providers for further arrangement.
Very brief adviceBehavioural
Also called VBA
Subjects will receive general advice to quit
LeafletBehavioural
Also called Print-based material
Subjects will receive a standard leaflet on perinatal smoking by Department of Health
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | Experimental | Brief AWARD advice + Nicotine replacement therapy sampling + Active referral Receives: Behavioral: Brief AWARD advice; Drug: Nicotine replacement therapy sampling; Behavioral: Active referral |
| Control group | Active comparator | Very brief advice (VBA) + Leaflet Receives: Behavioral: Very brief advice; Behavioral: Leaflet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Biochemically-validated abstinence
Defined by an exhaled carbon monoxide level of < 4 parts per million (ppm)
Measured: 6-month after baseline
Secondary outcomes (15)
Self-reported past 7-day abstinence
Being completely smoke-free in the past 7 days
Measured: 3-month after baseline
Self-reported past 7-day abstinence
Being completely smoke-free in the past 7 days
Measured: 6-month after baseline
Self-reported continuous abstinence in the past 24-week
Being completely smoke-free in the past 24-week
Measured: 6-month after baseline
Smoking reduction
Defined by at least 50% reduction in baseline daily number of cigarettes
Measured: 3-month after baseline
Smoking reduction
Defined by at least 50% reduction in baseline daily number of cigarettes
Measured: 6-month after baseline
Smoking cessation service use
Any access to a smoking cessation service
Measured: 3-month after baseline
Smoking cessation service use
Any access to a smoking cessation service
Measured: 6-month after baseline
Use of nicotine replacement therapy
Any use of nicotine replacement therapy
Measured: 3-month after baseline
Use of nicotine replacement therapy
Any use of nicotine replacement therapy
Measured: 6-month after baseline
Change in nicotine dependence
Assessed by Heaviness of Smoking Index (range 0 to 6 with higher score indicating greater nicotine dependence)
Measured: 3-month after baseline
Change in nicotine dependence
Assessed by Heaviness of Smoking Index (range 0 to 6 with higher score indicating greater nicotine dependence)
Measured: 6-month after baseline
Number of quit attempt
Defined by abstinence for at least 24 hours
Measured: 3-month after baseline
Number of quit attempt
Defined by abstinence for at least 24 hours
Measured: 6-month after baseline
Intention to quit
Defined by readiness to quit in 30 days
Measured: 3-month after baseline
Intention to quit
Defined by readiness to quit in 30 days
Measured: 6-month after baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Sep 2018
- Study start10 Oct 2018
- Primary completion31 Oct 2020
- Study completion31 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Smoking CessationStudies of the same condition, open and under way.
- More trials run by The University of Hong KongThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 1,053 participants (actual)
Sponsor and investigators
- Lead sponsor
- The University of Hong Kong
- Sponsor type
- University, hospital or other
- Collaborators
- Food and Health Bureau, Hong Kong, Queen Mary Hospital, Hong Kong, Pamela Youde Nethersole Eastern Hospital, Kwong Wah Hospital, Queen Elizabeth Hospital, Hong Kong, United Christian Hospital, Princess Margaret Hospital, Hong Kong, Tuen Mun Hospital
- Responsible party
- Principal investigator, Dr. Wang Man-Ping, The University of Hong Kong
- Investigators
- Man Ping Wang, PhD, Principal investigator, The University of Hong Kong
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03671707
- Sponsor's protocol ID
- 15162691
- Other IDs
- HKUCTR-2422
- Acronym
- BANSAR
- Status last verified
- Aug 2021
- First submitted
- 12 Sep 2018
- Last updated
- 17 Aug 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Luk TT, Lam TH, Leung WC, Leung KY, Cheung KW, Kwa C, Siong KH, Tang KK, Lee KW, Hsieh CJ, Wu YS, Li WH, Wang MP. Brief Advice, Nicotine Replacement Therapy Sampling, and Active Referral for Expectant Fathers Who Smoke Cigarettes: A Randomized Clinical Trial. JAMA Intern Med. 2021 Aug 1;181(8):1081-1089. doi: 10.1001/jamainternmed.2021.2757.
PubMed 34125135Luk TT, Hsieh CJ, Leung WC, Leung KY, Cheung KW, Kwa C, Siong KH, Tang KK, Lee KW, Li WH, Lam TH, Wang MP. Brief cessation advice, nicotine replacement therapy sampling and active referral (BANSAR) for smoking expectant fathers: Study protocol for a multicentre, pragmatic randomised controlled trial. Contemp Clin Trials. 2020 Jun;93:106006. doi: 10.1016/j.cct.2020.106006. Epub 2020 Apr 19.
PubMed 32320843
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Combined Cessation Intervention of Brief Advice, Nicotine Replacement Therapy Sampling and Active Referral (BANSAR) for Smoking Fathers: a Multicenter, Single-blinded, Pragmatic Randomised Controlled Trial
- ClinicalTrials.gov ID
- NCT03671707
- Acronym / sponsor ID
- BANSAR / 15162691
- Conditions
- Smoking Cessation, Tobacco Use Cessation
- Keywords
- tobacco dependence treatment, combined brief intervention, AWARD advice, active referral, nicotine replacement therapy, pregnancy, family health, Chinese
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,053 participants (actual)
- Lead sponsor
- The University of Hong KongUniversity, hospital or other
- Collaborators
- Food and Health Bureau, Hong Kong, Queen Mary Hospital, Hong Kong, Pamela Youde Nethersole Eastern Hospital, Kwong Wah Hospital, Queen Elizabeth Hospital, Hong Kong, United Christian Hospital, Princess Margaret Hospital, Hong Kong, Tuen Mun Hospital
- Study start
- 10 Oct 2018 (actual)
- Primary completion
- 31 Oct 2020 (actual)
- Study completion
- 31 Dec 2020 (actual)
- First posted
- 14 Sep 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the effects of a combined "cocktail", cessation intervention of brief advice, nicotine replacement therapy sampling and active referral (BANSAR) for smoking expectant fathers on smoking cessation outcomes
Detailed description
Secondhand smoke (SHS) exposure cause substantial harms to pregnant women, foeti and infants. Smoking cessation (SC) interventions for smoking expectant fathers are needed particularly in China where male smoking predominates and many pregnant women (about 30% in Hong Kong) were exposed to SHS. Prenatal period presents a valuable teachable moment to engage smoking expectant father in tobacco dependence treatment. However, most smoking cessation trials were conducted in the Western countries on smoking pregnant women or smoking couples. Very few trials were designed to target fathers quitting.
Given the busy clinical settings in Hong Kong Public Hospitals, evidence-based, low-cost and sustainable brief cessation intervention applicable in real-world practice is imperative. Informed by previous research, a combined cessation intervention of brief advice, nicotine replacement therapy sampling and active referral (BANSAR) has been developed for smoking expectant father. This multicentre, pragmatic, assessor-blinded, individually-randomized controlled trial aims to evaluate BANSAR for smoking cessation outcomes in smoking expectant father visiting prenatal clinics in Hong Kong
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group | Experimental | Behavioral: Brief AWARD advice, Drug: Nicotine replacement therapy sampling, Behavioral: Active referralBrief AWARD advice + Nicotine replacement therapy sampling + Active referral |
| Control group | Active comparator | Behavioral: Very brief advice, Behavioral: LeafletVery brief advice (VBA) + Leaflet |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Hong Kong resident aged 18 or above
- Able to read and communicate in Chinese
- Living together in the past 7 days
- Having smoked 1 or more cigarettes daily in the past 3 months
- Having a telephone or mobile phone contact
Key exclusion criteria (3 listed)
- Having any history of severe angina, arrhythmia, or acute myocardial infarction
- Having psychiatric/psychological diseases or regular psychotropic medications
- Having used smoking cessation aids or participated in other smoking cessation services or projects in the past 3 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Brief AWARD adviceAlso: Ask, Warn, Advise, Refer and Do-it-againSubject will receive brief, face-to-face counselling following a structured AWARD model at baseline : 1. Ask: smokers will be asked about their smoking behaviour 2. Warn about the harms of smoking using a leaflet which contain information about harms of secondhand smoke to women, fetus and infant, motivational messages to quit and smoking cessation services. 3. Advise to quit or reduce their smoking and use the provided 1-week nicotine replace therapy sample as soon as possible 4. Refer smokers to smoking cessation services if they agree. 5. Do-it-again: repeat the AWARD advise through telephone boosters at 2-week and 4-week after baseline | Behavioural | Intervention group |
| Nicotine replacement therapy samplingAlso: NRT sampleSubjects will receive 1-week supply of free nicotine patch or gum with dosage based on participants' number of cigarette per day. An information card containing reminders of nicotine replacement therapy use and actions to handle potential side effects will be provided. | Drug | Intervention group |
| Active referralSubjects will be encouraged to select and access a smoking cessation services in Hong Kong. If the subjects agree, their contact information will be sent to the smoking cessation service providers for further arrangement. | Behavioural | Intervention group |
| Very brief adviceAlso: VBASubjects will receive general advice to quit | Behavioural | Control group |
| LeafletAlso: Print-based materialSubjects will receive a standard leaflet on perinatal smoking by Department of Health | Behavioural | Control group |
Primary outcome
Biochemically-validated abstinence
Time frame: 6-month after baseline
Defined by an exhaled carbon monoxide level of < 4 parts per million (ppm)
15 secondary outcomes
Self-reported past 7-day abstinence
Time frame: 3-month after baseline
Self-reported past 7-day abstinence
Time frame: 6-month after baseline
Self-reported continuous abstinence in the past 24-week
Time frame: 6-month after baseline
Smoking reduction
Time frame: 3-month after baseline
Smoking reduction
Time frame: 6-month after baseline
Smoking cessation service use
Time frame: 3-month after baseline
Smoking cessation service use
Time frame: 6-month after baseline
Use of nicotine replacement therapy
Time frame: 3-month after baseline
Use of nicotine replacement therapy
Time frame: 6-month after baseline
Change in nicotine dependence
Time frame: 3-month after baseline
Change in nicotine dependence
Time frame: 6-month after baseline
Number of quit attempt
Time frame: 3-month after baseline
Number of quit attempt
Time frame: 6-month after baseline
Intention to quit
Time frame: 3-month after baseline
Intention to quit
Time frame: 6-month after baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2021.
- Derived from this study: PubMed 34125135Luk TT, Lam TH, Leung WC, Leung KY, Cheung KW, Kwa C, Siong KH, Tang KK, Lee KW, Hsieh CJ, Wu YS, Li WH, Wang MP. Brief Advice, Nicotine Replacement Therapy Sampling, and Active Referral for Expectant Fathers Who Smoke Cigarettes: A Randomized Clinical Trial. JAMA Intern Med. 2021 Aug 1;181(8):1081-1089. doi: 10.1001/jamainternmed.2021.2757.
- Derived from this study: PubMed 32320843Luk TT, Hsieh CJ, Leung WC, Leung KY, Cheung KW, Kwa C, Siong KH, Tang KK, Lee KW, Li WH, Lam TH, Wang MP. Brief cessation advice, nicotine replacement therapy sampling and active referral (BANSAR) for smoking expectant fathers: Study protocol for a multicentre, pragmatic randomised controlled trial. Contemp Clin Trials. 2020 Jun;93:106006. doi: 10.1016/j.cct.2020.106006. Epub 2020 Apr 19.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Man Ping Wang, PhD principal investigator
The University of Hong Kong
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Brief AWARD advice, Nicotine replacement therapy sampling and Active referral in people with Smoking Cessation and Tobacco Use Cessation, run by The University of Hong Kong at 1 site in Hong Kong.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Biochemically-validated abstinence (time frame: 6-month after baseline). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03671707, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2021.