ClinicalTrials.gg
CompletedNCT04225403Updated Jan 14, 2020

Telephone-based Motivational Interviewing for Smoking Cessation in Crohn's Disease Patients

An interventional study of Telephone-based motivational interviewing for smoking cessation in Crohn Disease, sponsored by Hospital Universitari Vall d'Hebron Research Institute. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-14.

Sponsored by Hospital Universitari Vall d'Hebron Research Institute · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 4 years 1 month after the study started (first participant enrolled Nov 2015, registered Dec 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Quitting smoking unequivocally improves the course of Crohn's disease (EC), and therefore, it should be one of the main therapeutic targets in the treatment of this disease. The goal of the study was to know the effectiveness of motivational intervention 5 R for smoking cessation in patients with Crohn's disease performed by telephone by nursing, in relation to those who did not receive such intervention.

For this purpose, a controlled, randomized, parallel and open clinical trial was designed. The subjects were patients with Crohn's disease that were actively smoking EC. They were all >18 years old and they had internet access and e-mail. Those who were already in a process of smoking cessation were excluded from the study. Experimental intervention consisted of a motivational intervention for smoking cessation through telephone every 3 months for one year.

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Conditions studied

  • Crohn Disease

Keywords

  • Inflammatory Bowel Disease
  • Smoking cessation
  • Tobacco
  • Smoking
  • Advanced practice nurse
  • Motivational intervention
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In context

Crohn Disease

1,923 studies on the registry are indexed under Crohn Disease; 467 are open to participants now.

This study's enrollment of 144 is above the median of 66 across 1,212 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Hospital Universitari Vall d'Hebron Research Institute is the lead sponsor of 275 studies on the registry; 63 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Smokers Crohn's disease patients
  • >18 age

Exclusion criteria

Exclusion Criteria:

  • Smokers Crohn's disease patients who are receiving treatment of tobacco cessation at the time of inclusion
  • Do not have email
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
144 participants (actual)

Study arms

  • Experimental
    Telephone-based motivational interviewing

    Experimental intervention consisted of a motivational intervention for smoking cessation through telephone every 3 months for one year, performed by IBD nurse

    Behavioral: Telephone-based motivational interviewing for smoking cessation

  • No intervention
    usual care

    No intervention consisted of a single telephone contact one year after the star of the study

Interventions

  • BehavioralTelephone-based motivational interviewing for smoking cessation

    The motivational brief intervention is known by the acronym 5 R and lasts about 5-10 minutes. It is an approach based on the principles of motivational interviewing and develops the intervention in five short steps: * Relevance. Help patients identify why personal reasons may be relevant to quitting smoking. * Risks. Help identify what negative consequences tobacco use has. * Rewards. Help identify potential benefits of quitting smoking. * Resistors. Help patients identify barriers to smoking cessation, which can often include fear of withdrawal symptoms, failure, wainweight, face social situations, etc. * Repeat. Repeat the intervention at 3 months if you do not advance at the stage of change.

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What researchers measure

Primary outcomes

  1. Change from motivation to quit smoking after at one year in the control group and in the experimental group

    Test de Richmond: to measure the motivation to quit smoking. It consists of 4 questions, scores from 0 to 10, highest score, highest motivation. It provides three categories, low motivation \<4 points, medium motivation 5-6 and high motivation ≥7

    Time frame: We measure it at baseline and through study completion, 1 year after

  2. Change from stages of changes to quit smoking after at one year in the control group and in the experimental group

    Stages of changes form Prochaska / DiClemente. Transtheoretical model of change consists of 4 mutually exclusive questions and has a legend where it classifies patients according to the state of the wheel of change in which they are: pre-contemplation, preparation, action, maintenance, consolidation and relapse.

    Time frame: We measure it at baseline and through study completion, 1 year after

Secondary outcomes

  1. Number of patients with Crohn's disease who quit smoking at the end of the study in the control group and in the experimental group.

    Cosnes classification: current smokers \>7 cigarettes per week for at least 6 months, former smokers who had stopped smoking at least 6 months before.

    Time frame: We measure it at baseline and through study completion, 1 year after

Other outcomes

  1. The rate of patients who had received the 5 A intervention referred to the smoking cessation unit.

    Control visits in Hospital smoking cessation Unit

    Time frame: We measure it at baseline and through study completion, 1 year after

  2. The rate of patients who had received the 5 R intervention referred to the smoking cessation unit.

    Control visits in Hospital smoking cessation Unit

    Time frame: We measure it at baseline and through study completion, 1 year after

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Cosnes J, Beaugerie L, Carbonnel F, Gendre JP. Smoking cessation and the course of Crohn's disease: an intervention study. Gastroenterology. 2001 Apr;120(5):1093-9. doi: 10.1053/gast.2001.23231. PubMed 11266373 ↗
  • Kaplan GG. Smoking Cessation for Crohn's Disease: Clearing the Haze. Am J Gastroenterol. 2016 Mar;111(3):420-2. doi: 10.1038/ajg.2016.45. PubMed 27018116 ↗
  • Kemp K, Dibley L, Chauhan U, Greveson K, Jaghult S, Ashton K, Buckton S, Duncan J, Hartmann P, Ipenburg N, Moortgat L, Theeuwen R, Verwey M, Younge L, Sturm A, Bager P. Second N-ECCO Consensus Statements on the European Nursing Roles in Caring for Patients with Crohn's Disease or Ulcerative Colitis. J Crohns Colitis. 2018 Jun 28;12(7):760-776. doi: 10.1093/ecco-jcc/jjy020. No abstract available. PubMed 29509882 ↗
  • Underner M, Perriot J, Cosnes J, Beau P, Peiffer G, Meurice JC. [Smoking, smoking cessation and Crohn's disease]. Presse Med. 2016 Apr;45(4 Pt 1):390-402. doi: 10.1016/j.lpm.2016.02.008. Epub 2016 Mar 23. French. PubMed 27016849 ↗
  • Cosnes J. Smoking and Diet: Impact on Disease Course? Dig Dis. 2016;34(1-2):72-7. doi: 10.1159/000442930. Epub 2016 Mar 16. PubMed 26981632 ↗
  • To N, Gracie DJ, Ford AC. The Importance of Smoking Cessation in Improving Disease Course in Crohn's Disease. Am J Gastroenterol. 2016 Aug;111(8):1198. doi: 10.1038/ajg.2016.165. No abstract available. PubMed 27481416 ↗
  • Navarro Correal E, Casellas Jorda F, Borruel Sainz N, Robles Alonso V, Herrera de Guise C, Ibarz Casas A, Sanchez Garcia JM, Vila Morte G, Fuentelsaz Gallego C. Effectiveness of a Telephone-Based Motivational Intervention for Smoking Cessation in Patients With Crohn Disease: A Randomized, Open-Label, Controlled Clinical Trial. Gastroenterol Nurs. 2021 Nov-Dec 01;44(6):418-425. doi: 10.1097/SGA.0000000000000572. PubMed 34269705 ↗

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2015 to primary completion in May 2017, 18 months.

Of 280 non-industry interventional studies with no phase under Crohn Disease, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 67. This study's 18 months is below that.

Counting every sponsor, half of 289 studies reached it within 45 months; a quarter within 22 and three quarters within 61.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 23, 2019
First posted
Jan 13, 2020
StartActual
Nov 6, 2015
Primary completionActual
May 8, 2017
CompletionActual
May 8, 2017
Last update
Jan 14, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 14, 2020, 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
NCT04225403
Collaborators
GETTEII ( Grupo Enfermero de Trabajo en Enfermedad Inflamatoria Intestinal, Department of Health, Generalitat de Catalunya
Responsible party
Sponsor
First posted
Jan 13, 2020
Start date
Nov 6, 2015
Primary completion
May 8, 2017
Completion
May 8, 2017
Last update
Jan 14, 2020

Study contacts

Ester Navarro Correal, MsC
principal investigator · Hospital Universitari Vall d'Hebron Research Institute

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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