Centre d’Atenció Primària Bonavista, Direcció d’Atenció Primària Tarragona, Institut Català de la Salut, Tarragona, Spain.
BMC Public Health. 2013 Aug 1;13:704. doi: 10.1186/1471-2458-13-704.
Tobacco consumption is the most preventable cause of morbidity-mortality in the world. One aspect of smoking cessation that merits in-depth study is the use of an application designed for smartphones (app), as a supportive element that could assist younger smokers in their efforts to quit. To assess the efficacy of an intervention that includes the assistance of a smoking cessation smartphone application targeted to young people aged 18 to 30 years who are motivated to stop smoking.
METHODS/DESIGN: Cluster randomised clinical trial.
Primary Health Care centres (PHCCs) in Catalonia. Analyses based on intention to treat.
motivated smokers of 10 or more cigarettes per day, aged 18 to 30 years, consulting PHCCs for any reason and who provide written informed consent to participate in the trial. Intervention group will receive a 6-month smoking cessation programme that implements recommendations of a Clinical Practice Guideline, complemented with a smartphone app designed specifically for this programme. Control group will receive the usual care. The outcome measure will be abstinence at 12 months confirmed by exhaled-air carbon monoxide concentration of at least 10 parts per million at each control test.
To our knowledge this is the first randomised controlled trial of a programme comparing the efficacy of usual care with a smoking cessation intervention involving a mobile app. If effective, the modality could offer a universal public health management approach to this common health concern.
NCT01734421.
吸烟是世界上可预防的发病率和死亡率的最主要原因。值得深入研究的戒烟方面之一是使用专为智能手机设计的应用程序（app），作为一个辅助元素，以帮助年轻吸烟者戒烟。评估包括使用戒烟智能手机应用程序对 18 至 30 岁有戒烟意愿的年轻人进行干预的效果。
方法/设计：整群随机临床试验。
加泰罗尼亚的初级保健中心（PHCC）。基于意向治疗进行分析。
每天吸烟 10 支或以上的有意愿吸烟者，年龄在 18 至 30 岁之间，因任何原因到 PHCC 就诊，并书面同意参加试验。干预组将接受为期 6 个月的戒烟计划，该计划实施临床实践指南的建议，并辅以专为该计划设计的智能手机应用程序。对照组将接受常规护理。主要结局指标为在 12 个月时通过呼气一氧化碳浓度至少达到 10ppm 的每个控制测试证实的戒烟。
据我们所知，这是第一项比较常规护理与涉及移动应用程序的戒烟干预措施的疗效的随机对照试验。如果有效，这种模式可以为这一常见的健康问题提供一种普遍的公共卫生管理方法。
NCT01734421。
