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2016 NAPCRG Annual Meeting

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SRF109 Randomized Control Trial of the SmartQuit Smartphone App Plus Nicotine Replacement Therapy (NRT) Versus NRT Alone for Tobacco Cessation

Cory Mathias; Douglas Mark Maurer, DO, MPH, FAAFP; Maribeth Duffy MD; Amber Lane

11/13/16 10:15 AM - 11:15 AM Broadmoor A

Context: 5.6 million adults die prematurely from smoking, and although 68% of smokers want to quit completely, only 43% quit for more than one day. Less than 6% of smokers successfully quit annually and less than 2% use quit-lines for behavioral health. Tobacco cessation is relevant to the military as 49% of soldiers used nicotine in the last 12 months. Mobile technologies including smartphone applications are an expanding field for the treatment of tobacco use disorders with incorporation of acceptance and commitment therapy (ACT). The literature supports a combination of behavioral therapy and nicotine replacement therapy. Objective: Evaluate tobacco cessation quit rates and harm reduction in patients using nicotine replacement therapy with and without the SmartQuit app. Design: Randomized controlled trial (goal N=200). Setting: Family Medicine residency, Joint Base Lewis-McChord (JBML), WA. Patients: Non-pregnant Soldiers and eligible military dependents, age %gt; 18 with tobacco use disorder who owns an Android or iOS device. Intervention: Patients receive the SmartQuit smartphone app which incorporates ACT with real time coaching and self-paced exercises and modules to decrease urges and cravings in order to improve quit rates. 12 month intervention with baseline evaluation, up to 6 months of app use with real-time coaching; assessment of quit rates at 3, 6, and 12 months. Main and Secondary Outcome Measures: Self-reported quit rates, self-reported # of cigarettes smoked daily, stress levels via the Perceived Stress Scale, App usage data, module completion rates, frequency and duration of app use for 6 months, patient satisfaction via Life Satisfaction (LiSAT-9), comments and suggestions regarding SmartQuit, subject’s weight, self-reported alcohol use (AUDIT). Results: Study is IRB approved and currently recruiting subjects across JBLM. Conclusions: No results are available at this time; anticipate initial analysis in 6 months with final results available in 12-15 months.