Text Messaging for Supporting Quit Attempts

Not Applicable

Completed

Brief Summary: This study is a preliminary research aimed to compare the feasibility and effectiveness of motivational interview (MI), Personalized text messages (TM) and usual care for outpatients, with focus on smoking cessation as the main outcome. Smokers patients have received brief interventions and nicotine replacement therapy during the hospitalization. After discharge smokers were allocated into a intervention or control arm. In the first and third months, after randomization, the patients were contact to smoke abstinence assessment.

Detailed Description: Background: Research suggests that smokers who receive treatment inside the hospital and post-discharge follow up for at least a month are more likely to quit smoking than those who didn't receive any intervention. The current challenge is to know the best way to support post-discharge quit attempts in the Brazilian context. Objective: The aim of this study was to compare the feasibility and effectiveness of motivational interview (MI) plus Personalized text messages (TM) and usual care for support smoking cessation among post-discharge patients. Methods: All patients admitted to the University Hospital of Juiz de Fora (HU/UFJF), between 06/2015 to 01/2016, were asked about the cigarettes consumption in the last 30 days. Smokers patients received brief interventions and nicotine replacement therapy during the hospitalization. After hospitalization discharge smokers were allocated into a intervention or control arm. The intervention group received a singular MI session by phone and mobile phone TM twice a day during eight or fifteen days. The control group received only usual care available inside the hospital. Results: At the first and third months, after randomization, the patients were contacted for smoke abstinence assessment.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Motivational Interview plus text message	Motivational Interview plus text message	Inside the hospital: All participants have received the written materials. Patients with high tobacco dependence (Fagerstrom screening test score 5 or higher) have received also Nicotine Replacement Therapy (NRT). The written materials provided information on benefits of quitting and strategies for a successful quit plan, including information on relapse prevention. Post discharge extended treatment: Participants in this arm have received a telephone counseling session using a motivational interviewing approach and fifteen or eight days of text messages. The timing, duration, and content of the counseling session were consistent with guideline-based recommendations.

Primary Outcome Measures

Name	Time	Method
Self Reported Smoking Abstinence	Smoking abstinence at the first month after randomization	No smoking (even a puff) in the past 7 days at the first month follow up.

Secondary Outcome Measures

Name	Time	Method
Self Reported Seek for Specialized Tobacco Treatment	at the third month after randomization	self reported seek for specialized tobacco treatment after hospitalization
Daily Cigarettes Consumption at 3 Months Among Continuing Smokers	At the third month after randomization	The experimental group self reported daily cigarettes consumption at the third month after randomization with be compared to the control group.
Self Reported Smoking Abstinence	Smoking abstinence at the third month after randomization	No smoking (even a puff) in the past 7 days at the third month after randomization.
Carbon Monoxide Verified Smoking Abstinence	At third-month follow up	Carbon Monoxide verified Smoking Abstinence at third-month follow up. Abstinence defined as Carbon Monoxide ≤ 6.