Digital coaching may help smokers with mental illness stay quit after hospital discharge
NCT ID NCT04367506
First seen Jul 15, 2026 · Last updated Jul 16, 2026 · Updated 1 time
Summary
This study tests a digital smoking cessation program called BecomeAnEx, adapted for people with serious mental illness who want to quit or reduce smoking. Participants use a website, text messaging, and real-time coaching from a remote quit-smoking expert, plus an online community. The goal is to help them stay smoke-free after leaving the hospital, where they were temporarily abstinent.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a digital smoking cessation program called BecomeAnEx, which includes a website, text messaging, real-time coaching, and an online community
- What this could lead to
- If successful, this approach could help many people with serious mental illness stay smoke-free after leaving the hospital, reducing smoking-related health risks.
- What could go wrong
- This is a small pilot study with only 59 participants, so results may not apply to everyone. The program's success depends on internet access and personal motivation.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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59 people
The number who actually took part.
- Started
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Sep 2022
- Finished
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Mar 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 or greater * Diagnosis of serious mental illness (schizophrenia, schizoaffective disorder, bipolar disorder, or major depression) * Current smoker \[prior to admission, smoked at least one cigarette or small cigar per day in the past month (unless restricted, e.g. due to ER/hospital visit) and smoked at least 100 cigarettes lifetime\] * Interested in remaining quit after hospital discharge or quitting within the following 30 days * Expected Internet use at least 3 times/week post-discharge and ownership of mobile device with text messaging plan post-discharge. * Discharge destination within 1-hour of SPH given that Aim 3 involves biochemical verification (carbon monoxide testing). * Reading competence as demonstrated by a score of \>= 37 on the Word Reading subtest of the Wide Range Achievement Test - 4th Edition (WRAT-4)168 to ensure the ability to engage in the intervention. Exclusion Criteria: * Intellectual disability (DSM5 317, 318), traumatic brain injury, or deafness. * Homeless prior to admission or anticipated to be homeless at discharge. * Discharge to a residential setting where smoking is prohibited. * Medical condition for which the use of nicotine replacement therapy (NRT) is contraindicated including pregnant, planning to become pregnant, or breastfeeding; within 4 weeks post myocardial infarction; severe arrhythmia, severe angina pectoris; peptic ulcer; severe renal failure; poorly controlled insulin-dependent diabetes; severely uncontrolled hypertension; peripheral vascular disease.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Melanie Bennett
Baltimore, Maryland, 21021, United States
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University of Maryland School of Medicine
Baltimore, Maryland, 21201, United States
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Other studies related to the condition(s) this trial covers.
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