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Randomized controlled trial to assess the short‐term effectiveness of tailored web‐ and text‐based facilitation of smoking cessation in primary care (i Q uit in P ractice)
Author(s) -
Naughton Felix,
Jamison James,
Boase Sue,
Sloan Melanie,
Gilbert Hazel,
Prevost A. Toby,
Mason Dan,
Smith Susan,
Brimicombe James,
Evans Robert,
Sutton Stephen
Publication year - 2014
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.12556
Subject(s) - smoking cessation , medicine , abstinence , randomized controlled trial , confidence interval , odds ratio , physical therapy , pediatrics , psychiatry , pathology
Aims To estimate the short‐term effectiveness, feasibility and acceptability of a smoking cessation intervention (the i Q uit system) that consists of tailored printed and Short Message Service ( SMS) text message self‐help delivered as an adjunct to cessation support in primary care to inform the design of a definitive trial. Design A stratified two parallel‐group randomized controlled trial comparing usual care (control) with usual care plus the i Q uit system (intervention), delivered by primary care nurses/healthcare assistants who were blinded to the allocation sequence. Setting Thirty‐two general practice ( GP ) surgeries in E ngland, UK . Participants A total of 602 smokers initiating smoking cessation support from their local GP surgery were randomized (control n = 303, intervention n = 299). Measurements Primary outcome was self‐reported 2‐week point prevalence abstinence at 8 weeks follow‐up. Secondary smoking outcomes and feasibility and acceptability measures were collected at 4 weeks after quit date, 8 weeks and 6 months follow‐up. Findings There were no significant between‐group differences in the primary outcome [control 40.3%, i Q uit 45.2%; odds ratio ( OR) = 1.22, 95% confidence interval ( CI) = 0.88–1.69] or in secondary short‐term smoking outcomes. Six‐month prolonged abstinence was significantly higher in the i Q uit arm (control 8.9%, i Q uit 15.1%; OR = 1.81, 95% CI = 1.09–3.01). i Q uit support took on average 7.7 minutes (standard deviation = 4.0) to deliver and 18.9% (95% CI = 14.8–23.7%) of intervention participants discontinued the text message support during the programme. Conclusions Tailored printed and text message self‐help delivered alongside routine smoking cessation support in primary care does not significantly increase short‐term abstinence, but may increase long‐term abstinence and demonstrated feasibility and acceptability compared with routine cessation support alone.