Testing the feasibility of nicotine-assisted reduction to stop in pharmacies

ISRCTN ISRCTN54805841
DOI https://doi.org/10.1186/ISRCTN54805841
Secondary identifying numbers G0802135
Submission date
15/02/2010
Registration date
18/03/2010
Last edited
20/02/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Taina Taskila
Scientific

The University of Birmingham
Edgbaston
Birmingham
B15 2TT
United Kingdom

Study information

Study designMulticentre randomised 2x2 factorial design controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised parallel trial
Study setting(s)Other
Study typePrevention
Participant information sheet Not available in web format, please use contact details to request a patient information sheet
Scientific titleTesting the feasibility of nicotine-assisted reduction to stop in pharmacies: a 2x2 factorial trial
Study acronymRedPharm
Study objectivesThis pilot study aims to examine the feasibility of nicotine-assisted reduction to stop (NARS) in pharmacies and also to see if behavioural support and the length of the trial affects the success rate for cessation. The trial will test how well pharmacists can be trained to implement NARS and how this is received by smokers and by pharmacists.

Primary aims:
To test the processes, examine implementation issues, and reactions to the programme of those involved

Secondary aims:
1. Investigate whether behavioural support is more effective than no support
2. Investigate whether shorter reduction programmes are more effective
Ethics approval(s)Ethics approval pending from South Birmingham REC on 16/03/2010
Health condition(s) or problem(s) studiedPublic Health
InterventionThis trial has a 2x2 factorial design. The pharmacists will recruit 16 patients per pharmacy; 160 smokers altogether. Participants will be randomised in sealed envelopes to receive:
1. Behavioural support
1.1. 52 weeks
1.2. 4 weeks
The pharmacist will give support for 52 weeks by inviting participants to set a treatment goal and provide advice on how to reduce cigarettes. Participants in the 4-week supported programme will be given the same advice with the reduction but with a different schedule. Participants will be provided with a weeks worth of Nicotine Replacement Therapy every week for the duration of their participation in the trial.
2. No support
2.1. 52 weeks
2.2. 4 weeks
Participants in the no support arms will not be given advice or support. Instead they will be given a leaflet that describes the reduction programmes, and encourages use of Nicotine Replacement Therapy (NRT) to support the reduction.

The trial will run for 52 weeks regardless of the trial arm, it is only the way they reduce the amount they smoke that will differ. The NRT will be given by the recruiting pharmacist. The participants will also be asked to provide a CO2 reading at their first appointment, at the last appointment and also after every time they have gone smoke free for a month.
Intervention typeOther
Primary outcome measure1. Hospital Anxiety Depression Scale (HADS) measured at baseline and the end of follow up (52 weeks)
2. Smoking behaviour measured at baseline
3. Service satisfaction questionnaire at end of follow up (52 weeks)
Secondary outcome measuresCessation activity: at 4 wks, 8 wks, 12, 16, 20, 24 etc. every month until the end of the trial (52 weeks) (11 measures)
Overall study start date02/06/2010
Completion date01/07/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants320
Key inclusion criteria1. Male or female, 18 years or older
2. Smokes at least 10 cigarettes or 12.5g of loose tobacco daily as roll your own cigarettes, or blows 15ppm or above on CO recording
3. Do not intend to stop in the next month, but are prepared to reduce their consumption with any of the programmes offered
4. Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study and consents to participate and be randomised to either arm and have either a telephone or email for follow-up
Key exclusion criteria1. Currently using other NRT, bupropion, nortriptyline, mecamylamine, reserpine, or varenicline, or undergoing any treatment for tobacco dependence (e.g. acupuncture),
2. Unstable angina pectoris, myocardial infarction, or cerebrovascular accident during the last 3 weeks,
3. Severe cardiac arrhythmia
4. Currently uncontrolled hyperthyroidism
5. Active phaeocromocytoma
6. Pregnancy, lactation or intended pregnancy
7. Participation in other medicinal trials within the last three months and during study participation,
8. Previously had severe skin reactions to nicotine patches or severe eczema or other skin diseases that make patch use hazardous or undesirable
9. Severe acute or chronic medical or psychiatric condition or previously diagnosed clinically important renal or hepatic disease, that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study
Date of first enrolment02/06/2010
Date of final enrolment01/07/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

The University of Birmingham
Birmingham
B15 2TT
United Kingdom

Sponsor information

University of Birmingham (UK)
University/education

c/o Dr Brendan Laverty
Edgbaston
Birmingham
B15 2TT
England
United Kingdom

ROR logo "ROR" https://ror.org/03angcq70

Funders

Funder type

Research council

Medical Research Council (MRC) (UK) - National Prevention Research Initiative (NPRI) (ref: G0802135)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 12/03/2012 Yes No
Results article results 17/02/2017 Yes No

Editorial Notes

20/02/2017: Publication reference added.