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.
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• Keywords:
  • Smoking Cessation
  • Text Message Intervention Research
  • Health Education
  • Tobacco Control
  • mHealth
  • China
  • Behavior Change Intervention
  • Adult
  • China
  • Female
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• 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
• Download URL:
  https://stacks.cdc.gov/view/cdc/40338/cdc_40338_DS1.pdf
• File Type:
  [PDF - 1.12 MB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8f0d8d2fe4bf0ba64627abe1cb3106bf74726fabe1ca5c14bea527ed5e261989