Mobile Health Technology to Enhance Abstinence in Smokers With Schizophrenia
Schizophrenia, Cigarette Smoking
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
- Currently smoke at least ten cigarettes a day
- Have been smoking for at least one year
- Meet criteria for schizophrenia, schizoaffective disorder, or another psychotic disorder based on structured clinical interview
- Can speak and write fluent conversational English
- Are between 18 and 70 years of age
- Are willing to make a smoking cessation attempt
- Score 26 or higher on the Montreal Cognitive Assessment
Exclusion Criteria:
- Have a history of myocardial infarction in the past 6 months
- Have a contraindication to NRT with no medical clearance from the primary care provider or study physician
- Use and unwillingness to stop use of other forms of nicotine such as cigars, pipes, or chewing tobacco
- Are pregnant
- Meet criteria for a current manic episode based on structured clinical interview
- Are currently enrolled in another smoking cessation trial
- Are currently imprisoned or in psychiatric hospitalization
Sites / Locations
- Duke University Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
iCOMMIT
Control Group
The components of the intervention include 1) behavioral therapy in the form of mobile contingency management (mCM) designed to increase early abstinent rates; 2) pharmacotherapy for smoking cessation [including nicotine replacement therapy (NRT) and bupropion]; 3) four sessions of guideline based cognitive-behavioral smoking cessation counseling designed to increased coping skills specific to smoking cessation; 4) a smart-phone based relapse prevention application (the Stay Quit Coach) that is populated during the counseling sessions; and 5) SMS text messaging reminders to increase medication adherence.
The components of the intervention include 1) pharmacotherapy for smoking cessation [including nicotine replacement therapy (NRT) and bupropion]; and 2) four sessions of guideline based cognitive-behavioral smoking cessation counseling designed to increased coping skills specific to smoking cessation.