Impact of a smoking cessation program on smoking prevalence and food security among food pantry users – a study protocol for a cluster-randomized pragmatic controlled trial

Organizational Data

DRKS-ID:
DRKS00020037
Recruitment Status:
Recruiting planned
Date of registration in DRKS:
2020-04-29
Last update in DRKS:
2021-09-28
Registration type:
Prospective

Acronym/abbreviation of the study

No Entry

URL of the study

No Entry

Brief summary in lay language

Many food pantry users are food insecure and smoke. Probably, smoking and food insecurity are are related to one another. A study will be conducted to evaluate the impact of a smoking cessation program adapted to food pantry users on the smoking status and on the food security level among food pantry users. In the first phase, a group discussion with food pantry users and telephone interviews with smoking cessation trainers, social workers and psychologists will be conducted. In the second phase, at least 32 food pantries (clusters) with 416 participating food pantry users in Berlin, Germany, shall be split into an intervention and a control group. The intervention will consist of the behavioural group program for smoking cessation previously adapted to food pantry users as well as optional nicotine replacement therapy and non-smoker friendly measures in the food pantries. The waiting list control group will receive the intervention around nine months after the intervention group. Participants will be asked to fulfil a questionnaire and to measure exhaled carbon monoxide three times.

Brief summary in scientific language

Among food pantry users there is a high prevalence of both smoking and food insecurity, which may be related to one another. This study aims to evaluate the impact of a smoking cessation program carried out in food pantries on the smoking status and the food security status of food pantry users. In the first phase, a mixed method approach will be used to develop the intervention. Food pantry users and workers as well as other experts, such as smoking cessation trainers, social workers, and psychologists, will be involved, using the world café technique and telephone interviews. In the second phase, the impact of the intervention on the smoking status and on food insecurity will be investigated by a cluster randomised controlled trial. A total of 416 food pantry users across 32 clusters (food pantries) in Berlin, Germany, should be recruited and randomly assigned to either the intervention group or the waiting list control group. The intervention will consist of a behavioural group counselling program for smoking cessation, specially tailored for food pantry users, as well as optional nicotine replacement therapy and the implementation of environmental smoking reduction measures in the food pantries. The primary outcomes six months after the treatment will be self-reported continuous smoking abstinence, validated by exhaled carbon monoxide (< 10 ppm of carbon monoxide), and increased food security level (the percentage of participants with an improved food security level).

Health condition or problem studied

ICD10:
F17.2
Healthy volunteers:
No Entry

Interventions, Observational Groups

Arm 1:
The intervention will consist of the smoking cessation program previously designed for food pantry users as well as optional nicotine replacement therapy and the implementation of ecological non-smoker friendly measures in the food pantries.
Arm 2:
The control group will be provided with the usual food pantry supply and will receive the intervention when the last data collection period will be finished (waiting list control group).

Endpoints

Primary outcome:
Primary outcomes are the continuous smoking abstinence and increased food security level (the percentage of participants with an improved food security level) six months after the treatment. Smoking cessation is defined as the self-reported continuous smoking cessation (≤ 5 cigarettes since the defined day of stopping smoking) validated by exhaled carbon monoxide (< 10 ppm). Food insecurity is categorized in food security, mild food insecurity, moderate food insecurity, and severely food insecurity according to the Food and Agriculture Organization of the United Nations.
Secondary outcome:
Secondary outcomes at one and/or six months post-intervention include the point prevalence abstinence, the mean number of smoked cigarettes per day, the mean number of affirmative responses at the FIES, and the health-related quality of life.

Study Design

Purpose:
Prevention
Allocation:
Randomized controlled study
Control:
  • Control group receives no treatment
Phase:
N/A
Study type:
Interventional
Mechanism of allocation concealment:
No Entry
Blinding:
No
Assignment:
Parallel
Sequence generation:
No Entry
Who is blinded:
No Entry

Recruitment

Recruitment Status:
Recruiting planned
Reason if recruiting stopped or withdrawn:
No Entry

Recruitment Locations

Recruitment countries:
  • Germany
Number of study centers:
Monocenter study
Recruitment location(s):
  • Other Tafel Ausgabestellen Berlin

Recruitment period and number of participants

Planned study start date:
2021-10-15
Actual study start date:
No Entry
Planned study completion date:
No Entry
Actual Study Completion Date:
No Entry
Target Sample Size:
416
Final Sample Size:
No Entry

Inclusion Criteria

Sex:
All
Minimum Age:
18 Years
Maximum Age:
no maximum age
Additional Inclusion Criteria:
Users of any of the participating food pantries who reported to smoke at least one cigarette or cigarillo per day and are able to sufficiently understand and speak German.

Exclusion Criteria

Non-smokers and individuals smoking less than daily as well as individuals who do not use any of the participating food pantries; individuals who are 17 years of age or less, are unable to understand and speak German or are illiterate; individuals who only use e-cigarettes or tobacco heating systems

Addresses

Primary Sponsor

Address:
Fg. Angewandte Ernährungspsychologie, Universität Hohenheim
Prof. Dr. Nanette Ströbele-Benschop
Fruwirthstraße 12
70599 Stuttgart
Germany
Telephone:
+49 (0)711/ 459 24620
Fax:
+49 (0)711/ 459 24343
Contact per E-Mail:
Contact per E-Mail
URL:
https://epsych.uni-hohenheim.de/
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Contact for Scientific Queries

Address:
Fg. Angewandte Ernährungspsychologie, Universität Hohenheim
Prof. Dr. Nanette Ströbele-Benschop
Fruwirthstraße 12
70599 Stuttgart
Germany
Telephone:
+49 (0)711/ 459 24620
Fax:
+49 (0)711/ 459 24343
Contact per E-Mail:
Contact per E-Mail
URL:
https://epsych.uni-hohenheim.de/

Contact for Public Queries

Address:
Fg. Angewandte Ernährungspsychologie, Universität Hohenheim
Prof. Dr. Nanette Ströbele-Benschop
Fruwirthstraße 12
70599 Stuttgart
Germany
Telephone:
+49 (0)711/ 459 24620
Fax:
+49 (0)711/ 459 24343
Contact per E-Mail:
Contact per E-Mail
URL:
https://epsych.uni-hohenheim.de/

Principal Investigator

Address:
Fg. Angewandte Ernährungspsychologie, Universität Hohenheim
Prof. Dr. Nanette Ströbele-Benschop
Fruwirthstraße 12
70599 Stuttgart
Germany
Telephone:
+49 (0)711/ 459 24620
Fax:
+49 (0)711/ 459 24343
Contact per E-Mail:
Contact per E-Mail
URL:
https://epsych.uni-hohenheim.de/

Sources of Monetary or Material Support

Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)

Address:
Verband der Ersatzkassen e.V. (vdek)
Askanischer Platz 1
10963 Berlin
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Private sponsorship (foundations, study societies, etc.)

Address:
Deutsche Krebshilfe gGmbH
Buschstraße 32
53113 Bonn
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Ethics Committee

Address Ethics Committee

Address:
Ethikkommission der Universität Hohenheim
Garbenstr. 30
70599 Stuttgart
Germany
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
https://www.uni-hohenheim.de/senat#jfmulticontent_c241393-4

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2019-01-25
Ethics committee number:
No Entry
Vote of the Ethics Committee:
Approved
Date of the vote:
2019-02-08

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
No
IPD Sharing Plan:
Due to the sensibility and intimacy of the data.

Study protocol and other study documents

Study protocols:
No Entry
Study abstract:
No Entry
Other study documents:
No Entry
Background literature:
No Entry
Related DRKS studies:
No Entry

Publication of study results

Planned publication:
No Entry
Publikationen/Studienergebnisse:
No Entry
Date of first publication of study results:
No Entry
DRKS entry published for the first time with results:
No Entry

Basic reporting

Basic Reporting / Results tables:
No Entry
Brief summary of results:
No Entry