Web-based decision-making tool for smoking cessation (Pare de fumar conosco) among patients with chronic conditions in Brazil : one-arm feasibility study

Cupertino, Ana Paula; Cartujano-Barrera, Francisco; Colugnati, Fernando Antônio Basile; Formagini, Taynara Dutra Batista; Galil, Arise Garcia de Siqueira; Banhato, Eliane Ferreira Carvalho; Ferreira, Marilda Aparecida; Richter, Kimber P.

doi:10.1136/bmjhci-2019-100063

Cited by 7 publications

(27 citation statements)

References 41 publications

(55 reference statements)

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“…In terms of the study population, three studies included the general adult population (Chaves & Oyama, 2008;Cupertino, Cartujano-Barrera, Perales et al, 2019;Cupertino, Cartujano-Barrera, Ramírez et al, 2019), two studies focused on hospitalized adults (Cruvinel et al, 2019;de Azevedo et al, 2010), one study focused on adults with chronic conditions (Cupertino et al, 2020), and another study focused on young adults (Blitchtein-Winicki et al, 2017) Cruvinel et al, 2019;Cupertino, Cartujano-Barrera, Perales et al, 2019;Cupertino, Cartujano-Barrera, Ramírez et al, 2019;Cupertino et al, 2020), and Day 30 (one study; Blitchtein-Winicki et al, 2017) abstinence rates. Six studies used intention-to-treat analysis (Blitchtein-Winicki et al, 2017;Chaves & Oyama, 2008;Cruvinel et al, 2019;Cupertino, Cartujano-Barrera, Perales et al, 2019;Cupertino, Cartujano-Barrera, Ramírez et al, 2019;Cupertino et al, 2020) and one study used complete case analysis ( de Azevedo et al, 2010). Cessation rates varied from 9.4% self-reported 7day point prevalence abstinence at Week 12 (Cupertino et al, 2020) to 55.5% self-reported 30-day point prevalence abstinence at Day 30 (Blitchtein-Winicki et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…The included studies were conducted in different geographic locations and times. Four studies were conducted in Brazil (Chaves & Oyama, 2008; Cruvinel et al, 2019; Cupertino et al, 2020; de Azevedo et al, 2010), two in Mexico (Cupertino, Cartujano-Barrera, Perales et al, 2019; Cupertino, Cartujano-Barrera, Ramírez et al, 2019), and one in Peru (Blitchtein-Winicki et al, 2017). Studies were conducted between 2007 and 2017.…”

Section: Resultsmentioning

confidence: 99%

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Smoking Cessation Mobile Interventions in Latin America: A Systematic Review

Cartujano-Barrera

Rodríguez-Bolaños

Arana-Chicas

et al. 2021

Hisp Health Care Int

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Objective: To systematically review published articles reporting the use of smoking cessation mobile health (mHealth) interventions in Latin America. Methods: Five different databases were searched from database inception to 2020. Criteria: (1) the research was a smoking cessation randomized controlled trial (RCT), quasi-experimental research, or single-arm study; (2) the intervention used at least one type of mHealth intervention; (3) the research was conducted in Latin American; and (4) the research reported the cessation rate. Results: Of the seven selected studies, four were conducted in Brazil, two in Mexico, and one in Peru. Only one study was an adequately powered RCT. Interventions relied on text messages ( n = 3), web-based tools ( n = 2), and telephone calls ( n = 3). Some studies ( n = 4) provided pharmacotherapy support. Smoking cessation outcomes included self-reported ( n = 5) and biochemically verified ( n = 2) abstinence. Follow-ups were conducted at Month 6 ( n = 2), Week 12 ( n = 4), and Day 30 ( n = 1). Cessation rates varied from 9.4% at Week 12 to 55.5% at Day 30. Conclusion: Despite the promising cessation rates of mHealth interventions in Brazil, Mexico, and Peru, there is a need to rigorously evaluate these interventions in different Latin American countries with RCTs that are long-term, adequately powered, and use biochemical verification of cessation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Smoking Cessation Mobile Interventions in Latin America: A Systematic Review

Cartujano-Barrera

Rodríguez-Bolaños

Arana-Chicas

et al. 2021

Hisp Health Care Int

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“… 32 The web-based environment and tools can facilitate better patient education in caring process. 33 …”

Section: Discussionmentioning

confidence: 99%

“…32 The web-based environment and tools can facilitate better patient education in caring process. 33 Limitations Although this study was a randomised control trial, the results should be interpreted with caution, as there are several limitations. First, the study was conducted in one ASU of a local hospital, and this limited generalisation of the findings.…”

Section: Implications Of This Studymentioning

confidence: 94%

Effectiveness of patient education in acute stroke: a comparison between a customised computer system and a pictorial information booklet

Chu

Choi

2020

BMJ Health Care Inform

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BackgroundPatients who develop acute stroke are at high risk for deterioration in the first 48–72 hours after admission. An effective educational intervention is needed.ObjectiveThis study aimed to examine the applicability of the customised interactive computer education system (CICS) in patients who had a stroke in the early acute phase in order to determine the efficacy of the education system in (1) information satisfaction and (2) physiological related management compliance.MethodsThe prospective non-blinded randomised controlled study was conducted in an acute stroke unit of a local hospital in Hong Kong from March to August 2019. Chinese participants were selected if they were at least 18 years of age, experienced a minor stroke within 3 days. The exclusion criteria were communication problem and comorbidity with another acute disease. On the first day of admission, participants were allocated to the CICS and booklet groups, with each group comprising 50 participants. On the third day, the primary outcome, Modified Information Satisfaction Questionnaire for Acute Stroke (MISQ-S), was assessed.ResultsThere was a significant difference in ‘the need to improve information measures’ of the MISQ-S (p=0.04) between the CICS and booklet groups. The management compliance of these two groups did not have difference, but the CICS group had better clinical outcome, though not significant (p=0.387).ConclusionPatient education was needed and feasible in the early acute phase, and the CICS was more efficacious than the booklet. The positive results provided insights into and give a direction to the use of information technology in patient education.

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“…The tablet-based decision support tool was designed to help smokers create an individualized smoking cessation quit plan and to collect data that will tailor the text messages delivered over the ensuing 24 weeks. This tool was adapted from two smoking cessation web-based, informed decision-making tools for Latinos in the United States [ 17 ], Mexico [ 18 ], and Brazil [ 19 ]. The tablet-based tool, available in English and Spanish, consisted of interactive features that lead smokers through various steps in the process of developing a personalized quit plan.…”

Section: Methodsmentioning

confidence: 99%

Decídetexto: Feasibility and Acceptability of a Mobile Smoking Cessation Intervention in Puerto Rico

Cartujano-Barrera

Peña-Vargas

Arana-Chicas

et al. 2021

IJERPH

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The purpose of this pilot study was to assess the feasibility and acceptability of a mobile smoking cessation intervention in Puerto Rico. This was a single-arm pilot study with 26 smokers in Puerto Rico who were enrolled in Decídetexto, a mobile smoking cessation intervention. Decídetexto incorporates three integrated components: (1) a tablet-based software that collects smoking-related information to develop an individualized quit plan, (2) a 24-week text messaging counseling program with interactive capabilities, and (3) pharmacotherapy support. Outcome measures included self-reported 7-day point prevalence abstinence at Months 3 and 6, pharmacotherapy adherence, satisfaction with the intervention, and changes in self-efficacy. The average age of the participants was 46.8 years (SD 12.7), half of them (53.8%) were female. Most participants (92.3%) smoked daily and half of them (53.8%) used menthol cigarettes. All participants requested nicotine patches at baseline. However, only 13.0% of participants used the patch >75% of days. At Month 3, 10 participants (38.4%) self-reported 7-day point prevalence abstinence (88.5% follow-up rate). At Month 6, 16 participants (61.5%) self-reported 7-day point prevalence abstinence (76.9% follow-up rate). Most participants (90%, 18/20) reported being satisfied/extremely satisfied with the intervention at Month 6. Self-efficacy mean scores significantly increased from 40.4 (SD 12.1) at baseline to 57.9 (SD 11.3) at Month 3 (p < 0.01). The study suggests that Decídetexto holds promise for further testing among Puerto Rican smokers.

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Web-based decision-making tool for smoking cessation (Pare de fumar conosco) among patients with chronic conditions in Brazil : one-arm feasibility study

Cited by 7 publications

References 41 publications

Smoking Cessation Mobile Interventions in Latin America: A Systematic Review

Smoking Cessation Mobile Interventions in Latin America: A Systematic Review

Effectiveness of patient education in acute stroke: a comparison between a customised computer system and a pictorial information booklet

Decídetexto: Feasibility and Acceptability of a Mobile Smoking Cessation Intervention in Puerto Rico

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