The QuitIT Coping Skills Game for Promoting Tobacco Cessation Among Smokers Diagnosed With Cancer: Pilot Randomized Controlled Trial

Autor: Jack E. Burkhalter, Paul Krebs, Herbert Snow, Jamie S. Ostroff, Elizabeth Schofield, Michelle Iocolano, Jeffrey Fiske, Sarah P. Borderud
Rok vydání: 2018
Předmět:
Counseling
Male
020205 medical informatics
medicine.medical_treatment
Pilot Projects
02 engineering and technology
tobacco
law.invention
0302 clinical medicine
Randomized controlled trial
law
Behavior Therapy
Neoplasms
Adaptation
Psychological
0202 electrical engineering
electronic engineering
information engineering
Attrition
030212 general & internal medicine
mHealth
app
Smokers
Middle Aged
T58.5-58.64
Mobile Applications
Telemedicine
3. Good health
Female
Public aspects of medicine
RA1-1270
Adult
medicine.medical_specialty
Health Informatics
Information technology
03 medical and health sciences
Patient satisfaction
Game design
Standard care
Games
Recreational
medicine
Humans
cancer
Trial registration
Aged
Tobacco Use Cessation
Original Paper
mobile phone
business.industry
medicine.disease
Physical therapy
Smoking cessation
business
Zdroj: JMIR mHealth and uHealth
JMIR mHealth and uHealth, Vol 7, Iss 1, p e10071 (2019)
ISSN: 2291-5222
Popis: BackgroundAlthough smoking cessation apps have become popular, few have been tested in randomized clinical trials or undergone formative evaluation with target users. ObjectiveWe developed a cessation app targeting tobacco-dependent cancer patients. Game design and behavioral rehearsal principles were incorporated to help smokers identify, model, and practice coping strategies to avoid relapse to smoking. In this randomized pilot trial, we examined feasibility (recruitment and retention rates), acceptability (patient satisfaction), quitting self-confidence, and other cessation-related indices to guide the development of a larger trial. MethodsWe randomized 42 English-speaking cancer patients scheduled for surgical treatment to either the Standard Care (SC; telecounseling and cessation pharmacotherapies) or the experimental QuitIT study arm (SC and QuitIT game). Gameplay parameters were captured in-game; satisfaction with the game was assessed at 1-month follow-up. We report study screening, exclusion, and refusal reasons; compare refusal and attrition by key demographic and clinical variables; and report tobacco-related outcomes. ResultsFollow-up data were collected from 65% (13/20) patients in the QuitIT and 61% (11/18) in SC arms. Study enrollees were 71% (27/38) females, 92% (35/38) white people, and 95% (36/38) non-Hispanic people. Most had either lung (12/38, 32%) or gastrointestinal (9/38, 24%) cancer. Those dropping out were less likely than completers to have used a tablet (P
Databáze: OpenAIRE
Externí odkaz: