Social Anxiety DisorderPhase 1NCT04260776
Adaptive Treatment Strategies for Improving Engagement With a Web-Based Smoking Intervention in Socially Anxious Smokers
A Phase 1 study testing Phase 1: Web-based intervention (MyWebQuit) with 1-way text messages, Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messages and Phase 2: re-engagement text messages in people with Social Anxiety Disorder and Tobacco Use Disorder, run by Fred Hutchinson Cancer Center at 1 site in United States.
Trial summary
This phase I trial will use a pilot sequential multiple assignment randomized trial (SMART) to examine protocol feasibility and acceptability of new components of a web-based intervention for socially anxious smokers. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Social Anxiety Disorder, Tobacco Use Disorder
- What is being tested?
- Phase 1: Web-based intervention (MyWebQuit) with 1-way text messages, Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messages and Phase 2: re-engagement text messages
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- 15 Apr 2022to 31 Dec 2024
- Phase
- Phase 1
- 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
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- resides in the US and anticipates remaining in the US for the duration of the study
- smokes at least 5 cigarettes per day for at least 12 months prior to screening
- desire to quit smoking within 30 days
- has at least weekly internet access
- current use of a personal email account
- current use of text messaging
Show all 16Show fewer
- willing to receive text messages as part of this study
- screen positive for social anxiety (LSAS-SR ≥ 60)
- interested in participating in the study for themselves (versus [vs] someone else)
- not currently taking part in any other smoking cessation treatment such as the nicotine patch, nicotine gum, Zyban, in-person counseling, telephone counseling, using a web-based or app-based cessation program
- no prior participation in one of the investigator's prior smoking cessation studies,
- comfortable reading, writing, and speaking English
- agree to the conditions of compensation
- not currently incarcerated in a prison
- willing to use the MyWebQuit program, complete study assessments, and sign an online consent form
- no other member of their same household participating in the study
Who cannot join
None listed.
Trial locations and contacts
1 site in 1 country.
United States1 site
Fred Hutch/University of Washington Cancer Consortium
Seattle, Washington, 98109
About this study
Official title: A SMART Pilot of Adaptive Treatment Strategies to Improve Engagement With a Web-Based Intervention for Socially Anxious Smokers
This phase I trial will use a pilot sequential multiple assignment randomized trial (SMART) to examine protocol feasibility and acceptability of new components of a web-based intervention for socially anxious smokers. This study will be used to help build an adaptive treatment strategy to improve engagement with and effectiveness of the web-based intervention. Adaptive treatment strategies provide individualized sequences of intervention components to accommodate the changing needs of individuals based on their characteristics, treatment response, or engagement.
Read the detailed description
This study proposes to use a pilot SMART to help build an adaptive treatment strategy to improve engagement with and effectiveness of a web-based intervention for socially anxious smokers. At the outset of the study (Phase 1), participants will receive access to a new web-based smoking intervention (MyWebQuit) and will randomized to receive one of two text message services: 1) 1-way text messages, or 2) interactive, 2-way text messages. Those who disengage with the website in the first 5 weeks will be re-randomized to one of three re-engagement strategies: 1) re-engagement emails, 2) re-engagement interactive text messages, or 3) no re-engagement strategy. Outcomes include protocol feasibility, treatment acceptability, treatment utilization, and smoking cessation.
- Conditions
- Social Anxiety Disorder, Tobacco Use Disorder
- Being tested
- Phase 1: Web-based intervention (MyWebQuit) with 1-way text messages, Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messages, Phase 2: re-engagement text messages, Phase 2: re-engagement emails
- Medical subject headings
- Phobia, Social, Tobacco Use Disorder
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Phase 1: Web-based intervention (MyWebQuit) with 1-way text messagesBehavioural
Participants will receive MyWebQuit (web-based smoking intervention) along with a corresponding 1-way text messages
Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messagesBehavioural
Participants will receive MyWebQuit (web-based smoking intervention) along with corresponding interactive, 2-way text messages
Phase 2: re-engagement text messagesBehavioural
In addition to Phase 1 intervention components, 1/3 of participants who disengage with the website will receive interactive text messages designed to promote re-engagement
Phase 2: re-engagement emailsBehavioural
In addition to Phase 1 intervention components, 1/3 of participants who disengage with the website will receive a personalized email designed to promote re-engagement
| Study group | Role | What they receive |
|---|---|---|
| Phase 1 | Experimental | Participants will be randomly assigned to one of the two text message programs that correspond with the web-based intervention (MyWebQuit): 1) standard, 1-way text messages, or 2) interactive, 2-way text messages Receives: Behavioral: Phase 1: Web-based intervention (MyWebQuit) with 1-way text messages; Behavioral: Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messages |
| Phase 2 | Experimental | For the first 5 weeks after randomization, engagement with the website will be monitored. Participants who continue to engage with the website will continue with the same Phase 1 treatment components until the 3-month follow-up.
Participants who disengage with the website will be randomly assigned to receive one of three re-engagement strategies: 1) interactive, re-engagement text messages, 2) re-engagement email, or 3) no re-engagement strategy Receives: Behavioral: Phase 2: re-engagement text messages; Behavioral: Phase 2: re-engagement emails |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recruitment
Number of individuals screened, eligible, consented; reasons for ineligibility
Measured: Recruitment
Data retention
Percentage of participants who complete outcome assessment at 3-months
Measured: 3 months
Acceptability of intervention and Phase 1 engagement components
Treatment satisfaction ratings of the Phase 1 treatment conditions.
Measured: 3 months
Acceptability of intervention and Phase 2 engagement components
Treatment satisfaction ratings of the Phase 2 treatment conditions
Measured: 3 months
Utilization of interactive messages
Proportion of interactive text message prompts participants respond to
Measured: 3 months
Utilization of Phase 1 text messages
Proportion of participants who unsubscribe from the Phase 1 text messages
Measured: 3 months
Website Utilization
Total website logins
Measured: 3 months
Website Utilization
Number of times disengagement criteria are met
Measured: 3 months
Website Utilization
Percent of participants who login after rerandomization
Measured: 3 months
Secondary outcomes (3)
Self-reported 7-day point prevalence abstinence
Preliminary efficacy for smoking cessation
Measured: 3 months
Self-reported 30-day point prevalence abstinence
Preliminary efficacy for smoking cessation
Measured: 3 months
Biochemically confirmed smoking abstinence
Preliminary efficacy for smoking cessation
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Feb 2020
- Study start15 Apr 2022 (estimated)
- Primary completion31 Dec 2024 (estimated)
- Study completion31 Dec 2024 (estimated)
Why it stopped: PI departure
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Social Anxiety DisorderStudies of the same condition, open and under way.
- More trials run by Fred Hutchinson Cancer CenterThe 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 1
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fred Hutchinson Cancer Center
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA)
- Responsible party
- Sponsor
- Investigators
- Noreen Watson, Principal investigator, Fred Hutch/University of Washington Cancer Consortium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04260776
- Sponsor's protocol ID
- RG1006869
- Other IDs
- NCI-2020-00302, K23DA048181, 10384
- Status last verified
- Jun 2021
- First submitted
- 5 Feb 2020
- Last updated
- 8 Dec 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Dec 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A SMART Pilot of Adaptive Treatment Strategies to Improve Engagement With a Web-Based Intervention for Socially Anxious Smokers
- ClinicalTrials.gov ID
- NCT04260776
- Acronym / sponsor ID
- RG1006869
- Conditions
- Social Anxiety Disorder, Tobacco Use Disorder
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: PI departure
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Fred Hutchinson Cancer CenterUniversity, hospital or other
- Collaborators
- National Institute on Drug Abuse (NIDA)
- Study start
- 15 Apr 2022 (estimated)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 31 Dec 2024 (estimated)
- First posted
- 7 Feb 2020 (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 phase I trial will use a pilot sequential multiple assignment randomized trial (SMART) to examine protocol feasibility and acceptability of new components of a web-based intervention for socially anxious smokers. This study will be used to help build an adaptive treatment strategy to improve engagement with and effectiveness of the web-based intervention. Adaptive treatment strategies provide individualized sequences of intervention components to accommodate the changing needs of individuals based on their characteristics, treatment response, or engagement.
Detailed description
This study proposes to use a pilot SMART to help build an adaptive treatment strategy to improve engagement with and effectiveness of a web-based intervention for socially anxious smokers. At the outset of the study (Phase 1), participants will receive access to a new web-based smoking intervention (MyWebQuit) and will randomized to receive one of two text message services: 1) 1-way text messages, or 2) interactive, 2-way text messages. Those who disengage with the website in the first 5 weeks will be re-randomized to one of three re-engagement strategies: 1) re-engagement emails, 2) re-engagement interactive text messages, or 3) no re-engagement strategy. Outcomes include protocol feasibility, treatment acceptability, treatment utilization, and smoking cessation.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Phase 1 | Experimental | Behavioral: Phase 1: Web-based intervention (MyWebQuit) with 1-way text messages, Behavioral: Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messagesParticipants will be randomly assigned to one of the two text message programs that correspond with the web-based intervention (MyWebQuit): 1) standard, 1-way text messages, or 2) interactive, 2-way text messages |
| Phase 2 | Experimental | Behavioral: Phase 2: re-engagement text messages, Behavioral: Phase 2: re-engagement emailsFor the first 5 weeks after randomization, engagement with the website will be monitored. Participants who continue to engage with the website will continue with the same Phase 1 treatment components until the 3-month follow-up. Participants who disengage with the website will be randomly assigned to receive one of three re-engagement strategies: 1) interactive, re-engagement text messages, 2) re-engagement email, or 3) no re-engagement strategy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- resides in the US and anticipates remaining in the US for the duration of the study
- smokes at least 5 cigarettes per day for at least 12 months prior to screening
- desire to quit smoking within 30 days
- has at least weekly internet access
- current use of a personal email account
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| Phase 1: Web-based intervention (MyWebQuit) with 1-way text messagesParticipants will receive MyWebQuit (web-based smoking intervention) along with a corresponding 1-way text messages | Behavioural | Phase 1 |
| Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messagesParticipants will receive MyWebQuit (web-based smoking intervention) along with corresponding interactive, 2-way text messages | Behavioural | Phase 1 |
| Phase 2: re-engagement text messagesIn addition to Phase 1 intervention components, 1/3 of participants who disengage with the website will receive interactive text messages designed to promote re-engagement | Behavioural | Phase 2 |
| Phase 2: re-engagement emailsIn addition to Phase 1 intervention components, 1/3 of participants who disengage with the website will receive a personalized email designed to promote re-engagement | Behavioural | Phase 2 |
Primary outcome
Recruitment
Time frame: Recruitment
Number of individuals screened, eligible, consented; reasons for ineligibility
Data retention
Time frame: 3 months
Percentage of participants who complete outcome assessment at 3-months
Acceptability of intervention and Phase 1 engagement components
Time frame: 3 months
Treatment satisfaction ratings of the Phase 1 treatment conditions.
Acceptability of intervention and Phase 2 engagement components
Time frame: 3 months
Treatment satisfaction ratings of the Phase 2 treatment conditions
Utilization of interactive messages
Time frame: 3 months
Proportion of interactive text message prompts participants respond to
Utilization of Phase 1 text messages
Time frame: 3 months
Proportion of participants who unsubscribe from the Phase 1 text messages
Website Utilization
Time frame: 3 months
Total website logins
Website Utilization
Time frame: 3 months
Number of times disengagement criteria are met
Website Utilization
Time frame: 3 months
Percent of participants who login after rerandomization
3 secondary outcomes
Self-reported 7-day point prevalence abstinence
Time frame: 3 months
Self-reported 30-day point prevalence abstinence
Time frame: 3 months
Biochemically confirmed smoking abstinence
Time frame: 3 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Dec 2021.
- Individual participant dataSharing planned: No
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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.
Noreen Watson principal investigator
Fred Hutch/University of Washington Cancer Consortium
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Phase 1: Web-based intervention (MyWebQuit) with 1-way text messages, Phase 1: Web-based intervention (MyWebQuit) with interactive, 2-way text messages and Phase 2: re-engagement text messages in people with Social Anxiety Disorder and Tobacco Use Disorder, run by Fred Hutchinson Cancer Center at 1 site in United States.
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 16 inclusion and 0 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: withdrawn, as of the sponsor's last update on 8 Dec 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 United States. 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.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
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?
Recruitment (time frame: Recruitment). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 8 Dec 2021.