CClinicalTrials.gg
CompletedNCT03863795Updated Sep 8, 2021Results posted

Online Survey in Studying Smoking Attitudes and Behaviors Among Current Smokers

An observational study in Smoker, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-09-08.

Sponsored by National Cancer Institute (NCI) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,100
Ages
18 Years and older
Sex
All
01

Study summary

This trial uses an online survey to study smoking attitudes and behaviors among current smokers. An online survey consisting of questions about general demographics, smoking history, smoking attitudes, smoking behaviors, smoking intentions, health and qualities of daily life may help researchers understand the differences in smoking attitudes and behaviors among current smokers.

Read the detailed description

PRIMARY OBJECTIVES:

I. To examine if self-affirmation attenuates the effects of cigarette smoking stigmatization on smoking risk perceptions, pro-smoking beliefs, and intentions to change smoking behavior.

OUTLINE:

Participants are recruited and pre-screened via an online crowdsourcing program called Amazon Mechanical Turk (MTurk). Participants then respond to a one-time research survey over 20 minutes on SurveyGizmo, an on-line survey software platform.

02

Conditions studied

  • Smoker
03

In context

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) 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
Non-probability sample

Study population

Smokers recruited through Amazon Mechanical Turk

Eligibility criteria

Inclusion Criteria:

  • United States (US) adult smokers.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,100 participants (actual)

Groups and cohorts

  • Observational (survey)

    Participants are recruited and pre-screened via an online crowdsourcing program MTurk, and then respond to a one-time research survey over 20 minutes on SurveyGizmo, an on-line survey software platform

    Other: Survey Administration

Interventions

  • OtherSurvey Administration

    Respond to SurveyGizmo survey online

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What researchers measure

Primary outcomes

  1. Quit Intentions

    Single item assessed intentions to quit smoking, 'Are you considering quitting smoking during the next 6 months?' from the 2014-2015 Tobacco Use Supplement to the Current Population Survey (1=yes, plan to stop within the next 30 days; 2=yes, plan to stop within the next 6 months, but not within 30 days; 3=no, not thinking of quitting in the next 6 months; U.S. Census Bureau, 2016). Response options were reverse scored so that higher scores indicated greater intentions to quit.

    Time frame: At the time of survey response within approximately 20 minutes

  2. Intentions to Switch Completely to E-cigarettes

    "How likely are you to switch completely from using regular cigarettes to electronic cigarettes in the next 6 months?' 1 (not at all likely) to 5 (extremely likely)

    Time frame: At the time of survey response within approximately 20 minutes

  3. Intentions to Seek Cessation Counseling

    How likely is it that in the next 6 months you will seek counseling/support to help you quit smoking? Response options were 1 (not at all likely) to 5 (extremely likely).

    Time frame: At the time of survey response within approximately 20 minutes

  4. Intentions to Reduce Smoking

    How likely is it that in the next 6 months that you will reduce the number of cigarettes you smoke in a day? Response options were 1 (not at all likely) to 5 (extremely likely).

    Time frame: At the time of survey response within approximately 20 minutes

  5. Self-exempting Beliefs

    Deterministic beliefs regarding smoking behaviors were evaluated using the 18-item self-exempting beliefs scale (Oakes et al., 2004).Response options were 1 (strongly disagree) to 5 (strongly agree). Items were averaged to create a composite measure of self-exempting beliefs with excellent interitem reliability, α = .91.

    Time frame: At the time of survey response within approximately 20 minutes.

  6. Positive Cognitions About Smoking

    Five items assessed positive cognitions about smoking (Fotuhi et al., 2013). Response options were 1 (strongly disagree) to 5 (strongly agree). Items were averaged to create a composite measure of self-exempting beliefs with excellent interitem reliability, α = .91.

    Time frame: At the time of survey response within approximately 20 minutes.

07

Results

Posted Sep 8, 2021
Limitations and caveats
Required summary level data is presented per requirements. Do not interpret these unadjusted results. Please refer to the published manuscript for adjusted linear regression results.

Participant flow

Participant flow — Overall Study
MilestoneSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Started306269244281
Completed306269244281
Not completed0000

Outcome measures

PrimaryQuit Intentions

Single item assessed intentions to quit smoking, 'Are you considering quitting smoking during the next 6 months?' from the 2014-2015 Tobacco Use Supplement to the Current Population Survey (1=yes, plan to stop within the next 30 days; 2=yes, plan to stop within the next 6 months, but not within 30 days; 3=no, not thinking of quitting in the next 6 months; U.S. Census Bureau, 2016). Response options were reverse scored so that higher scores indicated greater intentions to quit.

Time frame:
At the time of survey response within approximately 20 minutes
Reported as:
Mean · units on a scale
Quit Intentions
units on a scaleSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Quit Intentions1.90 ± .741.72 ± .711.89 ± .711.79 ± .70
PrimaryIntentions to Switch Completely to E-cigarettes

"How likely are you to switch completely from using regular cigarettes to electronic cigarettes in the next 6 months?' 1 (not at all likely) to 5 (extremely likely)

Time frame:
At the time of survey response within approximately 20 minutes
Reported as:
Mean · units on a scale
Intentions to Switch Completely to E-cigarettes
units on a scaleSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Intentions to Switch Completely to E-cigarettes2.29 ± 1.372.28 ± 1.442.17 ± 1.362.32 ± 1.40
PrimaryIntentions to Seek Cessation Counseling

How likely is it that in the next 6 months you will seek counseling/support to help you quit smoking? Response options were 1 (not at all likely) to 5 (extremely likely).

Time frame:
At the time of survey response within approximately 20 minutes
Reported as:
Mean · units on a scale
Intentions to Seek Cessation Counseling
units on a scaleSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Intentions to Seek Cessation Counseling1.65 ± 1.031.60 ± 1.061.95 ± 1.251.80 ± 1.17
PrimaryIntentions to Reduce Smoking

How likely is it that in the next 6 months that you will reduce the number of cigarettes you smoke in a day? Response options were 1 (not at all likely) to 5 (extremely likely).

Time frame:
At the time of survey response within approximately 20 minutes
Reported as:
Mean · units on a scale
Intentions to Reduce Smoking
units on a scaleSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Intentions to Reduce Smoking3.41 ± 1.323.10 ± 1.313.40 ± 1.283.19 ± 1.29
PrimarySelf-exempting Beliefs

Deterministic beliefs regarding smoking behaviors were evaluated using the 18-item self-exempting beliefs scale (Oakes et al., 2004).Response options were 1 (strongly disagree) to 5 (strongly agree). Items were averaged to create a composite measure of self-exempting beliefs with excellent interitem reliability, α = .91.

Time frame:
At the time of survey response within approximately 20 minutes.
Reported as:
Mean · score on a scale
Self-exempting Beliefs
score on a scaleSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Self-exempting Beliefs2.25 ± .662.35 ± .622.30 ± .642.33 ± .64
PrimaryPositive Cognitions About Smoking

Five items assessed positive cognitions about smoking (Fotuhi et al., 2013). Response options were 1 (strongly disagree) to 5 (strongly agree). Items were averaged to create a composite measure of self-exempting beliefs with excellent interitem reliability, α = .91.

Time frame:
At the time of survey response within approximately 20 minutes.
Reported as:
Mean · score on a scale
Positive Cognitions About Smoking
score on a scaleSmoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation Control
Positive Cognitions About Smoking3.15 ± .763.28 ± .743.25 ± .803.31 ± .70

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Smoking Stigma, Self-Affirmation———
Smoking Stigma, No-Affirmation Control———
Non-Stigma Control, Self-Affirmation———
Non-Stigma Control, No-Affirmation Control———

Baseline characteristics

Age, Continuous
Age, Continuous(years)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
Mean38.61 ± 11.20137.74 ± 10.88738.54 ± 11.02139.70 ± 11.05438.66 ± 11.054
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
Male12110196118436
Female183168147162660
Other20114
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
Hispanic or Latino2223142382
Not Hispanic or Latino2842462272571014
Unknown or Not Reported00314
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
American Indian or Alaska Native22116
Asian735318
Native Hawaiian or Other Pacific Islander00011
Black or African American1414272479
White271232198236937
More than one race714111143
Unknown or Not Reported542516
Region of Enrollment
Region of Enrollment(participants)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
United States3062692442811100
Smoking Self-Concept
Smoking Self-Concept(units on a scale)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
Mean2.94 ± .853.12 ± .893.03 ± .903.08 ± .833.04 ± .87
Education
Education(Participants)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
High school graduate or less53463749185
Some college123106112136477
College graduate104918280357
Postgraduate2625131680
Unknown01001
Nicotine Dependence
Nicotine Dependence(units on a scale)Smoking Stigma, Self-AffirmationSmoking Stigma, No-Affirmation ControlNon-Stigma Control, Self-AffirmationNon-Stigma Control, No-Affirmation ControlTotal
Mean4.19 ± 2.454.46 ± 2.444.53 ± 2.434.77 ± 2.494.48 ± 2.46
08

Study locations

1 site
  • NCI Division of Cancer Control and Population Sciences
    Rockville, Maryland 20850, United States
09

References and documents

Publications

  • Sorgen LJ, Ferrer RA, Klein WMP, Kaufman AR. Smoking self-concept moderates the effects of self-affirmation on smoking-related beliefs and behavioral intentions. Psychol Health. 2022 Aug;37(8):964-984. doi: 10.1080/08870446.2021.1912346. Epub 2021 Apr 19. PubMed 33870815 ↗

Study documents

  • Study protocol · Feb 4, 2019

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03863795
Lead sponsor
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Mar 5, 2019
Start date
Feb 4, 2019
Primary completion
Mar 23, 2019
Completion
Mar 23, 2019
Results posted
Sep 8, 2021
Last update
Sep 8, 2021

Study contacts

Annette Kaufman
principal investigator · NCI Division of Cancer Control and Population Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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