Internet-based intervention for smoking cessation (StopAdvisor) in people with low and high socioeconomic status: a randomised controlled trial

Brown, Jamie; Michie, Susan; Geraghty, Adam W A; Yardley, Lucy; Gardner, Benjamin; Shahab, Lion; Stapleton, John; West, Robert A.

doi:10.1016/s2213-2600(14)70195-x

Cited by 113 publications

(130 citation statements)

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“…Our findings show that to a certain extent it was feasible to use a primary care approach to recruit and consent people who smoke to the study, although recruitment took a long time, and we only recruited 87 % of our target sample size (87/100). There has only been limited previous research into the optimum recruitment of participants to internet-based smoking cessation interventions, with a recent study suggesting the benefit of a combination of offline and online routes [23], and other studies have shown that online only approaches can yield high recruitment [24]. Our questionnaire responses suggest that the eligibility criteria were not always applied correctly: some smokers had already given up, while others had little desire to quit.…”

Section: Discussionmentioning

confidence: 87%

A novel experience-based internet intervention for smoking cessation: feasibility randomised controlled trial

et al. 2016

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BackgroundThe internet is frequently used to share experiences of health and illness, but this phenomenon has not been harnessed as an intervention to achieve health behaviour change. The aim of this study was to determine the feasibility of a randomised trial assessing the effects of a novel, experience-based website as a smoking cessation intervention. The secondary aim was to measure the potential impact on smoking behaviour of both the intervention and a comparator website.MethodsA feasibility randomised controlled single-blind trial assessed a novel, experience-based website containing personal accounts of quitting smoking as a cessation intervention, and a comparator website providing factual information. Feasibility measures including recruitment, and usage of the interventions were recorded, and the following participant-reported outcomes were also measured: Smoking Abstinence Self-Efficacy Questionnaire, the single-item Motivation to Stop Scale, self-reported abstinence, quit attempts and health status outcomes. Eligible smokers from two English regions were entered into the trial and given access to their allocated website for two weeks.ResultsEighty-seven smokers were randomised, 65 completed follow-up (75 %). Median usage was 15 min for the intervention, and 5 min for the comparator (range 0.5–213 min). Median logins for both sites was 2 (range 1–20). All participant-reported outcomes were similar between groups.ConclusionsIt was technically feasible to deliver a novel intervention harnessing the online sharing of personal experiences as a tool for smoking cessation, but recruitment was slow and actual use was relatively low, with attrition from the trial. Future work needs to maximize engagement and to understand how best to assess the value of such interventions in everyday use, rather than as an isolated ‘dose of information’.Trial registration ISRCTN29549695 DOI 10.1186/ISRCTN29549695. Registered 17/05/2013.

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Section: Discussionmentioning

confidence: 87%

A novel experience-based internet intervention for smoking cessation: feasibility randomised controlled trial

et al. 2016

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“…We also note that roughly a third of participants reporting 7-day ppa did not return a saliva sample, potentially because they knowingly misreported their smoking status. Second, our analyses were restricted to cotinine and did not consider other biomarkers such as anabasine that could be used in the presence of other nicotine products (12). The expense of anabasine assays would have been prohibitive for our study, and likely for others as well (9).…”

Section: Discussionmentioning

confidence: 99%

Feasibility of biochemical verification in a web-based smoking cessation study

Cha

Ganz

Cohn

et al. 2017

Addictive Behaviors

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Background and Aims Cogent arguments have been made against the need for biochemical verification in population-based studies with low-demand characteristics. Despite this fact, studies involving digital interventions (low-demand) are often required in peer review to report biochemically verified abstinence. To address this discrepancy, we examined the feasibility and costs of biochemical verification in a web-based study conducted with a national sample. Methods Participants were 600 U.S. adult current smokers who registered on a web-based smoking cessation program and completed surveys at baseline and 3 months. Saliva sampling kits were sent to participants who reported 7-day abstinence at 3 months, and analyzed for cotinine. Results The response rate at 3-months was 41.2% (n=247): 93 participants reported 7-day abstinence (38%) and were mailed a saliva kit (71% returned). The discordance rate was 36.4%. Participants with discordant responses were more likely to report 3-month use of nicotine replacement therapy or e-cigarettes than those with concordant responses (79.2% vs. 45.2%, p=.007). The total cost of saliva sampling was $8280 ($125/sample). Conclusions Biochemical verification was both time- and cost-intensive, and yielded a relatively small number of samples due to low response rates and use of other nicotine products during the follow-up period. There was a high rate of discordance of self-reported abstinence and saliva testing. Costs for data collection may be prohibitive for studies with large sample sizes or limited budgets. Our findings echo previous statements that biochemical verification is not necessary in population-based studies, and add evidence specific to technology-based studies.

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“…Since then, numerous successful internet-based intervention trials using LifeGuide have been performed and published in high-impact scientific journals. These trials include public health interventions (eg, smoking cessation)32 and illness management interventions 3334 The LifeGuide software not only allows the user to create the intervention but also contains a data management system.…”

Section: Methods and Analysismentioning

confidence: 99%

Guided and unguided internet-based vestibular rehabilitation versus usual care for dizzy adults of 50 years and older: a protocol for a three-armed randomised trial

et al. 2017

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IntroductionDizziness is a common symptom in general practice with a high prevalence among older adults. The most common cause of dizziness in general practice is peripheral vestibular disease. Vestibular rehabilitation (VR) is a safe and effective treatment for peripheral vestibular disease that entails specific exercises to maximise the central nervous system compensation for the effects of vestibular pathology. An internet-based VR intervention has recently been shown to be safe and effective. Online interventions are low cost and easily accessible, but prone to attrition and non-adherence. A combination of online and face-to-face therapy, known as blended care, may balance these advantages and disadvantages.Methods and analysisA single-blind, three-arm, randomised controlled trial among patients aged 50 years and over presenting with dizziness of vestibular origin in general practice will be performed. In this study, we will compare the clinical and cost-effectiveness of stand-alone internet-based VR and internet-based VR with physiotherapeutic support (‘blended care’) with usual care during 6 months of follow-up. We will use a translated Dutch version of a British online VR intervention. Randomisation will be stratified by dizziness severity. The primary outcome measure is the Vertigo Symptoms Scale—Short Form. Intention-to-treat analysis will be performed, adjusting for confounders. The economic evaluation will be conducted from a societal perspective. We will perform an additional analysis on the data to identify predictors of successful treatment in the same population to develop a clinical decision rule for general practitioners.Ethics and disseminationThe ethical committee of the VU University Medical Center approved ethics and dissemination of the study protocol. The insights and results of this study will be widely disseminated through international peer-reviewed journals and conference presentations.Trial registration numberPre-results, NTR5712.

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Internet-based intervention for smoking cessation (StopAdvisor) in people with low and high socioeconomic status: a randomised controlled trial

Abstract: National Prevention Research Initiative.

Cited by 113 publications

References 28 publications

A novel experience-based internet intervention for smoking cessation: feasibility randomised controlled trial

A novel experience-based internet intervention for smoking cessation: feasibility randomised controlled trial

Feasibility of biochemical verification in a web-based smoking cessation study

Guided and unguided internet-based vestibular rehabilitation versus usual care for dizzy adults of 50 years and older: a protocol for a three-armed randomised trial

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