Effectiveness of an optimized text message and Internet intervention for smoking cessation: A randomized controlled trial.
Effectiveness of an optimized text message and Internet intervention for smoking cessation: A randomized controlled trial.
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DOI：
10.1111/add.15677
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发表时间：
2022-04
期刊：
影响因子：
6
通讯作者：
Whittaker, Robyn
中科院分区：
文献类型：
--
作者：
Graham, Amanda L.;Papandonatos, George D.;Cha, Sarah;Amato, Michael S.;Jacobs, Megan A.;Cohn, Amy M.;Abroms, Lorien C.;Whittaker, Robyn
关键词：
评价网络和短信联合干预与单独网络干预相比对戒烟的效果。短信干预在早期的多阶段优化（MOST）筛选阶段进行了优化。在MOST确认阶段进行了一项平行，两组，单独随机临床试验（RCT）。招聘时间为2018年12月至2019年3月。随访时间为3个月和9个月，从2019年3月开始至2020年1月结束。美国：在免费戒烟网站的新注册人中进行的一项数字研究。符合条件的个体是美国618名成年吸烟者，年龄在18岁或以上，在网站注册期间注册了短信（67.2%为女性，70.4%为白人）。治疗组（WEB+TXT; n = 311）可以访问网站并发送短信。对照组（n = 307）单独访问该网站。主要结局是随机化后9个月自我报告的30天点流行戒断（ppa），在意向治疗（ITT）下进行分析，将无反应者计算为吸烟。次要结果包括3个月的30天ppa测量、干预参与和干预满意度。9个月时，WEB+TXT组戒断率为23.1%，WEB组为23.2% （OR = 1.00, 95% CI = 0.69-1.45; P = 0.99）。WEB+TXT增加了6项互动功能中5项的参与度（标准化平均差(SMD) = 0.26-0.47，均P < 0.001）和重复网站访问（48.7% vs 38.9%, SMD = 0.14, P = 0.02）。满意度指标倾向于WEB+TXT（满意：96.3% vs 90.5%, SMD = 0.17, P = 0.008；向朋友推荐：95.9% vs 90.1%, SMD = 0.16, P = 0.028）。一项随机对照试验发现，没有证据表明，在美国成年吸烟者中，与单独使用互联网干预相比，联合使用互联网和短信干预可以提高9个月的戒烟率，尽管有证据表明，在3个月时，干预的参与度和满意度更高。
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. 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. United States: a digital study conducted among new registrants on a free tobacco cessation website. 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). 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. 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. 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). 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.
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