Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice)

Felix Naughton; James Jamison; Sue Boase; Melanie Sloan; Hazel Gilbert; A. Toby Prevost; Dan Mason; Susan Smith; James Brimicombe; Robert Evans; Stephen Sutton

doi:10.1111/add.12556

Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice)

Felix Naughton, James Jamison, Sue Boase, Melanie Sloan, Hazel Gilbert, A. Toby Prevost, Dan Mason, Susan Smith, James Brimicombe, Robert Evans, Stephen Sutton

Research output: Contribution to journal › Article › peer-review

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Abstract

Aims: To estimate the short-term effectiveness, feasibility and acceptability of a smoking cessation intervention (the iQuit 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 iQuit system (intervention), delivered by primary care nurses/healthcare assistants who were blinded to the allocation sequence.

Setting: Thirty-two general practice (GP) surgeries in England, 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%, iQuit 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 iQuit arm (control 8.9%, iQuit 15.1%; OR = 1.81, 95% CI = 1.09–3.01). iQuit 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.

Original language	English
Pages (from-to)	1184-1193
Number of pages	10
Journal	Addiction
Volume	109
Issue number	7
Early online date	24 Apr 2014
DOIs	https://doi.org/10.1111/add.12556
Publication status	Published - Jul 2014

Keywords

Cessation advice
computer tailoring
Primary care
self-help
smoking cessation
text messaging

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10.1111/add.12556Licence: CC BY-NC-ND

Published manuscript
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Final published version, 190 KBLicence: CC BY-NC-ND

http://onlinelibrary.wiley.com/doi/10.1111/add.12556/abstractLicence: CC BY-NC-ND

Felix Naughton
- F.Naughtonuea.acuk
- School of Health Sciences - Professor of Health Psychology
- Norwich Institute for Healthy Aging - Member
- Lifespan Health - Member
- Behavioural and Implementation Science - Member
- Health Promotion - Member
Person: Research Group Member, Research Centre Member, Academic, Teaching & Research

Cite this

Naughton, F., Jamison, J., Boase, S., Sloan, M., Gilbert, H., Prevost, A. T., Mason, D., Smith, S., Brimicombe, J., Evans, R., & Sutton, S. (2014). Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice). Addiction, 109(7), 1184-1193. https://doi.org/10.1111/add.12556

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title = "Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice)",

abstract = "Aims: To estimate the short-term effectiveness, feasibility and acceptability of a smoking cessation intervention (the iQuit 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 iQuit system (intervention), delivered by primary care nurses/healthcare assistants who were blinded to the allocation sequence. Setting: Thirty-two general practice (GP) surgeries in England, 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%, iQuit 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 iQuit arm (control 8.9%, iQuit 15.1%; OR = 1.81, 95% CI = 1.09–3.01). iQuit 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.",

keywords = "Cessation advice, computer tailoring, Primary care, self-help, smoking cessation, text messaging",

author = "Felix Naughton and James Jamison and Sue Boase and Melanie Sloan and Hazel Gilbert and Prevost, {A. Toby} and Dan Mason and Susan Smith and James Brimicombe and Robert Evans and Stephen Sutton",

note = "This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.",

year = "2014",

month = jul,

doi = "10.1111/add.12556",

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volume = "109",

pages = "1184--1193",

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Naughton, F, Jamison, J, Boase, S, Sloan, M, Gilbert, H, Prevost, AT, Mason, D, Smith, S, Brimicombe, J, Evans, R & Sutton, S 2014, 'Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice)', Addiction, vol. 109, no. 7, pp. 1184-1193. https://doi.org/10.1111/add.12556

TY - JOUR

T1 - Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice)

AU - Naughton, Felix

AU - Jamison, James

AU - Boase, Sue

AU - Sloan, Melanie

AU - Gilbert, Hazel

AU - Prevost, A. Toby

AU - Mason, Dan

AU - Smith, Susan

AU - Brimicombe, James

AU - Evans, Robert

AU - Sutton, Stephen

N1 - This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

PY - 2014/7

Y1 - 2014/7

N2 - Aims: To estimate the short-term effectiveness, feasibility and acceptability of a smoking cessation intervention (the iQuit 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 iQuit system (intervention), delivered by primary care nurses/healthcare assistants who were blinded to the allocation sequence. Setting: Thirty-two general practice (GP) surgeries in England, 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%, iQuit 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 iQuit arm (control 8.9%, iQuit 15.1%; OR = 1.81, 95% CI = 1.09–3.01). iQuit 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.

AB - Aims: To estimate the short-term effectiveness, feasibility and acceptability of a smoking cessation intervention (the iQuit 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 iQuit system (intervention), delivered by primary care nurses/healthcare assistants who were blinded to the allocation sequence. Setting: Thirty-two general practice (GP) surgeries in England, 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%, iQuit 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 iQuit arm (control 8.9%, iQuit 15.1%; OR = 1.81, 95% CI = 1.09–3.01). iQuit 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.

KW - Cessation advice

KW - computer tailoring

KW - Primary care

KW - self-help

KW - smoking cessation

KW - text messaging

U2 - 10.1111/add.12556

DO - 10.1111/add.12556

M3 - Article

C2 - 24661312

VL - 109

SP - 1184

EP - 1193

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 7

ER -

Randomized controlled trial to assess the short-term effectiveness of tailored web- and text-based facilitation of smoking cessation in primary care (iQuit in Practice)

Abstract

Keywords

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Felix Naughton

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