Korean Youth Smoking Cessation Study
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 14 - 19 |
| Updated: | 4/21/2016 |
| Start Date: | June 2016 |
| Contact: | Steve Shoptaw, Ph.D |
| Email: | sshoptaw@mednet.ucla.edu |
| Phone: | (310) 794-0619 |
Adaptation and Development of a Web and Cell Phone Quit Smoking Treatment for Korean Youth
Cigarette smoking remains the leading preventable cause of morbidity and mortality in the
United States. In Los Angeles, rates of morbidities due to cigarette smoking follow
prevalence. While the rate of cigarette smoking in Los Angeles County among youth is at
historic lows, prevalence is not uniform: Cigarette smoking is pervasive among residents who
have significant economic disparities. Prevalence is also among the highest in the world for
Korean school-aged youth and substantially higher numbers of Korean American youth smoke
cigarettes. To date, smoking prevention efforts in Korea have had mixed results as they are
not interesting to youth and are not interactive.
This project will assess an interactive, culturally adapted, tailored smoking cessation
intervention delivered through the internet and cell phone. Using technology, the
investigators seek to increase the reach and access of our intervention and facilitate
cessation without in-person sessions, a factor that limits smoking cessation interventions
for youth. Youth are energetic users of electronic media, lending support to the delivery of
treatment through technology.
The investigators predict that subjects assigned to the intervention will demonstrate
statistically higher rates of smoking abstinence and longer retention in the cessation
program compared to those assigned to the standard of care condition. Subjects reporting
higher levels of smoking exposure, lower motivation, poor mental health, disadvantaged
neighborhoods, and lower levels of acculturation to American culture will also have lower
quit rates at each follow-up visit.
United States. In Los Angeles, rates of morbidities due to cigarette smoking follow
prevalence. While the rate of cigarette smoking in Los Angeles County among youth is at
historic lows, prevalence is not uniform: Cigarette smoking is pervasive among residents who
have significant economic disparities. Prevalence is also among the highest in the world for
Korean school-aged youth and substantially higher numbers of Korean American youth smoke
cigarettes. To date, smoking prevention efforts in Korea have had mixed results as they are
not interesting to youth and are not interactive.
This project will assess an interactive, culturally adapted, tailored smoking cessation
intervention delivered through the internet and cell phone. Using technology, the
investigators seek to increase the reach and access of our intervention and facilitate
cessation without in-person sessions, a factor that limits smoking cessation interventions
for youth. Youth are energetic users of electronic media, lending support to the delivery of
treatment through technology.
The investigators predict that subjects assigned to the intervention will demonstrate
statistically higher rates of smoking abstinence and longer retention in the cessation
program compared to those assigned to the standard of care condition. Subjects reporting
higher levels of smoking exposure, lower motivation, poor mental health, disadvantaged
neighborhoods, and lower levels of acculturation to American culture will also have lower
quit rates at each follow-up visit.
Cigarette smoking remains the leading preventable cause of morbidity and mortality in the
United States. While 19% of U.S. twelfth graders smoked cigarettes in the past 30 days,
fewer than 10% of Californians under age 18 reported recent smoking. In Los Angeles, rates
of morbidities due to cigarette smoking follow prevalence. While the rate of cigarette
smoking in Los Angeles County among youth is at historic lows (10.4%), prevalence is not
uniform: Cigarette smoking is pervasive among residents who have significant economic
disparities. Alarming racial and ethnic disparities are noted with highest prevalence
reported for adult Korean males (44.8%). Prevalence of cigarette smoking is also among the
highest in the world for Korean school-aged youth, with 16.2% for males and 5.3% for
females. To date, smoking prevention efforts in Korea have had mixed results as they are not
interesting to youth and are not interactive.
This project will assess an interactive, culturally adapted, tailored smoking cessation
intervention delivered through the internet and cell phone. The evidence-based treatment,
"Cognitive-Behavioral/Motivational Enhancement Therapy for Smoking Cessation" (CBME) for
adolescent smokers was developed by one of the investigators. Based on input from our
community partners, consultants, and youth focus group participants, the treatment will be
culturally adapted for appropriateness and relevance to Korean youth. The refined
intervention will be programmed for delivery via the Web and mobile technologies. Using
technology, we seek to increase the reach and access of our intervention and facilitate
cessation without in-person sessions, a factor that limits smoking cessation interventions
for youth. A 2-group, randomized control trial design will assign youth either to the
tailored Web and cell phone based smoking cessation program or to a control condition.
The specific aim of the study is as follows:
1. To evaluate the efficacy of the tailored smoking cessation approach for Korean youth
seeking smoking cessation, randomly assigning 240 youth to either the experimental condition
or to a standard cessation approach.
United States. While 19% of U.S. twelfth graders smoked cigarettes in the past 30 days,
fewer than 10% of Californians under age 18 reported recent smoking. In Los Angeles, rates
of morbidities due to cigarette smoking follow prevalence. While the rate of cigarette
smoking in Los Angeles County among youth is at historic lows (10.4%), prevalence is not
uniform: Cigarette smoking is pervasive among residents who have significant economic
disparities. Alarming racial and ethnic disparities are noted with highest prevalence
reported for adult Korean males (44.8%). Prevalence of cigarette smoking is also among the
highest in the world for Korean school-aged youth, with 16.2% for males and 5.3% for
females. To date, smoking prevention efforts in Korea have had mixed results as they are not
interesting to youth and are not interactive.
This project will assess an interactive, culturally adapted, tailored smoking cessation
intervention delivered through the internet and cell phone. The evidence-based treatment,
"Cognitive-Behavioral/Motivational Enhancement Therapy for Smoking Cessation" (CBME) for
adolescent smokers was developed by one of the investigators. Based on input from our
community partners, consultants, and youth focus group participants, the treatment will be
culturally adapted for appropriateness and relevance to Korean youth. The refined
intervention will be programmed for delivery via the Web and mobile technologies. Using
technology, we seek to increase the reach and access of our intervention and facilitate
cessation without in-person sessions, a factor that limits smoking cessation interventions
for youth. A 2-group, randomized control trial design will assign youth either to the
tailored Web and cell phone based smoking cessation program or to a control condition.
The specific aim of the study is as follows:
1. To evaluate the efficacy of the tailored smoking cessation approach for Korean youth
seeking smoking cessation, randomly assigning 240 youth to either the experimental condition
or to a standard cessation approach.
Inclusion Criteria:
- Self-identify as Korean or Korean-American
- Smoke at least 5 cigarettes per day for the past 6 months
- Interested in smoking cessation
- Aged between 14-19 years
- Willing to provide information that can assist in locating the individual for follow
up visits
- Living in Los Angeles County
- Has a phone capable of receiving Short Message Service (SMS) text messages
- Has a computer or other regular access to engage program components
- Willing and able to provide consent if older than 18
- Willing and able to provide assent if under 18 and has a parent or legal guardian
willing and able to provide consent
- At least 6th grade English reading level due to requirements of assessment procedures
Exclusion Criteria:
- Knowingly moving from the Los Angeles County area in the next year
- Absence of cotinine in urine during the baseline screen
- Concurrent dependence on substance other than nicotine
- History of suicidality in the past year
- Any other circumstances that, in the opinion of the investigators, would compromise
participant safety
We found this trial at
1
site
Los Angeles, California 90095
310-825-4321
Principal Investigator: Steve Shoptaw, Ph.D
Phone: 310-794-0619
University of California at Los Angeles The University of California, Los Angeles (UCLA) is an...
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