Remote biochemical verification of tobacco use: Reducing costs and improving methodological rigor with mailed oral cotinine swabs

Moore, Matthew; Mason, Michael; Brown, Aaron; Garcia, Claudia M.; Seibers, Ashlie; Stephens, Chelsea J.

doi:10.1016/j.addbeh.2018.07.004

Cited by 11 publications

(5 citation statements)

References 11 publications

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“…24 The iScreen OFD test produces qualitative binary results within 10 minutes, with reliable detection at cotinine A c c e p t e d M a n u s c r i p t 12 levels of 30 ng/mL, including through remote verification. 25 Participants were provided with written and pictorial instructions for conducting the OFD swab and were instructed to send a photograph of the test result window as an email attachment to the study email account. A blinded outcome assessor evaluated the photograph to determine smoking status.…”

Section: Methodsmentioning

confidence: 99%

Peer Mentoring and Automated Text Messages for Smoking Cessation: A Randomized Pilot Trial

White

Toussaert

Thrul

et al. 2019

Nicotine &Amp; Tobacco Research

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Introduction: Text-messaging programs for smoking cessation, while efficacious, have high drop-out rates. To address this problem, we developed and tested the feasibility and early efficacy of a peermentoring intervention for smoking cessation provided by former smokers.Methods: Adult U.S. smokers were recruited nationally into a randomized pilot trial (N=200), comparing 6-8 weeks of automated text-messaging support (SmokefreeTXT) and automated text support plus personalized texts from a peer mentor who formerly smoked. The primary outcome was biochemically verified 7-day point-prevalence abstinence at 3 months post-quite date, assessed on an intent-to-treat basis (missing = smoking). Self-reported abstinence, program acceptability, user engagement, and user perceptions were also assessed. Results:Biochemically verified abstinence at 3 months was 7.9% (8/101) in the intervention group and 3.0% (3/99) in the control group (adjusted difference 6.5, 95% CI 0.7-12.3; p=0.03). Self-reported abstinence at 3 months was 23.8% (24/101) in the intervention group versus 13.1% (13/99) in the control group (adjusted difference 12.7, 95% CI 1.2-24.1; p=0.03). The intervention had a positive but insignificant effect on overall satisfaction (78.3% vs. 72.9% control group, p=0.55). Having a mentor did not significantly alter duration of interaction with the program, nor the proportion unsubscribing, although the intervention group reset their quit date with greater frequency (p<0.01) and sent more messages (p<0.01).Conclusions: Peer mentoring combined with automated text messages was feasible and acceptable and increased smoking abstinence compared with automated messages alone. The results highlight the promise of this intervention approach and the need for a full-scale evaluation.Implications: Providing quitting assistance by automated text messaging has been shown to increase smoking abstinence. Yet, dropout rates in text-messaging programs are high. No studies have tested the effectiveness of peer mentors who are former smokers as part of a text-messaging intervention, although

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Section: Methodsmentioning

confidence: 99%

Peer Mentoring and Automated Text Messages for Smoking Cessation: A Randomized Pilot Trial

White

Toussaert

Thrul

et al. 2019

Nicotine &Amp; Tobacco Research

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“…Moore et al found that the final results of the swab did not change as a result of the time from collection to mailing, and thus this was a reliable method for quantifying tobacco usage in patients. 22 Future studies should also examine whether a telehealth visit with a provider, combined with the cotinine swabs, can cause behavior change in individuals attempting to reduce their tobacco intake.…”

Section: Pvd Monitoringmentioning

confidence: 99%

COVID‐19: A catalyst for change in virtual health care utilization for persons with limb loss

Hewitt

Smith

Heckman

et al. 2021

PM&R

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The dramatic uptake of virtual care, or telehealth, utilization because of COVID-19 restrictions for persons with limb loss has led to a much greater understanding of this health care delivery method for this complex patient population. However, much is still unknown. Therefore, the authors provide a comprehensive literature review of existing evidence for virtual care delivery across the phases of amputation rehabilitation, as well as anecdotal evidence, to provide a platform for further discussion and development of research and innovative opportunities. Evidence reveals that virtual care serves as a complement to in-person health care for individuals with limb loss because it allows for increased accessibility to these services. The authors conclude that continued use of telehealth beyond the COVID-19 restrictions to optimize outcomes across the continuum of care for persons with limb loss is warranted.

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“…Each assessment consisted of questionnaires and biochemical verification of participants' smoking status via breath and saliva specimens submitted remotely using a smartphone. Breath specimens were submitted using the handheld, smartphone-compatible iCO™ Smokerlyzer® (coVita, Inc.) CO monitor (Wong et al, 2019), and saliva cotinine levels were measured using the Alere iScreen® OFD Test (New Line Medical) (Moore et al, 2018). With the exception of sociodemographic characteristics that were assessed at intake only, the questionnaires completed at each assessment were largely identical, and queried participants about various secondary outcomes (e.g., nicotine dependence, smoking behavior, depression levels) that will be examined in our ongoing, fully randomized trial examining the current intervention (ClinicalTrials.gov Identifier: NCT03922360).…”

Section: Assessmentsmentioning

confidence: 99%

Smartphone-Based Financial Incentives to Promote Smoking Cessation During Pregnancy: A Pilot Study

Kurti

Tang

Bolívar

et al. 2020

Obstetrical &Amp; Gynecological Survey

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Cigarette smoking during pregnancy increases risk for pregnancy complications, growth restriction, and other adverse health outcomes. The most effective intervention for reducing smoking during pregnancy is financial incentives contingent on biochemically-verified smoking abstinence. The present study examined the efficacy of a smartphone-based intervention whereby smoking monitoring and incentive delivery occurred remotely using a mobile app. If efficacious, this remote intervention would allow pregnant women residing in geographically remote areas to benefit from incentives-based cessation interventions. Sixty U.S. pregnant smokers were recruited between May 2018 to May 2019 via obstetrical clinics, Women, Infants, and Children (WIC) offices, and Facebook. Participants were assigned sequentially to one of two treatments: best practices alone (N = 30) or best practices plus financial incentives (N = 30). Outcomes were analyzed using repeated measures analysis based on generalized estimating equations (GEE). Seven-day point prevalence abstinence rates were greater in the incentives versus best practices arms early-(46.7% vs 20.

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Remote biochemical verification of tobacco use: Reducing costs and improving methodological rigor with mailed oral cotinine swabs

Cited by 11 publications

References 11 publications

Peer Mentoring and Automated Text Messages for Smoking Cessation: A Randomized Pilot Trial

Peer Mentoring and Automated Text Messages for Smoking Cessation: A Randomized Pilot Trial

COVID‐19: A catalyst for change in virtual health care utilization for persons with limb loss

Smartphone-Based Financial Incentives to Promote Smoking Cessation During Pregnancy: A Pilot Study

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