RecruitingNot ApplicableNCT05842161

South Africa Smoking Cessation and Engagement in HIV/TB Care Care

Treatment Development for Smoking Cessation and Engagement in HIV/TB


Sponsor

Massachusetts General Hospital

Enrollment

86 participants

Start Date

Mar 12, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to integrate elements from existing interventions developed by our team into a single intervention (QUIT-AD), designed to improve smoking cessation and favorable HIV/TB treatment outcomes among individuals with HIV and/or TB in Cape Town, South Africa. If feasibility, acceptability, and preliminary efficacy are demonstrated, the intervention will be ready for large-scale effectiveness/implementation testing. This program will has the potential to dramatically improve public health by increasing the smoking quit rate and facilitating favorable HIV/TB treatment outcomes among patients with HIV and/or TB in resource limited South African settings.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Aged 18 or older
  • Willing and able to provide written informed consent
  • Living with HIV, confirmed via medical record, and on antiretroviral therapy (ART) AND/OR within 1 month of initiating or reinitiating TB treatment; positive GeneXpert test or sputum culture
  • (5) Daily smoker operationalized as \> 5 cigarettes per day, (6) Motivation (\> 5/10) to quit smoking or \> 24 hour quit past yr

Exclusion Criteria5

  • Habitual use of other tobacco products
  • Current interfering untreated/unstable mental health condition (e.g., psychosis, bipolar dx)
  • Current use of non-study pharmacotherapy for smoking cessation,
  • Cognitive Behavioral Therapy for smoking cessation initiated within the past year,
  • Diagnosed with extra-pulmonary or drug resistant (MDR or XDR) TB based upon chart review

Interventions

BEHAVIORALQUIT-AD

An adapted, six-session cognitive behavioral therapy intervention for smoking cessation and treatment adherence

OTHEREnhanced Treatment as Usual

Standard treatment for HIV/TB with one session of psychoeducation.


Locations(1)

University of Cape Town

Rondebosch, South Africa

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NCT05842161


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