Comparing the Effectiveness of the Blended Delivery Mode With the Face-to-Face Delivery Mode of Smoking Cessation Treatment: Noninferiority Randomized Controlled Trial.

Autor:	Siemer L; School of Social Work, Saxion University of Applied Sciences, Enschede, Netherlands.; Department of Psychology, Health and Technology, Centre for eHealth & Well-being Research - Behavioural, Management and Social Sciences, University of Twente, Enschede, Netherlands.; Research Group Technology, Health & Care, Saxion University of Applied Sciences, Enschede, Netherlands., Pieterse ME; Department of Psychology, Health and Technology, Centre for eHealth & Well-being Research - Behavioural, Management and Social Sciences, University of Twente, Enschede, Netherlands., Ben Allouch S; Digital Life Research Group, Amsterdam University of Applied Science, Amsterdam, Netherlands.; Digital Interactions Lab (DIL), Informatics Institute, University of Amsterdam, Amsterdam, Netherlands., Postel MG; Research Group Technology, Health & Care, Saxion University of Applied Sciences, Enschede, Netherlands., Brusse-Keizer MGJ; Medical School Twente, Medisch Spectrum Twente, Enschede, Netherlands.; Health Technology & Services Research, Technical Medical (TechMed) Centre, University of Twente, Enschede, Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of medical Internet research [J Med Internet Res] 2024 Feb 20; Vol. 26, pp. e47040. Date of Electronic Publication: 2024 Feb 20.
DOI:	10.2196/47040
Abstrakt:	Background: Tobacco consumption is a leading cause of death and disease, killing >8 million people each year. Smoking cessation significantly reduces the risk of developing smoking-related diseases. Although combined treatment for addiction is promising, evidence of its effectiveness is still emerging. Currently, there is no published research comparing the effectiveness of blended smoking cessation treatments (BSCTs) with face-to-face (F2F) treatments, where web-based components replace 50% of the F2F components in blended treatment. Objective: The primary objective of this 2-arm noninferiority randomized controlled trial was to determine whether a BSCT is noninferior to an F2F treatment with identical ingredients in achieving abstinence rates. Methods: This study included 344 individuals who smoke (at least 1 cigarette per day) attending an outpatient smoking cessation clinic in the Netherlands. The participants received either a blended 50% F2F and 50% web-based BSCT or only F2F treatment with similar content and intensity. The primary outcome measure was cotinine-validated abstinence rates from all smoking products at 3 and 15 months after treatment initiation. Additional measures included carbon monoxide-validated point prevalence abstinence; self-reported point prevalence abstinence; and self-reported continuous abstinence rates at 3, 6, 9, and 15 months after treatment initiation. Results: None of the 13 outcomes showed statistically confirmed noninferiority of the BSCT, whereas 4 outcomes showed significantly (P<.001) inferior abstinence rates of the BSCT: cotinine-validated point prevalence abstinence rate at 3 months (difference 12.7, 95% CI 6.2-19.4), self-reported point prevalence abstinence rate at 6 months (difference 19.3, 95% CI 11.5-27.0) and at 15 months (difference 11.7, 95% CI 5.8-17.9), and self-reported continuous abstinence rate at 6 months (difference 13.8, 95% CI 6.8-20.8). The remaining 9 outcomes, including the cotinine-validated point prevalence abstinence rate at 15 months, were inconclusive. Conclusions: In this high-intensity outpatient smoking cessation trial, the blended mode was predominantly less effective than the traditional F2F mode. The results contradict the widely assumed potential benefits of blended treatment and suggest that further research is needed to identify the critical factors in the design of blended interventions. Trial Registration: Netherlands Trial Register 27150; https://onderzoekmetmensen.nl/nl/trial/27150. International Registered Report Identifier (irrid): RR2-doi.org/10.1186/s12889-016-3851-x. (©Lutz Siemer, Marcel E Pieterse, Somaya Ben Allouch, Marloes G Postel, Marjolein G J Brusse-Keizer. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 20.02.2024.)
Databáze:	MEDLINE
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