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Group Education Helps Smoking Cessation and Hypertension Control

Primary Purpose

Smoking Cessation, Hypertension

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
group education
conventional smoking cessation management
Sponsored by
Shanghai Jiao Tong University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Smoking Cessation focused on measuring group education, smoking cessation, blood pressure

Eligibility Criteria

65 Years - 84 Years (Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • signed the informed consent
  • aged 65 to 84
  • new-onset hypertension or poorly controlled hypertension (140mmHg≤systolic blood pressure<180mmHg and (or) 90mmHg≤ diastolic blood pressure<110mmHg)
  • smoked last week and smoked more than 1 cigarette per day on average
  • be willing to quit smoking
  • can communicate normally and cooperate in blood pressure measurements, finishing questionnaires
  • complete interventions and follow-up consistently

Exclusion Criteria:

  • home systolic blood pressure<130mmHg and (or) home diastolic blood pressure<80 mmHg
  • severe communication difficulties (aphasia, hearing impairment, etc.)
  • suffering from mental disorders such as anxiety and depression
  • cancer confirmed
  • with previous serious cardiovascular events such as acute coronary syndrome, acute left heart failure, stroke or with specific cardiovascular therapeutic device such as pacemakers
  • other serious physical illness or illness identified by investigators that unable to participant in study
  • using specific non-permitted medication currently

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Other

    Arm Label

    group education

    conventional smoking cessation management

    Arm Description

    The investigators will provide experimental groups with group education of smoking cessation, including lectures in groups of 50 to 100 people and panel discussion in groups of 5 to 10 people.

    The investigators will provide control groups with conventional smoking cessation management, including regular follow-up of smoking status and giving advice of smoking cessation.

    Outcomes

    Primary Outcome Measures

    change of clinic systolic blood pressure from baseline at the sixth month

    Secondary Outcome Measures

    Cardiovascular events (cardiovascular death, stroke,myocardial infarction)
    change of clinical blood pressure and home blood pressure from baseline
    Hypertension control rate
    Biochemical smoking cessation rate
    CO≤6 ppm
    Self-reported 7-days smoking cessation rate
    Self-reported long-term smoking cessation rate
    Participants hadn't smoked for at least one month.
    Self-reported average number of cigarettes smoked per day
    Relapse rate
    Mini-Mental State Examination score
    The cognitive function of participants will be assessed by MMSE. The score of MMSE ranges from 0 (worse) to 30 (better).
    FEV1-Pulmonary functions
    Forced expiratory volume in 1 second (FEV1) is the volume of air exhaled in the first second during forced exhalation after maximum inspiration.
    PEF-Pulmonary functions
    Peak expiratory flow (PEF), the maximal flow that can be exhaled when blowing out at a steady rate.
    FVC-Pulmonary functions
    Forced vital capacity (FVC), is the maximum amount of air that can be exhaled when blowing out as fast as possible.
    Fagerstrom Test for Nicotine Dependence score
    The score of FTND ranges from 0 to 10. Participants with higher scores have higher degree of tobacco dependence and are less likely to maintain the status of smoking cessation.
    Carbon monoxide concentration breathed
    Adverse events, including nicotine withdrawal symptoms and other adverse events.
    Nicotine withdrawal symptoms were quantified using the Minnesota Tobacco Withdrawal Scale (MNWS).

    Full Information

    First Posted
    August 24, 2022
    Last Updated
    September 29, 2022
    Sponsor
    Shanghai Jiao Tong University School of Medicine
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05530083
    Brief Title
    Group Education Helps Smoking Cessation and Hypertension Control
    Official Title
    A Cluster Randomized Trial to Evaluate the Effect of Group Education on Smoking Cessation and Blood Pressure in Smoking Elderly Males With Stage 1 and 2 Hypertension
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 12, 2022 (Anticipated)
    Primary Completion Date
    January 1, 2027 (Anticipated)
    Study Completion Date
    January 1, 2027 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Shanghai Jiao Tong University School of Medicine

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Smoking elderly males with stage 1 and 2 hypertension who currently smoked at least one cigarette per day and were willing to quit smoke will be invited to this cluster randomized, controlled, interventional, open clinical trial. The investigators will provide participants with group education of smoking cessation and their blood pressure measured at clinic at the sixth month is the primary endpoint. The investigators aim to explore how group education of smoking cessation effects smoking cessation, hypertension control and cardiovascular events.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Smoking Cessation, Hypertension
    Keywords
    group education, smoking cessation, blood pressure

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    2000 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    group education
    Arm Type
    Experimental
    Arm Description
    The investigators will provide experimental groups with group education of smoking cessation, including lectures in groups of 50 to 100 people and panel discussion in groups of 5 to 10 people.
    Arm Title
    conventional smoking cessation management
    Arm Type
    Other
    Arm Description
    The investigators will provide control groups with conventional smoking cessation management, including regular follow-up of smoking status and giving advice of smoking cessation.
    Intervention Type
    Behavioral
    Intervention Name(s)
    group education
    Intervention Description
    Group education is one of strategies and behavioural interventions of smoking cessation. Lectures, group meeting for mutual support, discussion of coping skills and suggestions for prevention relapse can help smokers quit smoking by providing support and encouragement from people in same condition.
    Intervention Type
    Behavioral
    Intervention Name(s)
    conventional smoking cessation management
    Intervention Description
    Including regular follow-up of smoking status and giving advice of smoking cessation
    Primary Outcome Measure Information:
    Title
    change of clinic systolic blood pressure from baseline at the sixth month
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    Cardiovascular events (cardiovascular death, stroke,myocardial infarction)
    Time Frame
    6 months, 1 year, 2years, 3 years
    Title
    change of clinical blood pressure and home blood pressure from baseline
    Time Frame
    1 month, 2 month, 3 month, 6 month, 1 year, 2 years, 3 years
    Title
    Hypertension control rate
    Time Frame
    1 month, 2 month, 3 month, 6 month, 1 year, 2 years, 3 years
    Title
    Biochemical smoking cessation rate
    Description
    CO≤6 ppm
    Time Frame
    6 months
    Title
    Self-reported 7-days smoking cessation rate
    Time Frame
    1 month, 2 month, 3 month, 6 month, 1 year, 2 years, 3 years
    Title
    Self-reported long-term smoking cessation rate
    Description
    Participants hadn't smoked for at least one month.
    Time Frame
    1 month, 2 month, 3 month, 6 month, 1 year, 2 years, 3 years
    Title
    Self-reported average number of cigarettes smoked per day
    Time Frame
    1 month, 2 month, 3 month, 6 month, 1 year, 2 years, 3 years
    Title
    Relapse rate
    Time Frame
    6 month
    Title
    Mini-Mental State Examination score
    Description
    The cognitive function of participants will be assessed by MMSE. The score of MMSE ranges from 0 (worse) to 30 (better).
    Time Frame
    6 months
    Title
    FEV1-Pulmonary functions
    Description
    Forced expiratory volume in 1 second (FEV1) is the volume of air exhaled in the first second during forced exhalation after maximum inspiration.
    Time Frame
    6 months
    Title
    PEF-Pulmonary functions
    Description
    Peak expiratory flow (PEF), the maximal flow that can be exhaled when blowing out at a steady rate.
    Time Frame
    6 months
    Title
    FVC-Pulmonary functions
    Description
    Forced vital capacity (FVC), is the maximum amount of air that can be exhaled when blowing out as fast as possible.
    Time Frame
    6 months
    Title
    Fagerstrom Test for Nicotine Dependence score
    Description
    The score of FTND ranges from 0 to 10. Participants with higher scores have higher degree of tobacco dependence and are less likely to maintain the status of smoking cessation.
    Time Frame
    6 months
    Title
    Carbon monoxide concentration breathed
    Time Frame
    6 months
    Title
    Adverse events, including nicotine withdrawal symptoms and other adverse events.
    Description
    Nicotine withdrawal symptoms were quantified using the Minnesota Tobacco Withdrawal Scale (MNWS).
    Time Frame
    1 month, 2 month, 3 month, 6 month, 1 year, 2 years, 3 years

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    65 Years
    Maximum Age & Unit of Time
    84 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: signed the informed consent aged 65 to 84 new-onset hypertension or poorly controlled hypertension (140mmHg≤systolic blood pressure<180mmHg and (or) 90mmHg≤ diastolic blood pressure<110mmHg) smoked last week and smoked more than 1 cigarette per day on average be willing to quit smoking can communicate normally and cooperate in blood pressure measurements, finishing questionnaires complete interventions and follow-up consistently Exclusion Criteria: home systolic blood pressure<130mmHg and (or) home diastolic blood pressure<80 mmHg severe communication difficulties (aphasia, hearing impairment, etc.) suffering from mental disorders such as anxiety and depression cancer confirmed with previous serious cardiovascular events such as acute coronary syndrome, acute left heart failure, stroke or with specific cardiovascular therapeutic device such as pacemakers other serious physical illness or illness identified by investigators that unable to participant in study using specific non-permitted medication currently
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jiguang Wang, PhD
    Phone
    +86-21-64370045
    Ext
    610911
    Email
    jiguangw@163.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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