Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging

Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging
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DOI:
10.1136/tc.2005.011577
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发表时间:
2005-08-01
期刊:
影响因子:
5.2
通讯作者:
Jones, M
Jones, M
中科院分区:
医学2区
文献类型:
--
作者:
Rodgers, A;Corbett, T;Jones, M

文献摘要

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目的:确定手机短信吸烟戒烟程序的有效性。设计:随机对照试验设置:新西兰参与者:来自新西兰的1705名吸烟者想戒烟,年龄超过15岁,并拥有一款移动电话。向一个定期,个性化短信的干预小组提供提供戒烟建议,支持和分心或对照组的干预小组。所有参与者都会收到免费的文字消息传递;从他们的退出一天开始干预小组,以协助戒烟,并在六个月后开始前往对照组,以鼓励跟进。后续数据可在六周时获得1624(95%),在六个月时提供1265(74%)。随机化后。次要结果包括在12和26周时目前的非吸烟。结果:与对照组相比,越来越多的参与者在干预措施中退出了六周:239(28%)v 109(13%),相对风险2.20(95%置信区间1.79至2.70),p <0.0001。在年龄,性别,收入水平或地理位置定义的亚组之间,这种治疗效果是一致的(P均匀性> 0.2)。在调整缺失数据和唾液可替宁验证测试的灵敏度分析中,相对风险估计值相似。报告的戒烟率在六个月的时间仍然很高,但是由于不完整的随访,群体差异之间存在一些不确定性。结论:该计划为帮助年轻吸烟者戒烟,负担得起,个性化,适合年龄和适合年轻人的新方法提供了潜力不取决于位置。未来的研究应在不同的环境中测试这些发现,并进一步评估长期退出率。
Objectives: To determine the effectiveness of a mobile phone text messaging smoking cessation programme.Design: Randomised controlled trial Setting: New ZealandParticipants: 1705 smokers from throughout New Zealand who wanted to quit, were aged over 15 years, and owned a mobile phone were randomised to an intervention group that received regular, personalised text messages providing smoking cessation advice, support, and distraction, or to a control group. All participants received a free month of text messaging; starting for the intervention group on their quit day to assist with quitting, and starting for the control group at six months to encourage follow up. Follow up data were available for 1624 (95%) at six weeks and 1265 (74%) at six months.Main outcome measures: The main trial outcome was current non-smoking (that is, not smoking in the past week) six weeks after randomisation. Secondary outcomes included current non-smoking at 12 and 26 weeks. Results: More participants had quit at six weeks in the intervention compared to the control group: 239 (28%) v 109 (13%), relative risk 2.20 (95% confidence interval 1.79 to 2.70), p < 0.0001. This treatment effect was consistent across subgroups defined by age, sex, income level, or geographic location (p homogeneity > 0.2). The relative risk estimates were similar in sensitivity analyses adjusting for missing data and salivary cotinine verification tests. Reported quit rates remained high at six months, but there was some uncertainty about between group differences because of incomplete follow up.Conclusions: This programme offers potential for a new way to help young smokers to quit, being affordable, personalised, age appropriate, and not location dependent. Future research should test these findings in different settings, and provide further assessment of long term quit rates.