Randomized controlled trial examining the adjunctive use of nicotine lozenges with MyLastDip: An eHealth smokeless tobacco cessation intervention

Autor: Brian G. Danaher, Herbert H. Severson, Ryann Crowley, Nora van Meter, Milagra S. Tyler, Chris Widdop, Edward Lichtenstein, Jon O. Ebbert
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Internet Interventions, Vol 2, Iss 1, Pp 69-76 (2015)
Druh dokumentu: article
ISSN: 2214-7829
DOI: 10.1016/j.invent.2014.12.004
Popis: Introduction: Promising Web-based interventions for smokeless tobacco cessation have emerged. We describe a randomized controlled trial (RCT) testing the relative benefits of adding the nicotine lozenge as an adjunct to the MyLastDip Web-based smokeless tobacco cessation intervention. Methods: 407 smokeless tobacco users who wanted to quit were recruited, screened online, and randomly assigned to one of two conditions: (a) the interactive MyLastDip Web-based intervention (Web Only; n = 202), or (b) the website plus the offer of nicotine lozenges (Web + Lozenge; n = 205). MyLastDip program content is grouped according to three sequential frames: preparing to quit, quitting, and staying quit. If a participant reported a lapse then the program would provide tailored content on lessons learned and starting over (“retooling”). The primary outcome was 7-day point prevalence tobacco abstinence measured at follow-up assessments that occurred 3 months and 6 months post-enrollment. Results: Assessment completion rates were 71.5% at 3 months, 72.9% at 6 months, and 65.1% for both 3 and 6 months, and did not differ by condition. Using Intent to Treat analyses, the Web + Lozenge condition was associated with a significantly higher 7-day point prevalence tobacco abstinence rate than the Web Only condition at 3 months (43.4% vs. 29.7%, p = .004), at the combined 3 and 6 month assessment of repeated point prevalence (35.6% vs. 23.3%, p = .007), but not at 6 months (44.4% vs. 35.1%, p = .057). Similar results were obtained for smokeless tobacco abstinence. Participants reported being satisfied with their programs and the Web + Lozenge condition participants visited the MyLastDip program more often (p
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