BinDhim Nasser F, McGeechan Kevin, Trevena Lyndal
Saudi Food and Drug Authority, Riyadh, Saudi Arabia.
School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
BMJ Open. 2018 Jan 21;8(1):e017105. doi: 10.1136/bmjopen-2017-017105.
To assess the efficacy of an interactive smoking cessation decision-aid application (pp) compared with a smoking cessation static information app on continuous abstinence.
Automated double-blind randomised controlled trial with 6 months follow-up (2014-2015).
Smartphone-based.
684 participants (daily smokers of cigarettes, 18 years old or over) recruited passively from app stores in the USA, Australia, UK and Singapore, and randomised to one of two sub-apps.
Behavioural, decision-aid, smartphone application.
Continuous abstinence at 10 days, 1 month, 3 months and 6 months.
Smokers who received the decision-aid app were more likely to be continuously abstinent at 1 month compared with the information-only app (28.5% vs 16.9%; relative risk (RR) 1.68; 95% CI 1.25 to 2.28). The effect was sustained at 3 months (23.8% vs 10.2%; RR 2.08; 95% CI 1.38 to 3.18) and 6 months (10.2% vs 4.8%; RR 2.02; 95% CI 1.08 to 3.81). Participants receiving the decision-aid app were also more likely to have made an informed choice (31.9% vs 19.6%) and have lower decisional conflict (19.5% vs 3.9%).
A smartphone decision-aid app with support features significantly increased smoking cessation and informed choice. With an increasing number of smokers attempting to quit, unassisted evidence-based decision-aid apps can provide an effective and user-friendly option to many who are making quit decisions without healthcare professionals.
ACTRN12613000833763.
评估一款交互式戒烟决策辅助应用程序（pp）与一款戒烟静态信息应用程序相比，在持续戒烟方面的效果。
自动双盲随机对照试验，随访6个月（2014 - 2015年）。
基于智能手机。
从美国、澳大利亚、英国和新加坡的应用商店中被动招募684名参与者（每日吸烟者，18岁及以上），并随机分为两个子应用程序之一。
行为、决策辅助、智能手机应用程序。
在10天、1个月、3个月和6个月时持续戒烟。
与仅提供信息的应用程序相比，接受决策辅助应用程序的吸烟者在1个月时更有可能持续戒烟（28.5%对16.9%；相对风险（RR）1.68；95%置信区间1.25至2.28）。这种效果在3个月（23.8%对10.2%；RR 2.08；95%置信区间1.38至3.18）和6个月（10.2%对4.8%；RR 2.02；95%置信区间1.08至3.81）时持续存在。接受决策辅助应用程序的参与者也更有可能做出明智的选择（31.9%对19.6%），并且决策冲突更低（19.5%对3.9%）。
一款具有支持功能的智能手机决策辅助应用程序显著提高了戒烟率并促进了明智的选择。随着越来越多的吸烟者试图戒烟，无辅助的循证决策辅助应用程序可以为许多在没有医疗专业人员帮助下做出戒烟决定的人提供一种有效且用户友好的选择。
ACTRN12613000833763。
