ClinicalTrials.gg
CompletedNCT05797155Support2QuitUpdated Nov 24, 2025Results posted

A Mobile App Based Cognitive Dissonance Intervention for Smoking Cessation

An interventional study of Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips and Tips for Smoking Cessation App in Tobacco Use, sponsored by Oregon Research Behavioral Intervention Strategies, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-24.

Sponsored by Oregon Research Behavioral Intervention Strategies, Inc. (part of Influents Innovations) · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
437
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 311 studies in Tobacco Use with a site in United States — 52 open to participants now, 63 under way, 1 of them phase 3. Tobacco Use · United States.

Enrollment
67th of 286
437 · median 120
Started
2023
with 20 others
No phase
231 of 311
38 open now
Registered
242nd of 311
by date

Among the 311 studies in Tobacco Use with a site in United States, this one is the 67th largest by enrollment of the 286 interventional ones that give a count, is one of 21 that started in 2023, is one of 231 with no phase, and was the 242nd registered.

Tobacco Use

421 studies on the registry are indexed under Tobacco Use; 83 are open to participants now.

Browse Tobacco Use studies →

Open to participants now

52 of the 311 studies in Tobacco Use with a site in United States are open now. Recruiting first, the newest first:

47 more — sign in →

All 52 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 50 Tobacco Use studies recruiting now, 28 (56%) set no upper age limit and 18 (36%) stop at 75 or younger; 2 take children under 18; 27 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

This research study aims to develop a cognitive dissonance-based mobile app for smoking cessation (Support2Quit) and test the efficacy of the app with 500 adult smokers who express a desire to quit smoking.

Read the detailed description

This research project will evaluate the Support2Quit mobile app for smoking cessation by having 500 daily adult smokers recruited through social media and randomized to either the Support2Quit app or an app that has similar content but no tasks for inducing cognitive dissonance among participants. Outcomes will be measured at 1- and 3-months post-baseline and will include quit attempts, number of days without smoking (smoke free days), and changes in smoking attitudes and behavior, and smoking abstinence. Usability data, system log data on program use, and participant satisfaction data will also be analyzed.

The researchers hypothesize that individuals using the cognitive dissonance intervention (CDI) will show greater increases in quit attempts, smoke free days, quit rates, and positive smoking attitudes and behaviors than individuals in the active comparison condition. The researchers will test whether gender, smoking dependence, readiness to quit, previous quit attempts, age of smoking initiation, and socio-economic status moderate intervention effects on smoking outcomes.

03

Conditions studied

  • Tobacco Use

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04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Age 18 or older
  • Self-reported daily smoking
  • Having a valid home mailing address in the United States
  • English-speaking
  • Access to a smart phone with video capability for the duration of the project
  • Expressed desire to quit smoking

Exclusion criteria

Exclusion criteria:

  • Currently participating in a tobacco cessation program
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
437 participants (actual)

Study arms

  • Experimental
    Support2Quit App - Cognitive Dissonance Based Smoking Cessation

    This group will receive daily smoking cessation tips and will be asked to complete activities within the app that are designed to induce cognitive dissonance, create and share videos related to the activities with an online group, and provide support to other group members

    Behavioral: Support2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips

  • Active comparator
    Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities

    This group will use an app that consists of tips for quitting cigarettes but does not include the cognitive dissonance component.

    Behavioral: Tips for Smoking Cessation App

Interventions

  • BehavioralSupport2Quit App - Cognitive Dissonance Based Smoking Cessation + Smoking Cessation Tips

    Support2Quit App (Cognitive Dissonance Based Smoking Cessation) Use of the Support2Quit app, completion of cognitive dissonance activities, sharing of videos with online group, and providing support to other group members

  • BehavioralTips for Smoking Cessation App

    App containing daily tips for smoking cessation

06

What researchers measure

Primary outcomes

  1. Number of Participants With Cigarette Abstinence

    Based on 1-item that asked "In the past 7 days, have you smoked any cigarettes?". The variable is coded 1 if they the participants indicated they did not smoke any cigarettes otherwise coded 0. A value of 1 = abstinence and 0 = not abstinent.

    Time frame: 1-month and 3-month follow-up

  2. Fagerstrom Tobacco Dependence Scale

    This is a 6 item measure of tobacco dependence and response options are a mix of ordered categorical and dichotomous items. Item 1 "How many cigarettes per day to you smoke?" (0 = less than 10 cigarettes a day, 3 = 31 or more cigarettes a day). Item 2 "How soon after you wake do you smoke your first cigarette (0 = after 60 minutes, 3 = within 5 minutes). Item 3 "Is it hard to keep from smoking in places where it is prohibited (1 = yes, 0 = no). Item 4 "Which cigarette would you hate to give up most (1 = the first in the morning, 0 = any other). Item 5 "Do you smoke more cigarettes during the first 2 hours of the day compared to the rest of the day (1 = yes, 0 = no). Item 6 "Do you smoke when you are so ill you are in bed?" (1 = yes, 0 = no). A total sum score is computed and can range from 0 to 10 points with higher scores indicating higher levels of tobacco dependence.

    Time frame: Baseline, 1-month follow-up, 3-month follow-up

  3. Number of Participants With Reduction in Number of Cigarettes Smoked Per Day

    Represents whether or not (1 = yes, 0 = no) a reduction of cigarettes smoked per day is reported from the baseline assessment. A higher score indicates a reduction in cigarettes smoked.

    Time frame: 1-month and 3-month follow-up

  4. Number of Participants With Reduction in the Number of Cigarettes Smoked Per Day and Reduced to 0-5 Cigarettes

    Represents whether or not (1 = yes, 0 = no) a reduction of cigarettes smoked per day is reported from the baseline assessment and is the number of daily cigarettes in 0-5 per day. A higher score indicates a reduction in cigarettes smoked per day and the number smoked is 5 or less.

    Time frame: 1-month and 3-month follow-up

07

Results

Posted Nov 24, 2025

Participant flow

Participant flow — Overall Study
MilestoneSupport2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support without Cognitive Dissonance Activities
Started292145
Completed259133
Not completed3312
Withdrew: Lost to follow-up3312

Outcome measures

PrimaryNumber of Participants With Cigarette Abstinence

Based on 1-item that asked "In the past 7 days, have you smoked any cigarettes?". The variable is coded 1 if they the participants indicated they did not smoke any cigarettes otherwise coded 0. A value of 1 = abstinence and 0 = not abstinent.

Time frame:
1-month and 3-month follow-up
Reported as:
Count of participants · Participants
Number of Participants With Cigarette Abstinence
ParticipantsSupport2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support without Cognitive Dissonance Activities
1-Month Follow-Up10238
3-Month Follow-Up11254
Statistical analysis
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · Regression, Logistic · p = .036 · Odds ratio (or): 1.66 · 95% CI 1.04 to 2.67The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the odds ratio).
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · Regression, Logistic · p = .632 · Odds ratio (or): 1.11 · 95% CI 0.72 to 1.72The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the odds ratio).
PrimaryFagerstrom Tobacco Dependence Scale

This is a 6 item measure of tobacco dependence and response options are a mix of ordered categorical and dichotomous items. Item 1 "How many cigarettes per day to you smoke?" (0 = less than 10 cigarettes a day, 3 = 31 or more cigarettes a day). Item 2 "How soon after you wake do you smoke your first cigarette (0 = after 60 minutes, 3 = within 5 minutes). Item 3 "Is it hard to keep from smoking in places where it is prohibited (1 = yes, 0 = no). Item 4 "Which cigarette would you hate to give up most (1 = the first in the morning, 0 = any other). Item 5 "Do you smoke more cigarettes during the first 2 hours of the day compared to the rest of the day (1 = yes, 0 = no). Item 6 "Do you smoke when you are so ill you are in bed?" (1 = yes, 0 = no). A total sum score is computed and can range from 0 to 10 points with higher scores indicating higher levels of tobacco dependence.

Time frame:
Baseline, 1-month follow-up, 3-month follow-up
Reported as:
Mean · units on a scale
Fagerstrom Tobacco Dependence Scale
units on a scaleSupport2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support without Cognitive Dissonance Activities
Baseline5.7 ± 2.05.4 ± 1.9
1-Month Follow-Up4.1 ± 2.44.4 ± 2.2
3-Month Follow-Up4.0 ± 2.14.2 ± 2.4
Statistical analysis
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · t-test, 2 sided · p = .437 · Mean difference (final values): -0.06The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the condition by time interaction).
PrimaryNumber of Participants With Reduction in Number of Cigarettes Smoked Per Day

Represents whether or not (1 = yes, 0 = no) a reduction of cigarettes smoked per day is reported from the baseline assessment. A higher score indicates a reduction in cigarettes smoked.

Time frame:
1-month and 3-month follow-up
Reported as:
Count of participants · Participants
Number of Participants With Reduction in Number of Cigarettes Smoked Per Day
ParticipantsSupport2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support without Cognitive Dissonance Activities
1-Month Follow-Up19191
3-Month Follow-Up218110
Statistical analysis
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · Regression, Logistic · p = .088 · Odds ratio (or): 1.51 · 95% CI 0.94 to 2.42The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the odds ratio).
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · Regression, Logistic · p = .646 · Odds ratio (or): 1.15 · 95% CI 0.64 to 2.07The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the odds ratio).
PrimaryNumber of Participants With Reduction in the Number of Cigarettes Smoked Per Day and Reduced to 0-5 Cigarettes

Represents whether or not (1 = yes, 0 = no) a reduction of cigarettes smoked per day is reported from the baseline assessment and is the number of daily cigarettes in 0-5 per day. A higher score indicates a reduction in cigarettes smoked per day and the number smoked is 5 or less.

Time frame:
1-month and 3-month follow-up
Reported as:
Count of participants · Participants
Number of Participants With Reduction in the Number of Cigarettes Smoked Per Day and Reduced to 0-5 Cigarettes
ParticipantsSupport2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support without Cognitive Dissonance Activities
1-Month Follow-Up14456
3-Month Follow-Up16574
Statistical analysis
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · Regression, Logistic · p = .010 · Odds ratio (or): 1.77 · 95% CI 1.15 to 2.72The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the odds ratio).
  • Support2Quit App - Cognitive Dissonance Based Smoking Cessation vs Comparison App - Smoking Cessation Support without Cognitive Dissonance Activities · Regression, Logistic · p = .158 · Odds ratio (or): 1.36 · 95% CI 0.89 to 2.11The Support2Quit group was scored 1 and the Comparison group was scored 0 (reference group for the odds ratio).

Adverse events

Collected over Data was collected from the baseline assessment to the 3 month post-baseline follow up assessment.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Support2Quit App - Cognitive Dissonance Based Smoking Cessation0/292 (0%)0/292 (0%)0/292 (0%)
Comparison App - Smoking Cessation App without Cognitive Dissonance Activities0/145 (0%)0/145 (0%)0/145 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
Mean49.21 ± 12.0048.84 ± 11.5049.08 ± 11.82
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
Female215104319
Male7638114
Transgender112
Non-binary022
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
Hispanic or Latino171229
Not Hispanic or Latino275133408
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
American Indian or Alaska Native639
Asian516
Native Hawaiian or Other Pacific Islander101
Black or African American321345
White224119343
More than one race000
Unknown or Not Reported24933
Region of Enrollment
Region of Enrollment(participants)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
United States292145437
Highest level of education
Highest level of education(Participants)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
Did not graduate high school12113
High school graduate632386
Some college, no degree9144135
Technical school or associate degree523688
Bachelor's degree523486
Master's degree17623
Doctorate415
Declined to answer101
Annual household income
Annual household income(Participants)Support2Quit App - Cognitive Dissonance Based Smoking CessationComparison App - Smoking Cessation Support Without Cognitive Dissonance ActivitiesTotal
Under $10,00020828
$10,000 - $19,999351550
$20,000 - $29,999402363
$30,000 - $39,999191231
$40,000 - $49,999251035
$50,000 - $59,999301444
$60,000 - $69,99981220
$70,000 - $79,999191029
$80,000 - $89,99915621
Over $90,000281644
Decline to answer531972
08

Study locations

1 site
  • Oregon Research Behavioral Intervention Strategies, Inc.
    Springfield, Oregon 97477-2019, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

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 Dec 2023 to primary completion in Mar 2025, 15 months.

Results were first posted in Nov 2025, 8 months after primary completion.

Of 56 industry-sponsored interventional studies with no phase under Tobacco Use, half reached primary completion within 2 months of starting (the median), counting those still running; a quarter within 1 and three quarters within 5. This study's 15 months is above that.

Counting every sponsor, half of 223 studies reached it within 16 months; a quarter within 5 and three quarters within 33.

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

Registered
Mar 9, 2023
First posted
Apr 4, 2023
StartActual
Dec 1, 2023
Primary completionActual
Mar 15, 2025
CompletionActual
Mar 15, 2025
Results first posted
Nov 24, 2025
Last update
Nov 24, 2025
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 Nov 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05797155
Responsible party
Sponsor
First posted
Apr 4, 2023
Start date
Dec 1, 2023
Primary completion
Mar 15, 2025
Completion
Mar 15, 2025
Results posted
Nov 24, 2025
Last update
Nov 24, 2025

Study contacts

Dana Smith, PhD
principal investigator · Oregon Research Behavioral Intervention Strategies, Inc.

Oversight

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

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