Mobile phone-based smoking cessation intervention for patients with elective surgery

ISRCTN ISRCTN33869008
DOI https://doi.org/10.1186/ISRCTN33869008
Secondary identifying numbers N/A
Submission date
17/08/2018
Registration date
04/10/2018
Last edited
27/03/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Several large studies have shown that the risk of cardiovascular (heart), respiratory (lung), and wound-healing complications (including death) within 30 days of surgery is greater for smokers than non-smokers. However, there is evidence that even short-term smoking cessation may reduce morbidity (illness) after surgery. Structural problems and scarcity of time and resources lead to patients at most Swedish surgical departments simply being told that they should quit, and perhaps being referred to a primary health care clinic. An SMS (text message)-based smoking cessation aid can be effective in helping individuals quit smoking, but is also a very simple and time efficient tool for surgical departments to administer. The aim of this study is to fill the knowledge gap on whether or not an SMS-based smoking cessation intervention can be effective at helping patients stop smoking before surgery. This study aims to assess the effectiveness of the SMS-based intervention on smoking behaviour as an additional tool on top of current routine treatment.

Who can participate?
Adult patients undergoing elective surgery

What does the study involve?
Participants are randomly allocated to one of two groups. One group is given access to the new SMS intervention, while the other group is not given access to the intervention. Both groups have access to the surgical departments’ current routine for smoking cessation before surgery. Smoking outcomes are measured through questionnaires after 3, 6, and 12 months.

What are the possible benefits and risks of participating?
This trial will collect data on the effectiveness of the intervention, increasing the evidence on SMS-based interventions for smoking cessation. One group is given a new intervention which is hoped to improve their chances of quitting smoking, but the researchers are not withholding any other treatment that individuals in the intervention or control group wish to use. All participants are free to use any service currently existing, but only the intervention group will receive the new intervention. There are therefore no immediate risks, but a potential benefit for patients that are allocated to the intervention group.

Where is the study run from?
20 surgical departments in south-east Sweden

When is the study starting and how long is it expected to run for?
September 2017 to October 2021

Who is funding the study?
Kamprad Family Foundation (Sweden)

Who is the main contact?
Dr Marcus Bendtsen

Study website

Contact information

Dr Marcus Bendtsen
Scientific

Linköping University
Linköping
58183
Sweden

ORCiD logoORCID ID 0000-0002-8678-1164

Study information

Study designTwo-arm parallel-group randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available in web format
Scientific titleMobile phone-based smoking cessation intervention for patients with elective surgery – a randomised controlled trial
Study acronymNEXit OPR
Study hypothesisSmoking cessation rates will be higher among individuals given access to a mobile phone-based intervention, compared to individuals without access.
Ethics approval(s)Regionala etikprövningsnämnden i Linköping: avdelningen för prövning av övriga forskning, 10/10/2018, dnr 2018/316-31
ConditionSmoking among patients with elective surgery
InterventionAll patients with elective surgery will be invited to the trial. One group will be given access to the mobile phone-based program delivered via SMS, including interactive component, while the other group will be told that they will not be given access to the intervention. Both groups will be told that they have access to the surgical departments’ current routine for smoking cessation prior to surgery. Smoking outcomes will be measured through questionnaires at 3, 6, and 12 months after randomisation.
Intervention typeBehavioural
Primary outcome measureMeasured at 3, 6 and 12 months after randomisation using self-reported questionnaires:
1. Prolonged abstinence (not smoking more than 5 cigarettes the past 8 weeks). 8 weeks is adjusted to 5 and 11 months at 6- and 12-months follow-up
2. Point prevalence (not smoking any cigarette the past 4 weeks)
Secondary outcome measuresMeasured at 3, 6 and 12 months after randomisation using self-reported questionnaires:
1. 7-day point prevalence (no cigarettes the past 7 days)
2. The number of quit attempts since joining the study
3. Number of cigarettes smoked per week (if still smoking)
Overall study start date01/09/2017
Overall study end date15/10/2021

Eligibility

Participant type(s)Patient
Age groupMixed
SexBoth
Target number of participants434
Participant inclusion criteriaAll patients undergoing elective surgery will be invited to the trial (not children or neonatal)
Participant exclusion criteriaNot owning a mobile phone or non-smoker
Recruitment start date15/10/2018
Recruitment end date15/10/2020

Locations

Countries of recruitment

  • Sweden

Study participating centre

20 surgical departments in south-east Sweden
581 83
Sweden

Sponsor information

The Kamprad Family Foundation for Entrepreneurship, Research & Charity
Charity

Familjen Kamprads stiftelse, Västra Esplanaden 3
VÄXJÖ
352 30
Sweden

Website http://familjenkampradsstiftelse.se/in-english/
ROR logo "ROR" https://ror.org/03qb1q739

Funders

Funder type

Charity

Familjen Kamprads Stiftelse
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
Kamprad Family Foundation
Location
Sweden

Results and Publications

Intention to publish date01/01/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planA trial protocol will be submitted for review prior to the first patient being recruited. Data from the 3-month follow-up will be used to author an efficacy article regarding short-term effects in the beginning of 2020. Data from 6- and 12-month follow-up will be used to author an efficacy article regarding long-term effects in the beginning of 2022.
IPD sharing planData will be archived on university servers. Due to GDPR the trialists are not allowed to hand over data.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 26/03/2019 27/03/2019 Yes No

Editorial Notes

27/03/2019: Publication reference added.
16/10/2018: Ethics approval details added.