Efficacy of an Internet-based, individually tailored smoking cessation program: A randomized trial

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)

Division/Institute:

11 Centers of Competence > Center of Comptetence for Public Management (KPM)

UniBE Contributor:

Mavrot, Céline; Stucki, Iris and 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:

27 Feb 2019 09:24

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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