Personalized Support Using Instant Messaging Applications to Increase Smoking Cessation in Smokers Proactively Recruited From Smoking Hotspots in Hong Kong: a Pragmatic Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 696
- 试验地点
- 1
- 主要终点
- Biochemically-validated abstinence at 6-month
研究概览
简要总结
This study aims to assess the effect of personalized support using instant messaging application on smoking cessation in smokers proactively recruited from smoking hotspots in Hong Kong.
详细描述
Detailed Description: With the advancement of information communication technologies (ICTs), instant messaging applications (IM Apps, e.g. WhatsApp and WeChat) can be used for providing synchronous, personalized, interactive interventions for health promotion. This study proposes to apply IM Apps for enhancing our tested brief smoking cessation (SC) intervention model from AWARD to e-AWARD (AWARD: Ask, Warn, Advise, Refer, Do-it-again,) without medications to increase SC in smokers proactively recruited in smoking hotspots in Hong Kong. Such smokers are the majority and have low quit rate. IM Apps allows trained SC advisors to proactively deliver personalized SC advices, response to smokers' needs promptly, and provide psychosocial support. No similar trials are found in PubMed, Cochrane Library and trial registries (ClinicalTrials.gov & ISRCTN) (except the pilot trial of this study). The aims of this study are as follows:
- To assess the main effect of the personalized support using instant messaging applications (Intervention) vs. Control group on biochemical validated smoking abstinence at 6-month and 12-month.
- To assess the effects on self-reported past 7-day abstinence, 24-week continuous abstinence, smoking reduction, self-efficacy of quitting, intention to quit, quit attempts and SC medications and services use at 6-month and 12-month.
- To identify the mediators, which can inform mechanisms of the intervention on SC.
- To evaluate the cost-effectiveness of the above interventions.
- To understand the effects subjects' experience of IM support on SC using a qualitative study approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult smokers aged 18+ who smoke cigarette(s) daily.
- •Exhaled carbon monoxide (CO) level of 4ppm or above.
- •Having smartphones with IM Apps (WhatsApp) and have experience in using.
- •Hong Kong residents able to read and communicate in Chinese (Cantonese or Putonghua).
排除标准
- •Smokers who have psychiatric/psychological diseases or are on regular psychotropic medications.
- •Smokers who are using SC medication, NRT, other SC services or projects.
研究组 & 干预措施
Intervention Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, regular messages through Instant Messaging (IM), psychosocial support and referral to SC services through IM
干预措施: AWARD advice (Behavioral)
Intervention Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, regular messages through Instant Messaging (IM), psychosocial support and referral to SC services through IM
干预措施: Health warning leaflet (Behavioral)
Intervention Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, regular messages through Instant Messaging (IM), psychosocial support and referral to SC services through IM
干预措施: Active referral to smoking cessation (SC) services (Behavioral)
Intervention Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, regular messages through Instant Messaging (IM), psychosocial support and referral to SC services through IM
干预措施: Regular messages through Instant Messaging (IM) (Behavioral)
Intervention Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, regular messages through Instant Messaging (IM), psychosocial support and referral to SC services through IM
干预措施: Psychosocial support and referral to SC services through IM (Behavioral)
Control Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, SMS message on general health
干预措施: AWARD advice (Behavioral)
Control Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, SMS message on general health
干预措施: Health warning leaflet (Behavioral)
Control Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, SMS message on general health
干预措施: Active referral to smoking cessation (SC) services (Behavioral)
Control Group
AWARD advice, health warning leaflet, active referral to smoking cessation (SC) services, SMS message on general health
干预措施: Message on general health delivered by short message service (SMS) (Behavioral)
结局指标
主要结局
Biochemically-validated abstinence at 6-month
时间窗: 6-month after baseline
Defined as exhaled carbon monoxide \<4ppm
Biochemically-validated abstinence at 12-month
时间窗: 12-month after baseline
Defined as exhaled carbon monoxide \<4ppm
次要结局
- Perceived importance, confidence and difficulties of quitting(6-month and 12-month after baseline)
- Self-reported past 7-day abstinence(6-month and 12-month after baseline)
- Smoking reduction(6-month and 12-month after baseline)
- Smoking cessation medication use(6-month and 12-month after baseline)
- Self-reported 24-week continuous abstinence(6-month and 12-month after baseline)
- Smocking cessation services use(6-month and 12-month after baseline)
- Intention to quit(6-month and 12-month after baseline)
- Quit attempts(6-month and 12-month after baseline)
研究者
Dr. Wang Man-Ping
Assistant Professor
The University of Hong Kong
