Food Delivery + Smoking Cessation Counseling for Tobacco Addiction
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of Arkansas
Disqualifiers: Live outside specified counties, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The long-term goal of FRESH Delivers is to fill a critical gap in knowledge on the role of a home-based food delivery social intervention in the elimination of tobacco-caused cancer health disparities. The central hypothesis is that smokers who receive real-time video-based motivational counseling and home-based food deliveries will have greater cotinine-verified 7-day point prevalence abstinence than those who receive real-time video-based motivational counseling alone or home food delivery alone. The rationale for this approach is that studies show increased odds of smoking cessation with increasing food security.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Food Delivery + Smoking Cessation Counseling for Tobacco Addiction?
Research shows that home food delivery can improve household food environments and nutritional status, which may support healthier lifestyle changes. Additionally, smoking cessation counseling is a well-established method to help people quit smoking. Combining these approaches could potentially enhance overall health and support quitting smoking.
12345Is the combination of food delivery and smoking cessation counseling safe for humans?
The studies suggest that smoking cessation counseling, including telephone quitlines and in-person coaching, is generally safe and effective. The combination of food assistance and smoking cessation interventions has been tested in food pantry settings without reported safety concerns, indicating it is likely safe for humans.
678910How is the Food Delivery + Smoking Cessation Counseling treatment different from other smoking cessation treatments?
This treatment is unique because it combines home-based food delivery with smoking cessation counseling, offering both nutritional support and behavioral therapy to help people quit smoking, which is not a common combination in existing smoking cessation programs.
67111213Eligibility Criteria
This trial is for regular smokers aged 21-75 living in Desha, Phillips, Chicot, or Lee Counties who are interested in quitting. Participants must have smoked for at least a year and be willing to use study-provided tech for communication and COVID-19 symptom reporting. They need an active phone, home address, email, and speak English.Inclusion Criteria
I am willing to use a study-provided tablet or phone.
Working phone, home address, and email
Live in Desha, Phillips, Chicot, or Lee Counties
+6 more
Exclusion Criteria
Persons who do not meet the above criteria.
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Treatment
Participants receive real-time video-based motivational counseling and/or home-based food delivery
6 months
Monthly visits (virtual or in-person)
Follow-up
Participants are monitored for smoking cessation and changes in nicotine dependence
6 months
Monthly assessments
Extension
Participants may continue to receive interventions to maintain smoking cessation
Long-term
Participant Groups
The FRESH Delivers trial tests if video-based motivational counseling combined with home food deliveries increases the chances of quitting smoking compared to either strategy alone. The belief is that better food security might help people stop smoking.
3Treatment groups
Experimental Treatment
Active Control
Group I: TRTsocialmot1 armExperimental Treatment1 Intervention
Smokers will receive real-time video-based motivational counseling and home-based food delivery.
Participants will receive educational material.
Group II: TRTsocial2 armActive Control1 Intervention
Smokers will receive home-based food delivery only.
Participants will receive educational material.
Group III: TRTmot3 armActive Control1 Intervention
Smokers will receive real-time video-based motivational counseling only.
Participants will receive educational material.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
University of Arkansas for Medical SciencesLittle Rock, AR
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Who Is Running the Clinical Trial?
University of ArkansasLead Sponsor
References
Home grocery delivery improves the household food environments of behavioral weight loss participants: results of an 8-week pilot study. [2021]Household food availability is consistently linked to dietary intake; yet behavioral weight control treatment includes only minimal instruction on how to change the home environment to support dietary goals. This pilot study examined whether it is feasible to change the household food environments of behavioral weight loss participants through the use of a commercially available grocery home delivery service.
A Feasibility and Pilot Study of a Personalized Nutrition Intervention in Mobile Food Pantry Users in Northeastern Connecticut. [2021]This pilot study assessed the effectiveness and acceptability of personalized nutrition intervention for mobile food pantry users.
Effectiveness of dietary counseling with or without nutrition supplementation in hospitalized patients who are malnourished or at risk of malnutrition: A systematic review and meta-analysis. [2022]Nutrition support is associated with improved survival and nonelective hospital readmission rates among malnourished medical inpatients; however, limited evidence supporting dietary counseling is available. We intend to determine the effect of dietary counseling with or without oral nutrition supplementation (ONS), compared with standard care, on hospitalized adults who are malnourished or at risk of malnutrition.
Higher food intake and appreciation with a new food delivery system in a Belgian hospital. Meals on Wheels, a bedside meal approach: a prospective cohort trial. [2015]A new system of meal distribution called Meals on Wheels, allowing food ordering at mealtime and providing guidance by trained nutritional assistants, might show benefit in offering nutritional support. This study investigates whether Meals on Wheels improves total food intake per day and yielded improved appreciation of food quality and increased access to food and mealtimes.
[Effects of a food delivery service on the nutritional status of elderly persons living at home alone]. [2011]The present study was carried out to determine whether a food delivery service can improve the nutritional status of elderly persons living at home alone.
The feasibility of connecting physician offices to a state-level tobacco quit line. [2022]Telephone counseling for tobacco cessation is an effective and evidence-based approach to address tobacco use. The wide dissemination of region- and state-level quit lines has been a major goal for public health agencies. However, connecting patients in primary care settings to state-level quit lines has not been evaluated.
Evidence of real-world effectiveness of a telephone quitline for smokers. [2022]Telephone services that offer smoking-cessation counseling (quitlines) have proliferated in recent years, encouraged by positive results of clinical trials. The question remains, however, whether those results can be translated into real-world effectiveness.
[Counseling interventions for smoking cessation: systematic review]. [2019]A systematic review on efficacy and safety of smoking cessation counseling was developed.
Testing the feasibility of a system-based approach to deliver a smoking cessation and food nudging intervention at food pantry sites. [2022]Food-insecure adults disproportionately experience high cardiovascular risk. Guided by the Feeding America recommendations, we tested the feasibly of a system-based approach to address the cardiovascular risk behaviors of current smoking and dietary choice at food distribution sites. Food pantries affiliated with the Food Bank of Delaware organization (N = 14) were invited to take part. Pantries who agreed solicited personnel within the pantry (i.e., staff, active volunteers) to become trained as quit-smoking coaches and/or food environment "nudging" interventionists. After training, trained personnel implemented the evidence-based treatments. Across a 6-month observation period, quit coaches reported each month on the number of (a) enrolled food pantry clients, (b) total quit-smoking sessions scheduled and attended, and (c) the smoking status of clients who attended the final, third session. Trained evaluators visited participating pantries once per month across the observation period to assess adherence to nudging guidelines. One in five (21%; 3/14) invited pantries participated in the study, and five personnel were trained to deliver intervention components. Across the observation period, quit coaches reported that 86 new smoking cessation clients were enrolled, 228 quit coaching sessions were scheduled, and 187 attended (82% attendance rate). Smoking cessation rates were estimated at 19%-36%. A 100% adherence to the food nudging approach was observed. These data demonstrate the feasibility of a system-based approach to build the capacity of food distribution sites and personnel to deliver smoking cessation quit-coaching and food nudging interventions on-site.
Characterizing Cardiovascular Health and Evaluating a Low-Intensity Intervention to Promote Smoking Cessation in a Food-Assistance Population. [2018]Food assistance recipients are at higher risk for poor cardiovascular health given their propensity to poor dietary intake and tobacco use. This study sought to evaluate the cardiovascular health status, and determine the impact of a low-intensity smoking cessation education intervention that connected mobile food pantry participants to state quit-smoking resources. A pre-post design with a 6-week follow-up was used to evaluate the impact of a 10-12 min smoking cessation education session implemented in five food pantries in Delaware. Baseline cardiovascular health, smoking behaviors and food security status were assessed. Smoking cessation knowledge, intention to quit and use of the state quit line were also assessed at follow-up. Of the 144 participants 72.3% reported having hypertension, 34.3% had diabetes, 13.9% had had a stroke. 50.0% were current smokers. The low-intensity intervention significantly increased smoking cessation knowledge but not intention to quit at follow-up. Seven percent of current smokers reported calling the quit line. Current tobacco use was five times more likely in food insecure versus food secure adults (OR 4.98; p = 0.006), even after adjustment for demographic factors. Systems based approaches to address tobacco use and cardiovascular health in low-income populations are needed. The extent to which smoking cessation could reduce food insecurity and risk for cardiovascular disease in this population warrants investigation.
Telephone counselling for smoking cessation. [2020]Telephone services can provide information and support for smokers. Counselling may be provided proactively or offered reactively to callers to smoking cessation helplines.
Effectiveness of tobacco cessation counselling and behavioural changes Using Multi Theory Model (MTM): A follow-up study. [2022]Effective tobacco cessation programs using advice and counselling, have helped a substantial proportion of people quit smoking. Effectiveness of this tobacco cessation counselling needs to be evaluated.
Promoting tobacco cessation and relapse prevention. [2015]Although there is no single cure for tobacco dependence, there are numerous effective treatments for promoting cessation. Using the chronic disease model of advising and counseling, this article outlines a model for helping patients overcome tobacco dependence. This model consists of the five A's: Ask, Advise, Assess, Assist, and Arrange. Although most of this article focuses on how clinicians who are bound by time constraints can be effective in promoting tobacco cessation, key elements for more intensive interventions are briefly discussed and suggestions for dealing with the less motivated patient are offered.