TSET Health Promotion Research Center, Stephenson Cancer Center, Oklahoma City, OK, USA; Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
TSET Health Promotion Research Center, Stephenson Cancer Center, Oklahoma City, OK, USA.
Drug Alcohol Depend. 2024 Jul 1;260:111351. doi: 10.1016/j.drugalcdep.2024.111351. Epub 2024 May 31.
Most people who smoke cigarettes report they want to quit in the future, but only 20 % are ready to quit within the next 30 days. This 3-arm pilot randomized controlled trial examined the feasibility and initial efficacy of a novel smartphone-based intervention that aimed to induce smoking cessation attempts among adults not initially ready to quit.
Participants randomized into the two intervention groups (Group 1: Phoenix App Only; Group 2: Phoenix App + Nicotine Replacement Therapy) received daily smoking cessation messages via smartphone application that were tailored to their current readiness to quit, while the attention control group (i.e., Factoid) received messages not related to smoking cessation. All participants completed a weekly survey for 26 weeks and used the app to set quit dates when/if desired.
Participants (N=152) were female (67.8 %), White (75.7 %), 50.0 years old (SD=12.5), and smoked 20.4 cigarettes per day (SD=10.5). Results indicated that the Phoenix interventions were feasible (e.g., participants viewed ~185 messages over 26 weeks; 74.8 % of weekly surveys were completed; 85.5 % completed the 26-week follow-up assessment). Phoenix participants set more quit dates, set quit dates sooner, were abstinent for more days, and used smoking cessation medications on more days than those assigned to the Factoid group.
This low-burden, smartphone-based smoking cessation induction intervention may increase smoking cessation attempts, and may reduce barriers that are encountered with traditional in-person or call-based interventions.
Clinicaltrials.gov number: NCT03405129; https://clinicaltrials.gov/ct2/show/NCT03405129.
大多数吸烟的人都表示他们将来有戒烟的意愿，但只有 20%的人准备在未来 30 天内戒烟。这项三臂先导随机对照试验检验了一种新的基于智能手机的干预措施的可行性和初步疗效，该措施旨在诱导尚未准备好戒烟的成年人尝试戒烟。
参与者被随机分为两组干预组（第 1 组：Phoenix 应用程序组；第 2 组：Phoenix 应用程序+尼古丁替代疗法组），通过智能手机应用程序每天接收针对其当前戒烟准备情况定制的戒烟信息，而对照组（即 Factoid）则接收与戒烟无关的信息。所有参与者在 26 周内每周完成一次调查，并在需要时使用该应用程序设定戒烟日期。
参与者（N=152）为女性（67.8%）、白人（75.7%）、年龄 50 岁（标准差=12.5），每天吸烟 20.4 支（标准差=10.5）。结果表明，Phoenix 干预措施是可行的（例如，参与者在 26 周内查看了约 185 条信息；完成了 74.8%的每周调查；85.5%完成了 26 周的随访评估）。与分配到 Factoid 组的参与者相比，Phoenix 组的参与者设定了更多的戒烟日期，更早设定戒烟日期，无吸烟天数更多，使用戒烟药物的天数更多。
这种低负担、基于智能手机的戒烟诱导干预措施可能会增加戒烟尝试，并可能减少传统的面对面或电话干预所遇到的障碍。
Clinicaltrials.gov 编号：NCT03405129；https://clinicaltrials.gov/ct2/show/NCT03405129。
