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Not yet recruitingNCT07906249Updated Nov 2, 2026

Comparing the Efficacy of a Conversational Agent (QuitBot) Versus Standard Health Education on Smoking Cessation Among Medical Students in Cairo University

An interventional study of Conversational agent and Standard health education in Conversational Agent and Smoking Cessation, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 19 Years to 24 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Updated Nov 2, 2026Primary outcomes revisedTitle changed+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
19 Years to 24 Years
Sex
All
01

Study summary

Comparing the efficacy of conversational agent and standard health education in promoting smoking cessation among medical students in Cairo university

Read the detailed description

Tobacco smoking remains one of the leading causes of preventable morbidity and mortality worldwide, accounting for more than 8 million deaths annually (world health organization, 2023). Smoking among medical students represents a critical paradox in public health. As future physicians, they are expected to be role models and champions of preventive health, yet global studies indicate a persistent and concerning prevalence of tobacco use within this group, with rates varying from 5% to over 30% in different regions (AlSairafi \& AlKandari, 2023). In Egypt, the situation is particularly pressing; a recent systematic review estimated the pooled prevalence of smoking among medical students to be approximately 18.5%, with some studies reporting rates as high as 28% among males (El-Masry et al., 2023). This high prevalence is often attributed to intense academic stress, social factors, and the normalization of smoking in certain environments (Bassiony et al., 2015). This behavior undermines their personal health and future professional credibility and effectiveness in tobacco cessation counseling Digital health technologies have emerged as effective and scalable tools for behavior change interventions. Mobile applications, web-based programs, and short message service (SMS) based interventions have demonstrated modest but significant effects on smoking cessation outcomes (whittaker et al., 2019). Among these digital approaches, conversational agents, or chatbots, offer unique advantages through real-time, interactive, and personalized communication (abdullah et al., 2023). Chatbots simulate human conversation and can provide continuous motivational and cognitive-behavioral support using natural language processing algorithms. Their 24/7 availability, anonymity, and ability to tailor responses based on user input make them highly suitable for youth and young adults who are digitally literate and familiar with online interaction (prochaska et al., 2021).

So, This study hypothesizes that medical students who smoke and receive the combined intervention of the "QuitBot" conversational agent plus an evidence-based cessation guidelines will demonstrate a statistically significant higher rate of day point prevalence smoking abstinence and prolonged abstinence at 1 and 3months respectively post-intervention, compared to those who receive the evidence-based handbook alone. Since many similar studies have been conducted in high-income countries, there is very limited evidence from low- and middle-income contexts such as Egypt (el-amin et al., 2021). Medical students in Egypt are an ideal population for testing the feasibility of such a digital intervention, given their high rates of smartphone ownership and social media use. So, implementing quitbot among medical students could provide valuable insights into the acceptability, usability, and effectiveness of chatbot-based smoking cessation tools. Furthermore, this approach aligns with the global public health objective of integrating artificial intelligence-driven behavioral interventions into preventive healthcare strategies (world health organization, 2023).

02

Conditions studied

  • Conversational Agent
  • Smoking Cessation

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Keywords

  • Smoking cessation
03

In context

Smoking Cessation

1,581 studies on the registry are indexed under Smoking Cessation; 198 are open to participants now.

This study's planned enrollment of 180 is close to the median of 164 across 1,423 interventional studies indexed under Smoking Cessation.

Browse Smoking Cessation studies →

Lead sponsor

Cairo University is the lead sponsor of 4,941 studies on the registry; 1,458 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

Ages eligible
19 Years to 24 Years
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

  • Enrolled adult medical student at Cairo University with age range (19 - 25) years old. The age range will be from 19 years old to fulfill WHO definition of adulthood.
  • Current smoker (defined as smoking at least one cigarette- cigarette or vaping per day in the past month).
  • Motivated to quit smoking within the next six months.
  • Able to communicate in English sufficiently to use the chatbot.
  • Has access to a smartphone with internet connection.
  • Provides to participate.

Exclusion criteria

Exclusion Criteria:

  • Students currently enrolled in another smoking cessation program or using pharmacological cessation aids.
  • Students with known severe psychiatric illness or cognitive impairment that may interfere with chatbot interaction identified by self-report.
  • Students unable or unwilling to provide consent.
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

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

Study arms

  • Experimental
    conversational agent arm

    Participants are medical students who smoke, and will receive smoking cessation intervention through an AI conversational chatbot.

    Behavioral: Conversational agent

  • Active comparator
    Standard health education

    Standard health education

    Behavioral: Standard health education

Interventions

  • BehavioralConversational agent

    Conversational Agent Behavioral Participants use an AI-powered conversational chatbot for smoking cessation support

  • BehavioralStandard health education

    Standard health education according to USPSTF guidelines

06

What researchers measure

Primary outcomes

  1. Comparing the effectiveness of conversational chatbot in promoting smoking cessation versus traditional cessation education among medical students in Cairo University by comparing numbers of participants succeed to stop smoking among the two groups

    Varying cessation by direct asking after 3 months

    Time frame: 3 months

  2. Comparing change in nicotine dependence level measured by fager storm qutionaaire pre and post intervention

    Measuring nicotine dependence level by fager storm qutionaaire pre and post intervention then comparing change level between the two groups

    Time frame: 3 months

Secondary outcomes

  1. To assess User satisfaction, feasibility and usability score among chatbot user using SUS questionnaire To evaluate the perceived effectiveness of both methods in promoting smoking cessation abd and comparing them .

    Conversational agent arm will fill a questionnaire to determine satisfaction, feasibility and usability Both arm will fill a qutionaaire for perceived effectiveness

    Time frame: 3 months

07

Study locations

1 site
08

References and documents

Publications

  • - References: Abdullah, M., Ong, J., & Toh, M. (2023) 'Conversational Agents In Digital Health Interventions: Effectiveness And Engagement Outcomes', Journal Of Medical Internet Research, 25, E45629. AlSairafi, M., & AlKandari, N. (2023). Prevalence of smoking among medical students worldwide: A systematic review and meta-analysis. Tobacco Prevention & Cessation, 9(Supplement), A100. https://doi.org/10.18332/tpc/162752 Bassiony, M. M., Salah El-Deen, G. M., Yousef, U., Raya, Y., Abdel-Ghani, M. M., El-Gohari, H., & Weiss, M. G. (2015). Smoking and perceived stress in Egyptian medical students. Journal of Addiction Medicine, 9(4), 309-314. https://doi.org/10.1097/ADM.0000000000000135 Bricker, J. B., Mull, K. E., & Peterson, A. V. (2024) 'Conversational Chatbot For Cigarette Smoking Cessation: Methods And Findings From A Randomized Trial', JMIR Mhealth And Uhealth, 12(1), E57318. Brooke, J. (1986) SUS: A "Quick And Dirty" Usability Scale. Hewlett-Packard. El-Amin, S. E., El-Ansary, D., & Nassar, H. (2021) 'Prevalence And Determinants Of Tobacco Use Among University Students In Egypt', BMC Public Health, 21(1), 2142. El-Masry, R., El-Mohandes, A., & Nabil, M. (2023). Prevalence and determinants of smoking among medical students in Egypt: A systematic review and meta-analysis. Journal of the Egyptian Public Health Association, 98(1), 15. https://doi.org/10.1186/s42506-023-00139-3 Fred Hutch. (n.d.-b). https://www.fredhutch.org/en/investors/business-development/available-technologies/technology-details.fh_bds_technology_id_23-151.quitbot-an-innovative-chat-app-to-assist-smoking-cessation.html Heatherton, T.F., Kozlowski, L.T., Frecker, R.C. And Fagerström, K.O. (1991) 'The Fagerström Test For Nicotine Dependence: A Revis

Individual participant data

Plan to share: No

09

Updates

2 registry updates since Sep 25, 2026
Primary outcomes
1 edited, 1 added
What changed in the outcomes
  • EditedComparing the effectiveness of the quitbot conversational chatbot in promoting smoking cessation versus traditional cessation education among medical students in Cairo University by comparing numbers of participants succeed to stop smoking among the two groupsTime frame: 3 months
  • AddedComparing change in nicotine dependence level measured by fager storm qutionaaire pre and post interventionTime frame: 3 months
Nov 2, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • EditedTo determineassess User satisfaction, feasibility and usability score. among chatbot user using SUS questionnaire To evaluate the perceived effectiveness of the chatbotboth methods in promoting smoking cessation among the intervention groupabd and comparing them .Time frame: 3 months
Nov 2, 2026
Title
Comparing the Efficacy of a Conversational Agent (QuitBot) Versus Standard Health Education on Smoking Cessation Among Medical Students; A Randomized Controlled Trial. in Cairo University
Nov 2, 2026
Registered
First appeared on the registry
Oct 30, 2026
Show all 2 updates
  1. Nov 2, 2026
    Primary outcomes 1 edited, 1 added
    What changed in the outcomes
    • EditedComparing the effectiveness of the quitbot conversational chatbot in promoting smoking cessation versus traditional cessation education among medical students in Cairo University by comparing numbers of participants succeed to stop smoking among the two groupsTime frame: 3 months
    • AddedComparing change in nicotine dependence level measured by fager storm qutionaaire pre and post interventionTime frame: 3 months
    Secondary outcomes 1 edited
    What changed in the outcomes
    • EditedTo determineassess User satisfaction, feasibility and usability score. among chatbot user using SUS questionnaire To evaluate the perceived effectiveness of the chatbotboth methods in promoting smoking cessation among the intervention groupabd and comparing them .Time frame: 3 months
    Title Comparing the Efficacy of a Conversational Agent (QuitBot) Versus Standard Health Education on Smoking Cessation Among Medical Students; A Randomized Controlled Trial. in Cairo University
    + 1 other change: responsible party
  2. Oct 30, 2026
    First appeared on the registry

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
NCT07906249
Lead sponsor
Cairo University
Responsible party
Doha Ramadan (Ass lecturer of family medicine , principal investigator, Cairo University) — Principal investigator
First posted
Oct 30, 2026
Start date
Dec 10, 2026 (estimated)
Primary completion
Dec 30, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Nov 2, 2026

Study contacts

Doha Ramadan Mahmoud, Msc degree in family medicine
Contact
doharamadan5782@gmail.com
01019164696 ext. 01019164696

Oversight

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

Not currently enrolling

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