CTRI Number |
CTRI/2020/04/024462 [Registered on: 03/04/2020] Trial Registered Prospectively |
Last Modified On: |
06/01/2022 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Drug Yoga & Naturopathy Behavioral |
Study Design |
Cluster Randomized Trial |
Public Title of Study
|
To compare the effectiveness of using nicotine chewing gum with behavioral counselling versus doing yoga with behavioral counselling in quitting tobacco among Delhi government bus drivers: Cluster Randomized Trial |
Scientific Title of Study
|
Effectiveness of behavioral counselling with nicotine gum versus behavioral counselling with Yoga on tobacco cessation among Delhi Government Bus Drivers: Cluster Randomized Trial |
Trial Acronym |
YITC |
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Shristy Sharma |
Designation |
Post Graduate Student |
Affiliation |
Maulana Azad Institute of Dental Sciences |
Address |
5th Floor, Department Of Public Health Dentistry, Mualana Azad Institute of Dental Sciences, New Delhi 110002, India
Central DELHI 110002 India |
Phone |
8860890417 |
Fax |
|
Email |
shristysharma9@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr VIKRANT MOHANTY |
Designation |
PROFESSOR AND HOD OF PUBLIC HEALTH DENTISTRY |
Affiliation |
Maulana Azad Institute of Dental Sciences |
Address |
5th Floor, Department of Public Health Dentistry,
Maulana Azad Institute of Dental Sciences,
New Delhi
110002
India
Central DELHI 110002 India |
Phone |
09654700983 |
Fax |
|
Email |
vikrantmohanty@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Vikrant Mohanty |
Designation |
Professor And Head of Department of Public Health Dentistry |
Affiliation |
Maulana Azad Institute of Dental Sciences |
Address |
5th floor, Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences,
New Delhi
DELHI
110002
India
Central DELHI 110002 India |
Phone |
09654700983 |
Fax |
|
Email |
vikrantmohanty@gmail.com |
|
Source of Monetary or Material Support
|
Self, 5th floor, Department of Public Health Dentistry, Maulana Azad Institute
of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi- 110002 |
|
Primary Sponsor
|
Name |
Shristy Sharma |
Address |
5th floor, Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg, New Delhi- 110002 |
Type of Sponsor |
Other [Self] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
SHRISTY SHARMA |
RAJGHAT DEPOT 1 & 2 |
New, RPS Complex, Raj Ghat, New Delhi, Delhi 110002 Central DELHI |
8860890417
shristysharma9@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
MAIDS Ethical Committee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: F172||Nicotine dependence, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Behavioral counselling with nicotine replacement therapy |
Nicotine replacement therapy Dosage 2 mg AND 4 mg depending upon the patients tobacco usage.
Route of administration- oral total duration 12 weeks.
Schedule- for first 6 Weeks- one gum every 1-2 hours
for 6-10 weeks one gum every 2-4 hours
for 10-12 weeks- one gum every 4-8 hours or when craving occurs |
Intervention |
Behavioral Counselling with Yoga in Tobacco Cessation |
Behavioral Counselling to motivate patients to quit tobacco and teaching yoga exercises to deal with the withdrawal symptoms |
|
Inclusion Criteria
|
Age From |
21.00 Year(s) |
Age To |
55.00 Year(s) |
Gender |
Both |
Details |
1. A daily smoke/ smokeless/ mixed form of tobacco users
2. Those who will give consent and are able to read and write local language
3. Patients having medium dependence score according to fagerstrom scale for smoking and modified fagerstrom scale for smokeless tobacco.
|
|
ExclusionCriteria |
Details |
1 Participants not willing to participate.
2 Participants who are completely edentulous.
3 Participants suffering from TMJ problems.
4 Participants practicing yoga regularly.
5 Participants who have used/ using nrt or experienced side-effects due to nrt.
6 Participants who are medically compromised in
which practicing yoga is contraindicated.
7 Participants with dental emergency.
8 Participants who consume alcohol.
|
|
Method of Generating Random Sequence
|
Coin toss, Lottery, toss of dice, shuffling cards etc |
Method of Concealment
|
Alternation |
Blinding/Masking
|
Outcome Assessor Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Effectiveness of two methods on the basis of quit status; quit reduction and status quo. To assess and compare the biochemically verified urine cotinine levels using qualitative test at different time intervals among both group |
0 day, 1st week, 1st month, 3rd month, 6th month |
|
Secondary Outcome
|
Outcome |
TimePoints |
To assess and compare knowledge, attitude and practice regarding tobacco cessation and its ill effects
To measure oral health status of bus drivers
To develop yoga protocol for tobacco cessation based on the study
|
0 day, 1st week, 1st month, 3rd month, 6th month |
|
Target Sample Size
|
Total Sample Size="140" Sample Size from India="140"
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" |
Phase of Trial
|
N/A |
Date of First Enrollment (India)
|
21/08/2020 |
Date of Study Completion (India) |
30/04/2021 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
Modification(s)
|
Nil |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
Modification(s)
|
The tobacco epidemics is one of the biggest public health threats the world has ever faced. According to the reports of WHO , tobacco is the single greatest cause of the preventable deaths globally. It is estimated that there are more than one billion current tobacco users in the world, of whom 80% live in low and middle income countries. in 2015 11.5% of the global deaths were attributed to tobacco use worldwide, of which 52.5% took place in the four countries (China, India, USA and Russia) . Unlike developed countries, where behavioral therapies and/ or pharmacotherapy is provided at little or no cost to patients, support services are very limited for quitting tobacco in India.it has been estimated that two-third of the world’s population seeks healthcare from sources other than those providing treatment with the allopathic system of medicine. In India complementary alternative medicine therapies which are scientifically appropriate and culturally acceptable like Ayurveda, Yoga and Naturopathy, Unani-tibbi, Siddha and Homeopathy, have been practiced since a long time. considering the withdrawal symptoms of nicotine, among these therapies a promising and affordable option in context of India is the use of Yogic exercises. It is one of the traditional method to achieve good physical and mental health and thus compliance of the patients with this method of tobacco cessation is expected to be high. Among these employees, bus drivers form an important group belonging to low-medium socioeconomic strata. they are exposed to high level of work demands. And hence more prone to the habit of tobacco consumption. Thus yoga may help in such low-medium socioeconomic strata in quitting the tobacco consumption habit. Thus this study aim to assess and compare the effectiveness of yoga and behavioral counselling versus nicotine replacement therapy with behavioral counselling among Delhi Government Bus Drivers. |