J. Med. Internet Res. - A theory-based video messaging mobile phone intervention for smoking cessation: randomized controlled trial.

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Resumo

CKGROUND: Advances in technology allowed the development of a novel smoking cessation program delivered by video messages sent to mobile phones. This social cognitive theory-based intervention (called "STUB IT") used observational learning via short video diary messages from role models going through the quitting process to teach behavioral change techniques.OBJECTIVE: The objective of our study was to assess the effectiveness of a multimedia mobile phone intervention for smoking cessation.METHODS: A randomized controlled trial was conducted with 6-month follow-up. Participants had to be 16 years of age or over, be current daily smokers, be ready to quit, and have a video message-capable phone. Recruitment targeted younger adults predominantly through radio and online advertising. Registration and data collection were completed online, prompted by text messages. The intervention group received an automated package of video and text messages over 6 months that was tailored to self-selected quit date, role model, and timing of messages. Extra messages were available on demand to beat cravings and address lapses. The control group also set a quit date and received a general health video message sent to their phone every 2 weeks.RESULTS: The target sample size was not achieved due to difficulty recruiting young adult quitters. Of the 226 randomized participants, 47% (107/226) were female and 24% (54/226) were Maori (indigenous population of New Zealand). Their mean age was 27 years (SD 8.7), and there was a high level of nicotine addiction. Continuous abstinence at 6 months was 26.4% (29/110) in the intervention group and 27.6% (32/116) in the control group (P = .8). Feedback from participants indicated that the support provided by the video role models was important and appreciated.CONCLUSIONS: This study was not able to demonstrate a statistically significant effect of the complex video messaging mobile phone intervention compared with simple general health video messages via mobile phone. However, there was sufficient positive feedback about the ease of use of this novel intervention, and the support obtained by observing the role model video messages, to warrant further investigation.TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry Number: ACTRN12606000476538; http://www.anzctr.org.au/trial_view.aspx?ID=81688 (Archived by WebCite at http://www.webcitation.org/5umMU4sZi).

Resumo Limpo

ckground advanc technolog allow develop novel smoke cessat program deliv video messag sent mobil phone social cognit theorybas intervent call stub use observ learn via short video diari messag role model go quit process teach behavior chang techniquesobject object studi assess effect multimedia mobil phone intervent smoke cessationmethod random control trial conduct month followup particip year age current daili smoker readi quit video messagecap phone recruit target younger adult predomin radio onlin advertis registr data collect complet onlin prompt text messag intervent group receiv autom packag video text messag month tailor selfselect quit date role model time messag extra messag avail demand beat crave address laps control group also set quit date receiv general health video messag sent phone everi weeksresult target sampl size achiev due difficulti recruit young adult quitter random particip femal maori indigen popul new zealand mean age year sd high level nicotin addict continu abstin month intervent group control group p feedback particip indic support provid video role model import appreciatedconclus studi abl demonstr statist signific effect complex video messag mobil phone intervent compar simpl general health video messag via mobil phone howev suffici posit feedback eas use novel intervent support obtain observ role model video messag warrant investigationtri registr australian new zealand clinic trial registri number actrn httpwwwanzctrorgautrialviewaspxid archiv webcit httpwwwwebcitationorgummuszi

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