BMJ Open
| Autor: | Cédric Baumann, Anne Pasquereau, Pierre Arwidson, Linda Cambon, Pierre Bergman, François Alla, Anne-Laurence Le Faou, Aurélie Affret, Amandine Luc |
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| Přispěvatelé: | Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Prevalence 050109 social psychology preventive medicine law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) medicine Tobacco Smoking Humans 0501 psychology and cognitive sciences 030212 general & internal medicine media_common Preventive healthcare Text Messaging clinical trials business.industry Public health 05 social sciences Smoking MRISP General Medicine Abstinence 16. Peace & justice 3. Good health Clinical trial Physical therapy Medicine Smoking cessation Smoking Cessation [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie France Public Health business |
| Zdroj: | BMJ Open BMJ Open, BMJ Publishing Group, In press, 10 (10), pp.e039515. ⟨10.1136/bmjopen-2020-039515⟩ BMJ Open, Vol 10, Iss 10 (2020) |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2020-039515⟩ |
| Popis: | ObjectiveTo compare the effectiveness of the mobile e-Tabac Info Service (e-TIS) application (app) for helping adult smokers quit smoking with current practices.DesignPragmatic randomised controlled trial with a 1-year follow-up (2017–2018).SettingFrance, population-wide level.Participants2806 adult smokers who wished to quit smoking were recruited via the website of the French National Mandatory Health Insurance fund. Of them, 1400 were randomised to the e-TIS app arm and 1406 were randomised to the current practices arm (control).InterventionThe app involved personalised interactive contacts that included questionnaires, advice, activities and text messages. All contacts were individually tailored and based on each smoker’s progress.In the control group, recommended practices for quitting smoking were described on a non-interactive website.Primary and secondary outcomes measuresThe primary outcome was 7-day point prevalence abstinence (PPA) at 6 months. The secondary outcomes included continuous abstinence rates at 6 and 12 months, minimum 24-hour point abstinence at 3 months, minimum 30-day point abstinence at 12 months and number and duration of quit attempts.ResultsThere was no difference between the e-TIS and control arms for the primary outcome (12.6% vs 13.7% for 7-day PPA at 6 months, p=0.3949, intention-to-treat analysis). However, e-TIS participants with high levels of exposure to the app, which was defined by the completion of at least eight activities or questionnaires, showed higher rates of smoking cessation than the control participants (17.6% vs 12.9% for 7-day PPA at 6 months, p=0.0169, per-protocol analysis).ConclusionUse of the e-TIS app was not associated with a higher rate of smoking cessation. However, high level of exposure to the e-TIS app may have been more effective than current practices.Trial registration numberNCT02841683. |
| Databáze: | OpenAIRE |
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