Effectiveness of an optimized text message and Internet intervention for smoking cessation: A randomized controlled trial.

Aims: To evaluate the effectiveness of a combined internet and text message intervention for smoking cessation compared with an internet intervention alone. The text message intervention was optimized for engagement in an earlier multiphase optimization (MOST) screening phase. Design A parallel, two...

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Publicado en:Addiction Vol. 117; no. 4; pp. 1035 - 1047
Autores principales: Graham, Amanda L., Papandonatos, George D., Cha, Sarah, Amato, Michael S., Jacobs, Megan A., Cohn, Amy M., Abroms, Lorien C., Whittaker, Robyn
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
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      pub: Wiley-Blackwell
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        atl: Effectiveness of an optimized text message and Internet intervention for smoking cessation: A randomized controlled trial.
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          Graham, Amanda L.
          Papandonatos, George D.
          Cha, Sarah
          Amato, Michael S.
          Jacobs, Megan A.
          Cohn, Amy M.
          Abroms, Lorien C.
          Whittaker, Robyn
        affil: Innovations Center, Truth Initiative, Washington DC,, USA
      sug:
        subj:
          Smoking Cessation
          Text Messaging
          Internet-Based Intervention
          Human
          Randomized Controlled Trials
          Treatment Outcomes
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          United States
          White Persons
          Socioeconomic Factors
          Self Report
          Prevalence
          Substance Abstinence
          Pretest-Posttest Design
          Odds Ratio
          Random Assignment
          Program Evaluation
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Aims: To evaluate the effectiveness of a combined internet and text message intervention for smoking cessation compared with an internet intervention alone. The text message intervention was optimized for engagement in an earlier multiphase optimization (MOST) screening phase. Design A parallel, two‐group, individually randomized clinical trial (RCT) was conducted in a MOST confirming phase. Recruitment spanned December 2018 to March 2019. Follow‐up was conducted at 3 and 9 months, beginning March 2019 and ending January 2020. Setting: United States: a digital study conducted among new registrants on a free tobacco cessation website. Participants: Eligible individuals were 618 adult current smokers in the United States, age 18 years or older who signed up for text messages during website registration (67.2% female, 70.4% white). Interventions: The treatment arm (WEB+TXT; n = 311) received access to the website and text messaging. The control arm (WEB; n = 307) received access to the website alone. Measurements The primary outcome was self‐reported 30‐day point prevalence abstinence (ppa) at 9 months post‐randomization analyzed under intent to treat (ITT), counting non‐responders as smoking. Secondary outcomes included 3‐month measures of 30‐day ppa, intervention engagement and intervention satisfaction. Findings Abstinence rates at 9 months were 23.1% among WEB+TXT and 23.2% among WEB (OR = 1.00, 95% CI = 0.69–1.45; P = 0.99). WEB+TXT increased engagement with 5 of 6 interactive features (standardized mean difference (SMD) = 0.26–0.47, all P < 0.001) and repeat website visits (48.7% vs 38.9%, SMD = 0.14, P = 0.02). Satisfaction metrics favored WEB+TXT (satisfied: 96.3% vs 90.5%, SMD = 0.17, P = 0.008; recommend to friend: 95.9% vs 90.1%, SMD = 0.16, P = 0.028). Conclusions: A randomized controlled trial found no evidence that a combined internet and text message intervention for smoking cessation compared with an internet intervention alone increased 9‐month abstinence rates among adult current smokers in the United States, despite evidence of higher levels of intervention engagement and satisfaction at 3 months.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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