Mavrot, Céline; Stucki, Iris; Sager, Fritz; Etter, Jean-François (2017). Efficacy of an Internet-based, individually tailored smoking cessation program: A randomized trial. Journal of telemedicine and telecare, 23(5), pp. 521-528. Sage 10.1177/1357633X16655476
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Introduction: Self-help computer-based programs are easily accessible and cost-effective interventions with a great recruitment potential. However, each program is different and results of meta-analyses may not apply to each new program; therefore, evaluations of new programs are warranted. The aim of this study was to assess the marginal efficacy of a computer-based, individually tailored program (the Coach) over and above the use of a comprehensive Internet smoking cessation website.
Methods: A two-group randomized controlled trial was conducted. The control group only accessed the website, whereas the intervention group received the Coach in addition. Follow-up was conducted by e-mail after three and six months (self-administrated questionnaires). Of 1120 participants, 579 (51.7%) responded after three months and 436 (38.9%) after six months. The primary outcome was self-reported smoking abstinence over four weeks.
Results: Counting dropouts as smokers, there were no statistically significant differences between intervention and control groups in smoking cessation rates after three months (20.2% vs. 17.5%, p¼0.25, odds ratio (OR)¼1.20) and six months (17% vs. 15.5%, p¼0.52, OR¼1.12). Excluding dropouts from the analysis, there were statistically significant differences after three months (42% vs. 31.6%, p¼0.01, OR¼1.57), but not after six months (46.1% vs. 37.8%, p¼0.081, OR¼1.41). The program also significantly increased motivation to quit after three months and self-efficacy after three and six months.
Discussion: An individually tailored program delivered via the Internet and by e-mail in addition to a smoking cessation website did not significantly increase smoking cessation rates, but it increased motivation to quit and self-efficacy.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
11 Centers of Competence > KPM Center for Public Management |
UniBE Contributor: |
Mavrot, Céline Hélène Jeanne, Stucki, Iris, Sager, Fritz |
Subjects: |
300 Social sciences, sociology & anthropology > 320 Political science 300 Social sciences, sociology & anthropology > 350 Public administration & military science 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1357-633X |
Publisher: |
Sage |
Language: |
English |
Submitter: |
Céline Mavrot |
Date Deposited: |
05 Jul 2016 14:48 |
Last Modified: |
05 Dec 2022 14:57 |
Publisher DOI: |
10.1177/1357633X16655476 |
Uncontrolled Keywords: |
Tobacco smoking, smoking cessation, internet, computer program, randomized controlled trial |
BORIS DOI: |
10.7892/boris.84115 |
URI: |
https://boris.unibe.ch/id/eprint/84115 |
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