Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial
By C. Free, R. Knight, S. Robertson, R. Whittaker, P. Edwards, Weiwei Zhou, A. Rodgers, J. Cairns, Michael G. Kenward, Ian Roberts. The Lancet, 2011
759 citations recorded by the source corpus.
Summary Background Smoking cessation programmes delivered via mobile phone text messaging show increases in self-reported quitting in the short term. We assessed the effect of an automated smoking cessation programme delivered via mobile phone text messaging on continuous abstinence, which was biochemically verified at 6 months. Methods In this single-blind, randomised trial, undertaken in the UK, smokers willing to make a quit attempt were randomly allocated, using an independent telephone randomisation system, to a mobile phone text messaging smoking cessation programme (txt2stop), comprising motivational messages and behavioural-change support, or to a control group that received text messages unrelated to quitting. The system automatically generated intervention or control group texts according to the allocation. Outcome assessors were masked to treatment allocation. The primary outcome was self-reported continuous smoking abstinence, biochemically verified at 6 months. All analyses were by intention to treat. This study is registered, number ISRCTN 80978588. Findings We assessed 11 914 participants for eligibility. 5800 participants were randomised, of whom 2915 smokers were allocated to the txt2stop intervention and 2885 were allocated to the control group; eight were excluded because they were randomised more than once. Primary outcome data were available for 5524 (95%) participants. Biochemically verified continuous abstinence at 6 months was significantly increased in the txt2stop group (10·7% txt2stop vs 4·9% control, relative risk [RR] 2·20, 95% CI 1·80–2·68; p<0·0001). Similar results were obtained when participants that were lost to follow-up were treated as smokers (268 [9%] of 2911 txt2stop vs 124 [4%] of 2881 control [RR 2·14, 95% CI 1·74–2·63; p<0·0001]), and when they were excluded (268 [10%] of 2735 txt2stop vs 124 [4%] of 2789 control [2·20, 1·79–2·71; p<0·0001]). No significant heterogeneity was shown in any of the prespecified subgroups. Interpretation The txt2stop smoking cessation programme significantly improved smoking cessation rates at 6 months and should be considered for inclusion in smoking cessation services. Funding UK Medical Research Council, Primary Care Research Networks.
Subfields: Applied Psychology, General Health Professions, Physiology
View Paper: https://www.semanticscholar.org/paper/0be36a6b0be0055f795b73827af29c0818b1ff1d
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In Applied Psychology
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In Physiology
Citations in the corpus
- mHealth 2.0: Experiences, Possibilities, and Perspectives (2014, background): “In 2 high-quality UK trials, a smoking intervention based on text messaging (txt2stop) more than doubled biochemically verified smoking cessation [36,37].”
- Mapping mHealth Research: A Decade of Evolution (2013, background): “The final sample for the full-text review included 117 [17-133] articles out of the 352 described above.”
- The Effectiveness of Mobile-Health Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review (2013, positive): “Trials demonstrate that automated multifaceted smoking cessation support delivered by text message more than doubles biochemically verified smoking cessation [21,36].”
- U txt WHEN? College students’ social contexts of text messaging (2012, methodology): “Others use test messaging as a tool to quit smoking (Free et al., 2011; Obermayer, Riley, Asif, & Jean-Mary, 2004), diabetes management (FerrerRoca, Cardenas, Diaz-Cardama, & Pulido, 2004), people with schizophrenia undergoing cognitive rehabilitation (Pijnenborg, Withaar, Evans, van den Bosch, & Br”
- Best Care at Lower Cost: The Path to Continuously Learning Health Care in America (2013, background): “In a trial of txt2stop, a text messaging service that sends motivational and behavioral change support messages to smokers attempting to quit, smokers who received the text messages showed significantly better cessation rates at 6 months relative to the control group (Free et al., 2011).”
- Mobile technology and the digitization of healthcare. (2016, methodology): “Smoking cessation Free et al.(32) txt2stop trial Randomized trial UK 5800 Adult smokers aged 16 or greater Text messaging to promote smoking cessation using motivational messages and behavioural change support Text messaging unrelated to smoking cessation 6-month outcome of self-reported tobacco abs”