Text to Quit China: An mHealth Smoking Cessation Trial

Details

• Alternative Title:
  Am J Health Promot
• Personal Author:
  Augustson, Erik ; Engelgau, Michael M. ; Zhang, Shu ; Cai, Ying ; Cher, Willie ; Li, Richun ; Jiang, Yuan ; Lynch, Krystal ; Bromberg, Julie E.
• Description:
  Purpose
  
  To assess the feasibility, acceptability, and efficacy of a text message–based smoking cessation intervention in China.
  
  Design
  
  Randomized control trial with a 6-month follow-up assessment of smoking status.
  
  Setting
  
  Zhejiang, Heilongjiang, and Shaanxi provinces in China.
  
  Subjects
  
  8,000 adult smokers in China who use Nokia Life Tools and participated in Phase II (smoking education via text message) of the study.
  
  Intervention
  
  High Frequency Text Contact (HFTC) group received one to three messages daily containing smoking cessation advice, encouragement, and health education information. Low Frequency Text Contact (LFTC) group received one weekly message with smoking health effects information.
  
  Measures
  
  Our primary outcome was smoking status 0, 1, 3, and 6 months post-intervention. Secondary outcomes include participant perceptions of the HFTC intervention, and factors associated with smoking cessation among HFTC participants.
  
  Analysis
  
  Descriptive and chi-square analyses were conducted to assess smoking status and acceptability. Factors associated with quitting were assessed using multiple logistic regression analyses.
  
  Results
  
  Quit rates were high in both HFTC and LFTC groups (HFTC: 0 month 27.9%, 1 month 30.5%, 3 months 26.7%, 6 months 27.7%; LFTC: 0 month 26.7%, 1 month 30.4%, 3 months 28.1%, 6 months 27.7), with no significant difference between the two groups in an intent-to-treat analysis. Attitudes towards the HFTC intervention were largely positive.
  
  Conclusion
  
  Our findings suggest that a text message–based smoking cessation intervention can be successfully delivered in China and is acceptable to Chinese smokers, but further research is needed to assess the potential impact of this type of intervention.
  
  
• Keywords:
  Adult Behavior Change Intervention China Female Health Education Health Knowledge, Attitudes, Practice Health Promotion Humans Male MHealth Middle Aged Smoking Cessation Text Message Intervention Research Text Messaging Tobacco Control

  More +
• Source:
  Am J Health Promot. 31(3):217-225
• Pubmed ID:
  26730560
• Pubmed Central ID:
  PMC4935631
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; HHSN261201000043C/CA/NCI NIH HHSUnited States/
• Volume:
  31
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8f0d8d2fe4bf0ba64627abe1cb3106bf74726fabe1ca5c14bea527ed5e261989
• Download URL:
  https://stacks.cdc.gov/view/cdc/40338/cdc_40338_DS1.pdf
• File Type:
  [PDF - 1.12 MB ]