Start2quit: a randomised clinical controlled trial to evaluate the effectiveness and cost-effectiveness of using personal tailored risk information and taster sessions to increase the uptake of the NHS Stop Smoking Services

Abstract

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A digital behaviour change intervention to increase booking and attendance at Stop Smoking Services: the MyWay feasibility RCT

“…Other studies, however, have tended to use more intensive methods to pursue follow-up data, including phoning participants and pursuing only the primary outcome measures for those most resistant to completing follow-up measures. 46,73 We only sent two auto-generated e-mails, 2 weeks apart, with a request to complete measures online via a web link and the offer of a £5 e-voucher for doing so, and achieved follow-up with 61% of participants in the SM setting. In a future definitive trial, we could aim to increase follow-up to a target of 80% of participants by employing more intensive follow-up procedures as other studies have done.…”

“…Follow-up rates were very poor and, based on the data obtained in this feasibility study, to recruit 1000 smokers at baseline we would need to invite smokers from 228 GP surgeries. Gilbert et al 46 had to expand the number of GP settings that they recruited from during their RCT of an invite letter to a taster SSS session, but they ultimately achieved more than 4000 baseline recruits through 99 GP surgeries.…”

“…75 It is possible that the very brief information about the study that was included in the text messages was not sufficient to entice individuals to find out more. Participants in the Gilbert et al 46 study received a much more detailed, personalised invitation that contained health risk information tailored to their own current health status, age, sex and smoking habits. Furthermore, participants in another trial 76 were invited to attend SSS in correspondence sent by their GP that sought to update their medical records on smoking, which may have encouraged and normalised participation, leading to a higher recruitment rate.…”

“…Based on RCT data investigating the recruitment of smokers to SSS via letters from their GPs, 46 we would need to enrol 980 smokers to detect a 7% difference in attendance at SSS between control and intervention arms in a definitive trial. Based on this estimate, any trial would need to recruit 1.8 participants per day in total to achieve the required recruitment in 18 months.…”

Evaluation of a population-level strategy to promote tobacco treatment use among insured smokers: a pragmatic, randomized trial

“…Recent studies show brief interventions can increase smoking cessation uptake, [ 10 – 12 ] but these trials have relied on using medical visits to identify smokers and to collect the information necessary for intervention, which is resource intensive. In contrast, the current study sought to determine if cessation treatment uptake could be increased through low-intensity, mail-based outreach from the health plan, without relying on medical visits or individually-collected data to inform the intervention.…”