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CompletedNCT00596440TMUpdated Aug 28, 2015Results posted

Assessment of a Teachable Moment for Smoking Cessation

An observational study in Nicotine Dependence, sponsored by University of Pennsylvania. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-08-28.

Sponsored by University of Pennsylvania · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
234
Ages
18 Years and older
Sex
All
01

Study summary

A teachable moment (TM) refers to life events or transitions, such as physician visits, early detection screening feedback, pregnancy, and hospitalization for, and diagnosis of, disease, that inspire health behavior change. Despite strong intuitive appeal of the TM concept and over 150 studies of interventions implemented in a TM, there has been little investigation of the influence of TMs for smoking, particularly for promoting smoking cessation among those indirectly affected by a TM (e.g., relatives of cancer patients). This prospective observational study using a matched-group design will assess whether a lung cancer diagnosis increases enrollment in a smoking cessation program and cessation, and reduces smoking, among the patient's relatives/spouse who smoke. We will compare enrollment in a cessation program and cessation and smoking rates in 2 groups of smokers: 1) relatives/spouses of newly-diagnosed lung cancer patients, and 2) relatives/spouses of patients with an orthopedic condition. We will also explore mediators and moderators of a lung cancer diagnosis as a TM. This study could clarify the TM concept for smoking cessation, shed light on the underlying mechanisms of TMs, and guide future development and implementation of TM-based smoking cessation interventions.

02

Conditions studied

  • Nicotine Dependence

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Keywords

  • smoking
  • teachable moment
  • cancer
03

In context

Tobacco Use Disorder

968 studies on the registry are indexed under Tobacco Use Disorder; 126 are open to participants now.

This study's enrollment of 234 is above the median of 128 across 74 observational studies indexed under Tobacco Use Disorder.

Browse Tobacco Use Disorder studies →

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

One group will be relatives/spouses of newly-diagnosed lung or head and neck cancer patients and the second group will be relatives/spouses of orthopedic patients. All participants will be regular smokers (i.e., smoke 10 cigarettes/day on average).

Inclusion criteria

  1. A relative (i.e., sibling, parent, child, grandparent, aunt, uncle, cousin) or spouse of a newly-diagnosed lung or head and neck cancer patient or orthopedic patient (e.g., arthritis, bone and joint infection, foot and ankle conditions, hand, wrist, and elbow conditions such as carpal tunnel syndrome, shoulder and elbow conditions, such as rotator cuff injury, and knee conditions, such as ligament damage repair);
  2. A regular smoker (i.e., smoke 10 cigarettes/day on average);
  3. Able to use NRT (see contraindications under Key Exclusion Criteria);
  4. Age 18 or older (to use NRT); and
  5. Living within \~50 miles of PENN (to allow for meetings at PENN).

Exclusion criteria

Exclusion Criteria:

  1. Cannot communicate in English;
  2. Have current alcohol abuse/dependence;
  3. Are or have been diagnosed with cancer, asthma, HIV, emphysema, or COPD;
  4. Have a current medical problem for which NRT is contraindicated such as uncontrolled hypertension (> 150 over 90), unstable angina, heart attack or stroke within the past 6 months, and liver and/or kidney failure in the last 6-months;
  5. Currently use monoamine oxidase inhibitors or benzodiazepines, anti-psychotics, and antidepressants, including bupropion;
  6. Are allergic to adhesive tape or latex, and
  7. Are a female who is pregnant or nursing.
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
234 participants (actual)

Groups and cohorts

  • 1

    Relatives of Cancer Patients

    Drug: Transdermal nicotine patch

  • 2

    Relatives of Orthopedic Patients

    Drug: Transdermal nicotine patch

Interventions

  • DrugTransdermal nicotine patch

    8 weeks; 4 weeks of 21mg, 2 weeks of 14mg, and 2 weeks of 7mg.

06

What researchers measure

Primary outcomes

  1. Accrual Rate (Eligibility Visit)

    Show rate to eligibility visit

    Time frame: week zero

Secondary outcomes

  1. Smoking Cessation Rate

    Time frame: week nine

  2. Show Rate at First Treatment Session

    Time frame: week one

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Results

Posted Jun 11, 2015

Participant flow

Participant flow — Overall Study
MilestoneRelatives of Cancer PatientsRelatives of Orthopedic Patients
Started113121
Showed to eligibility visit8572
Showed to first treatment session6152
Completed4841
Not completed6580

Outcome measures

PrimaryAccrual Rate (Eligibility Visit)

Show rate to eligibility visit

Time frame:
week zero
Reported as:
Number · participants
Accrual Rate (Eligibility Visit)
participantsRelatives of Cancer PatientsRelatives of Orthopedic Patients
Accrual Rate (Eligibility Visit)8572
SecondarySmoking Cessation Rate
Time frame:
week nine
Reported as:
Number · participants
Smoking Cessation Rate
participantsRelatives of Cancer PatientsRelatives of Orthopedic Patients
Smoking Cessation Rate1316
SecondaryShow Rate at First Treatment Session
Time frame:
week one
Reported as:
Number · participants
Show Rate at First Treatment Session
participantsRelatives of Cancer PatientsRelatives of Orthopedic Patients
Show Rate at First Treatment Session6152

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Relatives of Cancer Patients—0/113 (0%)0/113 (0%)
Relatives of Orthopedic Patients—0/121 (0%)0/121 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Relatives of Cancer PatientsRelatives of Orthopedic PatientsTotal
Mean44.7 ± 11.749.2 ± 11.747.0 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Relatives of Cancer PatientsRelatives of Orthopedic PatientsTotal
Female5770127
Male5651107
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Study locations

1 site
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00596440
Lead sponsor
University of Pennsylvania
Collaborators
National Institutes of Health (NIH)
Responsible party
Robert Schnoll (Associate Professor, University of Pennsylvania) — Principal investigator
First posted
Jan 17, 2008
Start date
Aug 2007
Primary completion
Dec 2011
Completion
Feb 2012
Results posted
Jun 11, 2015
Last update
Aug 28, 2015

Study contacts

Robert A Schnoll, PhD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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