Clinical trial Recruiting at 1 site Phase2; Phase3 Interventional Ages 18 to 100

Empowering smoking cessation for LGBTQ+ adults in Oklahoma, Arkansas, and Texas

Official title: Empowering Smoking Cessation for People With High Levels of Stress and Low Social Support in Oklahoma and the ACS South Region

Run by University of Oklahoma · NCT06820034 · Data updated 2026-11-12

This project will try adding online volunteer activities and a digital support hub to a quit-app plus mailed nicotine patches to see if it helps LGBTQ+ adults in Oklahoma, Arkansas, and Texas quit smoking.

More Smoking Cessation trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years to 100 Years
SexAll
Enrollment400 (estimated)
SponsorUniversity of Oklahoma
Academic / other
Locations1 site (Oklahoma City, Oklahoma)
StatusRecruiting
StartedAugust 14, 2025
Main results expectedJune 1, 2028
Study endsDecember 31, 2028
Registry record updatedMay 11, 2026
Trial IDNCT06820034 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) who identify as sexual and/or gender minorities, currently smoke cigarettes, live in Oklahoma, Arkansas, or Texas, are willing to quit within 30 days, can read English well, have weekly internet access and a smartphone, are willing to participate in volunteer activities, and can use NRT.

Probably not a fit

People unlikely to benefit include those living outside OK/AR/TX, those unwilling or unable to use NRT or participate in volunteer activities, those without a smartphone or regular internet access, those currently using other cessation treatments, or those with serious psychological distress per the Kessler K6 exclusion criteria.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a remote, two-arm randomized trial enrolling 398 sexual and gender minority (SGM) adults who want to quit smoking, with follow-up at 26 weeks. Participants are randomized (stratified by gender, sexual orientation, age, and state) to receive either a quit-app plus mailed nicotine replacement therapy (NRT) or the same plus participation in online SGM-serving volunteer activities (≥4 sessions) and access to a digital hub for social support. All activities are delivered remotely via phone/text, email, web platforms, private social media group, and Zoom to maximize accessibility and scalability. The trial was developed with community partners including Freedom Oklahoma and a Community Advisory Board from Arkansas and Texas to adapt an Oklahoma pilot intervention for nearby states.

Why it matters

Potential benefit: If successful, the intervention could increase quit rates among SGM adults in high-stigma regions by combining standard app/NRT treatment with empowerment-driven peer support and volunteer engagement.

How similar studies have gone: Digital quit apps plus NRT have shown efficacy in general populations and small pilot community-based empowerment interventions for SGM smokers have been promising, but large randomized evidence for adding SGM-serving volunteer engagement in high-stigma regions is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Exclusion criteria:

* Currently using other smoking cessation treatments.
* Unable or unwilling to use Nicotine Replacement Therapy (NRT)
* Serious psychological distress (i.e., score of 13 ≥ 18 on the Kessler Psychological Distress (PD) Scale-6 19)

Inclusion criteria will be:

1. ≥ 18 years old
2. sexual and/or gender minority-identified (SGM) (see definition below)
3. living in Oklahoma, Texas, or Arkansas (verified by address)
4. a current cigarette smoker (see definition)
5. willing to quit smoking within 30 days of enrollment (see definition)
6. ability to read and speak English 'well' or 'very well'
7. ≥ weekly internet access
8. willing and able to participate in SGM-serving volunteer activities.
9. own a smartphone

Sexual minority identity will be indicated by selecting any non-heterosexual response option(s) from: Heterosexual (Straight); Gay or Lesbian; Bisexual; Something else (please state)." Participants will indicate the sex assigned on their birth certificate (i.e., natal sex). Gender minority identity will be indicated by "Trans male/Trans man;" "Trans female/Trans woman;" "Gender queer/Gender non-conforming;" "Different identity (please state)" or a binary identity (male or female) non-concordant with natal sex.

Current cigarette smoking will be indicated by ≥100 lifetime cigarettes and currently smoking cigarettes "every day" or "some days".

High SGM stigma states are defined as the 22 states wherein ˂60% of the population 'thinks that homosexuality should be accepted'. High SGM stigma municipalities are defined as one of the 246 U.S. municipalities (out of the 496 scored from all U.S. states) that scored below the median (71) on the HRC Municipal Equality Index.

Willingness to quit smoking will be assessed with a single item: "Are you willing to quit smoking cigarettes within 30 days after enrolling in this study? (yes/no)". To be classified as 'ready to quit smoking,' participants will report readiness to quit in the next 30 days and at least 1 past-year quit attempt (i.e., in the "Preparation" stage of change).

Where it's running

  • University of Oklahoma Health Campus
    Oklahoma City, Oklahoma, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.