ClinicalTrials.gg
Enrolling by invitationNCT07067151Updated Nov 10, 2026

Using Smartwatches to Monitor Smoking in Real-life Situations

An observational study in Smoking, sponsored by National Institute on Minority Health and Health Disparities (NIMHD). Enrolling by invitation at 1 site in United States. Open to participants aged 21 Years to 120 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by National Institute on Minority Health and Health Disparities (NIMHD) · Observational

Updated Nov 10, 2026Start date movedGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
30
Ages
21 Years to 120 Years
Sex
All
01

Study summary

Background: It is important to quickly identify when people are at risk of smoking. Most current methods rely on people reporting when they smoke or what makes them want to smoke. But this can be hard for people to do and may not always be accurate. Other methods use special gadgets to identify smoking movements, but these may not always work well in real life. We want to see if we can use devices available on the market such as smartwatches to identify signs in the body and hand movements that might indicate when someone is about to smoke, is currently smoking, or has just smoked.

Objective: To record body signs and hand movements before, during, and after smoking in real-life and in a lab to see how they change when someone is craving cigarettes, while a person is smoking, and after a person has smoked.

Eligibility: People who are 21 years or older and smoke, have no college degree or be currently enrolled in college, and are low-income earners. To participate in the study, participants have to pass a breath test that shows they smoke cigarettes and, for women, a urine test to show that they are not currently pregnant.

Design: Participants will complete an eligibility survey to see if they qualify to be in the study. If they qualify, they will answer a brief baseline survey that includes questions about themselves, their health, and their smoking behavior.

Participants will get a smartwatch to wear for 3 days at home, log each time they are about to smoke and have finished smoking, and answer a 5-question health survey via the app. They will get instructions on how to set up and wear the smartwatch. They will download a mobile application on their phone. The app will collect data from the smartwatch.

Participants will then come to the lab but will be asked not to smoke or drink alcohol for at least 12 hours. They will have to take a breath test to show they have not smoked or had alcohol. They will also give a blood sample. In the lab, they will sit in a room where they will be hooked to devices that monitor their vitals such as heart rate and blood pressure for one hour. They will also wear a smartwatch on each hand. While they are in the smoking room, they will go through 3 different phases: (a) pre-smoking where they will be asked to stay seated for about 25 minutes, (b) smoking where they will be asked to smoke as many cigarettes of their choice as they want for about 10 to 15 minutes, (c) post-smoking where they will be asked to stay seated, not smoking, for about 25 minutes. They will answer a brief 10-minute health survey before and after the session.

Participation will last for 3 days of home monitoring and 2 visits to the research clinic that last about 2 hours.

Read the detailed description

Background:

The study is part of a systematic effort to develop and evaluate a smoking cessation intervention, Quit Journey, a smoking cessation intervention targeting individuals with low socioeconomic status. Specifically, the study will inform the development of just-in-time momentary support to preempt a lapse or prevent it from progressing to a relapse to users of Quit Journey. Additionally, the study fills a gap in wearable-based studies for smoking detection that have thus far relied exclusively on socially and economically advantaged populations by increasing the representation of underserved populations and more accurately developing algorithms for smoking detection that include input from minority populations and pave the way for its replication with a larger sample in real-world settings. Finally, the data collected from this laboratory-based study will serve as baseline parameters for detecting smoking events in free-living conditions. In a planned real-world study, we aim to finetune our smoking-detection algorithms with data collected in natural environments, potentially improving their robustness and generalizability. Insights from this study have real-world applications of smoking-detection algorithms in wearables and mobile applications, ultimately advancing technology-assisted smoking cessation and contributing to reduced smoking rates.

Objectives:

  • The objective of this study is to identify wearables-based digital biomarkers that are associated with nicotine deprivation (i.e., pre-smoking) and satiation (i.e., post-smoking) and with smoking episodes (i.e., during smoking). Identifying signature digital biomarkers of smoking can help us to unobtrusively detect with great probability the proclivity to smoke or smoking behavior, which can inform the delivery of momentary support to preempt lapsing or progressing toward a relapse among people attempting to quit smoking.
  • We hypothesize that, relative to pre-smoking, (a) blood oxygen saturation will be lower, (b) heart rate will be higher, (c) heart rate variability will be higher, and (d) respiratory rate will be lower during a smoking episode and post-smoking.

Endpoints:

  • Primary endpoint: Changes in wearables-measured biomarker measures including heart rate, heart rate variability, respiratory rate, and blood oxygenation, in addition to hand/arm movement, across three smoking stages.
  • Secondary endpoint: Not applicable.
02

Conditions studied

  • Smoking

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Keywords

  • Nicotine
  • Smoking
  • Smart watches
  • Pre-smoking
  • Cessation support
  • Thermal-sensor wearables
  • Home-based assessment
  • Cigarettes
  • Observational
03

In context

Smoking

1,509 studies on the registry are indexed under Smoking; 193 are open to participants now.

This study's planned enrollment of 30 is below the median of 150 across 301 observational studies indexed under Smoking.

Browse Smoking studies →

Lead sponsor

National Institute on Minority Health and Health Disparities (NIMHD) is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
21 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study population will comprise individuals aged 21 years or older who currently smoke cigarettes. Participants must have completed a high school education or possess a lower level of academic achievement, and they should be classified as low-income earners. To be eligible for participation in the study, individuals will need to successfully pass a breath test that confirms their smoking status. Furthermore, female participants will be required to undergo a urine test to verify that they are not currently pregnant, ensuring the study's safety and ethical standards. This rigorous participant selection process is designed to ensure a focused and relevant study group that aligns with the research objectives.

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

We will recruit up to 30 non-treatment seeking participants with low socioeconomic status who smoke. We will strive to have representation across racial and ethnic groups and biological sex. At least half of the participants must earn at or below 200% of the federal poverty guideline for 2024 corresponding to number of people in their household (US Department of Health and Human Services).

To be included in the study, participants must:

  • be 21 years or older in compliance with Tobacco 21 laws
  • have no college degree or be currently enrolled in college
  • have smoked 100 cigarettes in their lifetime and 5+ cigarettes per day in the past year to establish daily smoking status
  • willing to abstain from smoking for >=12 hours prior to the lab visit verifiable by a CO reading that is below 10 ppm and retrospectively by minimal nicotine in blood sample
  • willing to abstain from using any nicotine products or devices for >=12 hours prior to the lab visit
  • willing to abstain from alcohol use for >=12 hours prior to the lab session verifiable by breath alcohol concentration (BrAC = 0.000)
  • willing to adhere to all study procedures including agreeing to a blood draw and bringing >=1cigarette for use during the study visit
  • have a smartphone compatible with wearable device requirements for Bluetooth and operating system (iphone iOS 14 and higher, Android 9.0 and higher) and willing to download the study apps onto their phone
  • speak English
  • and willing and able to provide .

Exclusion criteria

EXCLUSION CRITERIA:

Participants will be excluded if they:

  • are not abstinent before the lab session through biochemical verification after two attempts
  • have sought treatment for tobacco/nicotine use in the past 2 months (e.g., on pharmacotherapy for smoking cessation, enrolled in smoking cessation support programs or interventions)
  • have past 3-month pulmonary or cardiovascular event, or those who have been hospitalized or visited the emergency room for seizure, stroke, or new heart problems,
  • are pregnant or breastfeeding
  • and are unable or unwilling to provide .

Vulnerable populations will not be enrolled in the study (i.e., adults unable to consent, individuals who are not yet adults, pregnant women, prisoners).

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
30 participants (estimated)

Groups and cohorts

  • Smokers

    Individuals aged 21 and older who smoke, have not gone beyond a high school education, and earn low incomes.

06

What researchers measure

Primary outcomes

  1. The primary endpoint is to evaluate changes in biomarker measurements obtained from wearables, which include heart rate, heart rate variability, respiratory rate, blood oxygen levels & hand/arm movement, across three smoking stages.

    As the research progresses, the team will work diligently to gather a robust dataset from various sources, including wearable devices, lab sessions, medical-grade information, and detailed questionnaires. This comprehensive approach will enable the identification of specific biomarkers and hand-mouth gestures related to the different stages of tobacco use: pre-smoking, active smoking, and post-smoking. By analyzing these diverse data sources, the team aims to gain valuable insights into the physiological and behavioral patterns associated with each stage. This knowledge will not only enrich our understanding of tobacco use but also pave the way for developing targeted interventions and tailored support systems for individuals seeking to quit smoking. Through collaboration and innovative analysis, this research endeavors to create more effective strategies for smoking cessation, ultimately fostering healthier lifestyles.

    Time frame: 7 days

07

Study locations

1 site
08

References and documents

Publications

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  • Businelle MS, Kendzor DE, Reitzel LR, Costello TJ, Cofta-Woerpel L, Li Y, Mazas CA, Vidrine JI, Cinciripini PM, Greisinger AJ, Wetter DW. Mechanisms linking socioeconomic status to smoking cessation: a structural equation modeling approach. Health Psychol. 2010 May;29(3):262-73. doi: 10.1037/a0019285. PubMed 20496980 ↗
  • Bryant J, Bonevski B, Paul C, McElduff P, Attia J. A systematic review and meta-analysis of the effectiveness of behavioural smoking cessation interventions in selected disadvantaged groups. Addiction. 2011 Sep;106(9):1568-85. doi: 10.1111/j.1360-0443.2011.03467.x. Epub 2011 Jul 22. PubMed 21489007 ↗
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  • Boland VC, Mattick RP, McRobbie H, Siahpush M, Courtney RJ. "I'm not strong enough; I'm not good enough. I can't do this, I'm failing"- A qualitative study of low-socioeconomic status smokers' experiences with accesssing cessation support and the role for alternative technology-based support. Int J Equity Health. 2017 Nov 13;16(1):196. doi: 10.1186/s12939-017-0689-5. PubMed 29132364 ↗
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Individual participant data

Plan to share: No

09

Updates

32 registry updates since Sep 25, 2026
Start date
Sep 29, 2026→Nov 15, 2026
moved 32 times, Sep 25, 2026 – Nov 10, 2026
Show all 32 updates
  1. Nov 10, 2026
    Start date Nov 12, 2026→Nov 15, 2026
  2. Nov 9, 2026
    Start date Nov 11, 2026→Nov 12, 2026
  3. Nov 6, 2026
    Start date Nov 10, 2026→Nov 11, 2026
  4. Nov 5, 2026
    Start date Nov 9, 2026→Nov 10, 2026
  5. Nov 4, 2026
    Start date Nov 8, 2026→Nov 9, 2026
  6. Nov 3, 2026
    Start date Nov 5, 2026→Nov 8, 2026
  7. Nov 2, 2026
    Start date Nov 4, 2026→Nov 5, 2026
  8. Oct 30, 2026
    Start date Nov 3, 2026→Nov 4, 2026
  9. Oct 29, 2026
    Start date Nov 2, 2026→Nov 3, 2026
  10. Oct 28, 2026
    Start date Nov 1, 2026→Nov 2, 2026
  11. Oct 27, 2026
    Start date Oct 29, 2026→Nov 1, 2026
  12. Oct 26, 2026
    Start date Oct 28, 2026→Oct 29, 2026
  13. Oct 23, 2026
    Start date Oct 27, 2026→Oct 28, 2026
  14. Oct 22, 2026
    Start date Oct 26, 2026→Oct 27, 2026
  15. Oct 21, 2026
    Start date Oct 25, 2026→Oct 26, 2026
  16. Oct 20, 2026
    Start date Oct 22, 2026→Oct 25, 2026
  17. Oct 19, 2026
    Start date Oct 21, 2026→Oct 22, 2026
  18. Oct 16, 2026
    Start date Oct 20, 2026→Oct 21, 2026
  19. Oct 15, 2026
    Start date Oct 19, 2026→Oct 20, 2026
  20. Oct 14, 2026
    Start date Oct 18, 2026→Oct 19, 2026
  21. Oct 13, 2026
    Start date Oct 14, 2026→Oct 18, 2026
  22. Oct 9, 2026
    Start date Oct 13, 2026→Oct 14, 2026
  23. Oct 8, 2026
    Start date Oct 12, 2026→Oct 13, 2026
  24. Oct 7, 2026
    Start date Oct 11, 2026→Oct 12, 2026
  25. Oct 6, 2026
    Start date Oct 8, 2026→Oct 11, 2026
  26. Oct 5, 2026
    Start date Oct 7, 2026→Oct 8, 2026
  27. Oct 2, 2026
    Start date Oct 6, 2026→Oct 7, 2026
  28. Oct 1, 2026
    Start date Oct 5, 2026→Oct 6, 2026
  29. Sep 30, 2026
    Start date Oct 4, 2026→Oct 5, 2026
  30. Sep 29, 2026
    Start date Oct 1, 2026→Oct 4, 2026
  31. Sep 28, 2026
    Start date Sep 30, 2026→Oct 1, 2026
  32. Sep 25, 2026
    Start date Sep 29, 2026→Sep 30, 2026

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07067151
Responsible party
Sponsor
First posted
Jul 16, 2025
Start date
Nov 15, 2026 (estimated)
Primary completion
Apr 30, 2027 (estimated)
Completion
Mar 20, 2028 (estimated)
Last update
Nov 10, 2026

Study contacts

Sherine M El-Toukhy, Ph.D.
principal investigator · National Institute on Minority Health and Health Disparities (NIMHD)

Oversight

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

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