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CTRI Number  CTRI/2025/10/096576 [Registered on: 29/10/2025] Trial Registered Prospectively
Last Modified On: 28/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Educational]  
Study Design  Other 
Public Title of Study   Development, Validation, and Piloting of Brief Educational Module on Harmful Consequences of Nicotine Addiction 
Scientific Title of Study   Development, Validation, and Piloting of Brief Educational Module on Harmful Consequences of Nicotine Dependence 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrKulkarni Kshitij 
Designation  Junior Resident 
Affiliation  Manipal Academy of Higher Education 
Address  Psychiatry Department KMC Hospital,Manipal, Karntaka-576104

Udupi
KARNATAKA
576104
India 
Phone  9653454901  
Fax    
Email  kulkarni.kmcmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  DrSamir K Prahraj 
Designation  Professor, Department of Psychiatry 
Affiliation  Manipal Academy of Higher Education 
Address  Psychiatry Department KMC Hospital,Manipal, Karntaka-576104

Udupi
KARNATAKA
576104
India 
Phone  8971026304  
Fax    
Email  samir.kp@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  DrSamir K Prahraj 
Designation  Professor, Department of Psychiatry 
Affiliation  Manipal Academy of Higher Education 
Address  Psychiatry Department KMC Hospital,Manipal, Karntaka-576104

Udupi
KARNATAKA
576104
India 
Phone  8971026304  
Fax    
Email  samir.kp@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical College, Manipal 
 
Primary Sponsor  
Name  DrKulkarni Kshitij 
Address  Department of psychiatry,KMC hospital Manipal,Karnataka,576104 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrKulkarni Kshitij  Kasturba Medical college Manipal udupi  Room No.103, 3rd floor,Department of Psychiatry,Kasturba Medical College,Tiger Circle road, Madhav Nagar
Udupi
KARNATAKA 
9653454901

kulkarni.kmcmpl2024@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KMC and KH Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F172||Nicotine dependence,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Brief Psychoeducation session  Participants will have a single 30-minute individual psychoeducation session, conducted using the brief educational module that includes pictures and possibly videos Frquency of Session -Only once for a pateint Total duration of intervention- 30mins 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Inpatients with a diagnosis of nicotine dependence syndrome at KMC hospital.
2. Patients who can give written informed consent to participate in the study.
3. Patients of either gender and an age range of 18-60 years.  
 
ExclusionCriteria 
Details  1. Patients with severe medical conditions
2. Patients with acute symptomatic psychosis.
3. Non-cooperative patients  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Knowledge, Attitude, and Practice (KAP) Questionnaire – to assess change in participants’ knowledge, attitudes, and practices regarding the harmful effects of nicotine dependence before and after the educational intervention.

Content Validity Index (CVI) – to evaluate content validity of the educational module  
18 months 
 
Secondary Outcome  
Outcome  TimePoints 
Fagerström Test for Nicotine Dependence (FTND) – to assess the level of nicotine dependence.

Readiness to Change Questionnaire (RCQ) – to assess the participant’s motivational stage toward behavior change.

Readiness Ruler – to measure the participant’s perceived readiness to quit nicotine use.

Thoughts About Abstinence (TAA) Scale – to evaluate the participant’s desire, confidence, and commitment toward abstinence.
 
18 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   24/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="1" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The study will be conducted in 3 phases In 1st phase the scoping review will be conducted using databases like PubMed with key terms such as Nicotine Tobacco and Psychoeducation to identify existing educational material Necessary institutional permissions will be taken to access both public and proprietary sources Existing educational materials on the consequences of nicotine addiction will be evaluated for accuracy relevance cultural suitability and effectiveness If suitable the material will be implemented otherwise a new module will be developed In 2nd phase Consensus based feedback will be collected from 5 to 10 subject experts via email to validate the module Experts will assess for accuracy and appropriateness and content validity will be evaluated using the Content Validity Index CVI Based on their feedback necessary refinements will be made A pilot study with five patients diagnosed with nicotine dependence syndrome selected on the basis of inclusion and exclusion criteria will be conducted to evaluate the draft module and gather feedback for improvement Patients with nicotine dependence syndrome will be recruited as per the ICD 11 criteria In 3rd phase the refined version will then be tested in a sample of 30 participants with NDS selected on the basis of inclusion and exclusion criteria to assess the efficacy and feasibility of the module Participants will have a single 30 minute individual psychoeducation session conducted using the brief educational module that includes pictures and possibly videos Fidelity measures will be used to ensure that nothing is missed during the implementation Assessment tools will be administered at three time points before the intervention baseline Semi structured proforma FTND KAP Questionnaire Readiness to Change Scale Readiness Ruler after the intervention immediately after the intervention KAP Questionnaire Readiness to Change Scale Readiness Ruler and one month post intervention in OPD If the patient doesnt follow up in OPD follow up will be via telephone KAP Questionnaire Readiness to Change Scale Readiness Ruler All patients participating in the study will continue to receive standard care from the treating team which includes assessments medications psychoeducation and other non pharmacological treatments The current intervention will be provided to one group of patients in addition to the standard care 
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