Tobacco-Related CarcinomaNCT06644664
Nicotine and Tobacco Message Framing to Change Smoking Behavior in Diverse Groups of Young Adult Smokers
A study testing Health Education, Interview and Smoking Cessation Intervention in people with Tobacco-Related Carcinoma, run by Ohio State University Comprehensive Cancer Center at 1 site in United States.
Trial summary
This clinical trial evaluates the effect of message framing on smoking behaviors among lesbian, gay, bisexual, transgender, queer (LGBTQ+) young adults who use nicotine and/or tobacco. Read more about this study
- Who is it for?
- Ages 18 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Tobacco-Related Carcinoma
- What is being tested?
- Health Education, Interview and Smoking Cessation Intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 292 participants
- Where
- 1 siteUnited States
- Study dates
- 24 Sep 2024to 2 Feb 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- 18-35 years old
- Self-identify as LGBTQ+
- Able to speak English fluently
- An ever user of ENDS and combustible tobacco who currently use ENDS, combustible cigarettes, or both ENDS and combustible cigarettes
- Currently reside in the United States (US)
- Have a mobile phone through a U.S. carrier with MMS messaging and can send and receive text messages for study participation
- Access to the internet with Zoom capabilities
Who cannot join
- Have a landline or Voice Over Internet Protocol (VOIP) phone number
Trial locations and contacts
1 site in 1 country.
United States1 site
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
About this study
Official title: The Effect of Nicotine and Tobacco Message Framing on Use Among Diverse Groups of Young Adults: Aim 3 Randomized Control Trial (RCT)
This clinical trial evaluates the effect of message framing on smoking behaviors among lesbian, gay, bisexual, transgender, queer (LGBTQ+) young adults who use nicotine and/or tobacco. Tobacco regulation has contributed to a steady decline in tobacco products designed to be smoked (combustible), but there has been an increase in the use of new tobacco products, such as electronic nicotine delivery systems (ENDS). The use of more than one tobacco product (polytobacco) is high in LGBTQ+ populations. Both LGBTQ+ people and people who engage in polytobacco use are less likely to view tobacco as harmful, which may reinforce tobacco use. Message framing includes culturally targeted messages to communicate the absolute risks (AR) and relative risks (RR) of polytobacco use. Using message framing may increase quit rates or change smoking behaviors in LGBTQ+ young adults who use nicotine and/or tobacco products.
Read the detailed description
PRIMARY OBJECTIVES:
- Assess the feasibility of delivering mobile multimedia messaging (MMS) anti-tobacco messages developed in the K99 to LGBT young adults via texting.
II. Estimate effect sizes of exposure to anti-tobacco messages on risk perceptions and tobacco use over time.
OUTLINE: Participants are randomized to 1 of 3 arms.
ARM I: Participants receive AR anti-polytobacco MMS messages 3 times a week (TIW) and a check-in text message once a week (QW) for a total of 6 weeks.
ARM II: Participants receive RR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks.
ARM III: Participants receive control MMS messages on health risks of ultraviolet (UV)/sun exposure TIW and a check-in text message QW for a total of 6 weeks.
All participants also receive smoking cessation resources via email during follow up.
After completion of study intervention, participants are followed up at 6 and 12 weeks.
- Conditions
- Tobacco-Related Carcinoma
- Being tested
- Health Education, Interview, Smoking Cessation Intervention, Survey Administration, Text Message-Based Navigation Intervention
- Keywords
- Sexual and Gender Minorities, Health Communication, Tobacco Products, Cigarettes, Electronic Nicotine Delivery Systems, E-cigarettes, young adult, text messaging
- Medical subject headings
- Coitus, Vaping
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Health EducationBehavioural
Receive control MMS messages
InterviewOther
Ancillary studies
Smoking Cessation InterventionBehavioural
Also called Smoking and Tobacco Use Cessation Interventions
Receive AR MMS messages
Smoking Cessation InterventionBehavioural
Also called Smoking and Tobacco Use Cessation Interventions
Receive RR MMS messages
Smoking Cessation InterventionBehavioural
Also called Smoking and Tobacco Use Cessation Interventions
Receive smoking cessation resources
Survey AdministrationOther
Ancillary studies
Text Message-Based Navigation InterventionOther
Also called Automated Text Message-Based Navigation, Text Message-Based Navigation
Receive check-in text message
| Study group | Role | What they receive |
|---|---|---|
| Arm I (Absolute Risk messages) | Experimental | Participants receive AR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up. Receives: Other: Interview; Behavioral: Smoking Cessation Intervention; Other: Survey Administration; Other: Text Message-Based Navigation Intervention |
| Arm II (Relative Risk messages) | Experimental | Participants receive RR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up. Receives: Other: Interview; Behavioral: Smoking Cessation Intervention; Other: Survey Administration; Other: Text Message-Based Navigation Intervention |
| Arm III (control messages) | Active comparator | Participants receive control MMS messages on health risks of UV/sun exposure TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up. Receives: Behavioral: Health Education; Behavioral: Smoking Cessation Intervention; Other: Survey Administration; Other: Text Message-Based Navigation Intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Total tobacco cessation
2 items. Asks for current use of nicotine vapes and combustible cigarettes Every day, Some days, or Not at all.
Measured: At 12 weeks post-baseline
Acceptability of multimedia messaging service (MMS) anti-polytobacco messages
In a qualitative interview, Participants will be asked the following question: How did you find participating in a study with images sent via text message? How smoothly would you say it went?
Measured: At 6-week post-enrollment
Feasibility of MMS anti-polytobacco messages
6 items per study arm. Experimental arms 1 and 2: 6 Yes/No questions (1 per week) checking for engagement with the study content, specifically regarding nicotine and tobacco use. Control Group: 6 Yes/No questions (1 per week) checking for engagement with the study content, specifically regarding sun safety.
Measured: At 6-weeks post-enrollment
Secondary outcomes (4)
Switching to exclusive electronic nicotine delivery system (ENDS) use
2 items. Asks for current use of nicotine vapes and combustible cigarettes Every day, Some days, or Not at all.
Measured: At 6- and 12-weeks post-baseline
Risk perceptions
3 items. 2 items on a 5 point likert scale where 1= Not at all harmful and 5= Extremely harmful. How harmful do you think nicotine vapes, e-cigarettes, or other electronic products are to health? How harmful do you think cigarettes are to health?; 1 item with 3 response options: Less harmful, About the same, More harmful. Is using nicotine vapes, e-cigarettes or other electronic nicotine products less harmful, about the same, or more harmful than smoking cigarettes?
Measured: At 6- and 12-weeks post-baseline
Behavioral intentions
2 Items. Are you seriously thinking of quitting nicotine vapes? and Are you seriously thinking of quitting cigarettes? 5 response options: Yes, within the next 30 days; Yes, within the next 6 months; Yes, within the next year; Yes, but not within the next year; No, not thinking of quitting.
Measured: Difference between conditions in behavioral intentions from screener, and at 6 and 12-week post baseline
Serious quit attempts
2 items. During the PAST 12 MONTHS, how many times have you stopped vaping nicotine for 1 day or longer because you were trying to quit? and During the PAST 12 MONTHS, how many times have you stopped vaping nicotine for 1 day or longer because you were trying to quit? 5 response options: None; 1-2 times; 3-5 times; 6-10 times; More than 10 times
Measured: Difference between conditions in quit attempts from screener, and at 6 and 12-week post baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2024
- Study start24 Sep 2024
- Primary completion2 Feb 2026
- Study completion2 Feb 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Tobacco-Related CarcinomaStudies of the same condition, open and under way.
- More trials run by Ohio State University Comprehensive Cancer CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 292 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Principal investigator, Joanne Patterson, Ohio State University Comprehensive Cancer Center
- Investigators
- Joanne G Patterson, Principal investigator, Ohio State University Comprehensive Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06644664
- Sponsor's protocol ID
- OSU-23436
- Other IDs
- NCI-2024-04955, R00CA260718
- Status last verified
- Mar 2026
- First submitted
- 15 Oct 2024
- Last updated
- 30 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Nicotine and Tobacco Message Framing on Use Among Diverse Groups of Young Adults: Aim 3 Randomized Control Trial (RCT)
- ClinicalTrials.gov ID
- NCT06644664
- Acronym / sponsor ID
- OSU-23436
- Conditions
- Tobacco-Related Carcinoma
- Keywords
- Sexual and Gender Minorities, Health Communication, Tobacco Products, Cigarettes, Electronic Nicotine Delivery Systems, E-cigarettes, young adult, text messaging
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 292 participants (actual)
- Lead sponsor
- Ohio State University Comprehensive Cancer CenterUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- 24 Sep 2024 (actual)
- Primary completion
- 2 Feb 2026 (actual)
- Study completion
- 2 Feb 2026 (actual)
- First posted
- 16 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This clinical trial evaluates the effect of message framing on smoking behaviors among lesbian, gay, bisexual, transgender, queer (LGBTQ+) young adults who use nicotine and/or tobacco. Tobacco regulation has contributed to a steady decline in tobacco products designed to be smoked (combustible), but there has been an increase in the use of new tobacco products, such as electronic nicotine delivery systems (ENDS). The use of more than one tobacco product (polytobacco) is high in LGBTQ+ populations. Both LGBTQ+ people and people who engage in polytobacco use are less likely to view tobacco as harmful, which may reinforce tobacco use. Message framing includes culturally targeted messages to communicate the absolute risks (AR) and relative risks (RR) of polytobacco use. Using message framing may increase quit rates or change smoking behaviors in LGBTQ+ young adults who use nicotine and/or tobacco products.
Detailed description
PRIMARY OBJECTIVES:
- Assess the feasibility of delivering mobile multimedia messaging (MMS) anti-tobacco messages developed in the K99 to LGBT young adults via texting.
II. Estimate effect sizes of exposure to anti-tobacco messages on risk perceptions and tobacco use over time.
OUTLINE: Participants are randomized to 1 of 3 arms.
ARM I: Participants receive AR anti-polytobacco MMS messages 3 times a week (TIW) and a check-in text message once a week (QW) for a total of 6 weeks.
ARM II: Participants receive RR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks.
ARM III: Participants receive control MMS messages on health risks of ultraviolet (UV)/sun exposure TIW and a check-in text message QW for a total of 6 weeks.
All participants also receive smoking cessation resources via email during follow up.
After completion of study intervention, participants are followed up at 6 and 12 weeks.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm I (Absolute Risk messages) | Experimental | Other: Interview, Behavioral: Smoking Cessation Intervention, Other: Survey Administration, Other: Text Message-Based Navigation InterventionParticipants receive AR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up. |
| Arm II (Relative Risk messages) | Experimental | Other: Interview, Behavioral: Smoking Cessation Intervention, Other: Survey Administration, Other: Text Message-Based Navigation InterventionParticipants receive RR anti-polytobacco MMS messages TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up. |
| Arm III (control messages) | Active comparator | Behavioral: Health Education, Behavioral: Smoking Cessation Intervention, Other: Survey Administration, Other: Text Message-Based Navigation InterventionParticipants receive control MMS messages on health risks of UV/sun exposure TIW and a check-in text message QW for a total of 6 weeks. Participants also receive smoking cessation resources via email during follow up. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- 18-35 years old
- Self-identify as LGBTQ+
- Able to speak English fluently
- An ever user of ENDS and combustible tobacco who currently use ENDS, combustible cigarettes, or both ENDS and combustible cigarettes
- Currently reside in the United States (US)
Key exclusion criteria (1 listed)
- Have a landline or Voice Over Internet Protocol (VOIP) phone number
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Health EducationReceive control MMS messages | Behavioural | Arm III (control messages) |
| InterviewAncillary studies | Other | Arm I (Absolute Risk messages), Arm II (Relative Risk messages) |
| Smoking Cessation InterventionAlso: Smoking and Tobacco Use Cessation InterventionsReceive AR MMS messages | Behavioural | Arm I (Absolute Risk messages) |
| Smoking Cessation InterventionAlso: Smoking and Tobacco Use Cessation InterventionsReceive RR MMS messages | Behavioural | Arm II (Relative Risk messages) |
| Smoking Cessation InterventionAlso: Smoking and Tobacco Use Cessation InterventionsReceive smoking cessation resources | Behavioural | Arm I (Absolute Risk messages), Arm II (Relative Risk messages), Arm III (control messages) |
| Survey AdministrationAncillary studies | Other | Arm I (Absolute Risk messages), Arm II (Relative Risk messages), Arm III (control messages) |
| Text Message-Based Navigation InterventionAlso: Automated Text Message-Based Navigation, Text Message-Based NavigationReceive check-in text message | Other | Arm I (Absolute Risk messages), Arm II (Relative Risk messages), Arm III (control messages) |
Primary outcome
Total tobacco cessation
Time frame: At 12 weeks post-baseline
2 items. Asks for current use of nicotine vapes and combustible cigarettes Every day, Some days, or Not at all.
Acceptability of multimedia messaging service (MMS) anti-polytobacco messages
Time frame: At 6-week post-enrollment
In a qualitative interview, Participants will be asked the following question: How did you find participating in a study with images sent via text message? How smoothly would you say it went?
Feasibility of MMS anti-polytobacco messages
Time frame: At 6-weeks post-enrollment
6 items per study arm. Experimental arms 1 and 2: 6 Yes/No questions (1 per week) checking for engagement with the study content, specifically regarding nicotine and tobacco use. Control Group: 6 Yes/No questions (1 per week) checking for engagement with the study content, specifically regarding sun safety.
4 secondary outcomes
Switching to exclusive electronic nicotine delivery system (ENDS) use
Time frame: At 6- and 12-weeks post-baseline
Risk perceptions
Time frame: At 6- and 12-weeks post-baseline
Behavioral intentions
Time frame: Difference between conditions in behavioral intentions from screener, and at 6 and 12-week post baseline
Serious quit attempts
Time frame: Difference between conditions in quit attempts from screener, and at 6 and 12-week post baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2026.
- Our Health MattersLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Joanne G Patterson principal investigator
Ohio State University Comprehensive Cancer Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Health Education, Interview and Smoking Cessation Intervention in people with Tobacco-Related Carcinoma, run by Ohio State University Comprehensive Cancer Center at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Total tobacco cessation (time frame: At 12 weeks post-baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Mar 2026.