A randomised trial of real-time video counselling for smoking cessation among rural and remote residents.

Autor:	Tzelepis F; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia., Wiggers J; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia., Paul CL; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia., Mitchell A; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia., Byrnes E; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia., Byaruhanga J; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia., Wilson L; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia., Lecathelinais C; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia., Bowman J; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.; School of Psychology, University of Newcastle, Callaghan, New South Wales, Australia., Campbell E; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia., Gillham K; Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia.
Jazyk:	angličtina
Zdroj:	Journal of telemedicine and telecare [J Telemed Telecare] 2024 Aug 21, pp. 1357633X241273076. Date of Electronic Publication: 2024 Aug 21.
DOI:	10.1177/1357633X241273076
Abstrakt:	Introduction: Despite its reach, very limited evidence exists on the effectiveness of real-time video counselling for smoking cessation (e.g. via Skype). This study compared the effectiveness of real-time video counselling for smoking cessation to (a) telephone counselling; and (b) a control among rural and remote residents. Methods: Between 25 May 2017 and 3 March 2020, a three-arm, parallel group, randomised trial, randomised 1244 rural and remote residents from New South Wales, Australia who smoked tobacco to: video counselling (4-6 video sessions); telephone counselling (4-6 telephone calls); or a control (printed materials). The primary outcome was 7-day point prevalence abstinence at 13 months post-baseline. Secondary outcomes were point prevalence abstinence at 4 months and 7-months post-baseline, prolonged abstinence, quit attempts, anxiety and depression. Results: For the primary outcome of 7-day point prevalence abstinence at 13 months post-baseline, there was no significant difference between video counselling and telephone counselling (14.6% vs 13.3%; (OR = 1.11, 95% CI (0.75-1.64), P  = 0.61) or video counselling and control (14.6% vs 13.9%; (OR = 1.06, 95% CI (0.71-1.57), P  = 0.77). For secondary outcomes at 4 months post-baseline, the video counselling group had significantly higher odds than the control of 7-day point prevalence abstinence (14.3% vs 8.2%; OR = 1.88, 95% CI (1.20-2.95), P  = 0.006) and 3-month prolonged abstinence (4.9% vs 2.2%; OR = 2.28, 95% CI (1.03-5.07), P  = 0.04). There were no significant differences for other secondary outcomes. Discussion: Video counselling increased smoking cessation in the short-term compared to a control although strategies to improve its long-term effectiveness are needed. Trial Registration: Australian New Zealand Clinical Trials Registry, https://www.anzctr.org.au ACTRN12617000514303. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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