Telemed J E Health - Randomized trial of a smartphone mobile application compared to text messaging to support smoking cessation.

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Resumo

CKGROUND: Text messaging has successfully supported smoking cessation. This study compares a mobile application with text messaging to support smoking cessation.MATERIALS AND METHODS: Young adult smokers 18-30 years old (n = 102) participated in a randomized pretest-posttest trial. Smokers received a smartphone application (REQ-Mobile) with short messages and interactive tools or a text messaging system (onQ), managed by an expert system. Self-reported usability of REQ-Mobile and quitting behavior (quit attempts, point-prevalence, 30-day point-prevalence, and continued abstinence) were assessed in posttests.RESULTS: Overall, 60% of smokers used mobile services (REQ-Mobile, 61%, mean of 128.5 messages received; onQ, 59%, mean of 107.8 messages), and 75% evaluated REQ-Mobile as user-friendly. A majority of smokers reported being abstinent at posttest (6 weeks, 53% of completers; 12 weeks, 66% of completers [44% of all cases]). Also, 37% (25%of all cases) reported 30-day point-prevalence abstinence, and 32% (22% of all cases) reported continuous abstinence at 12 weeks. OnQ produced more abstinence (p<0.05) than REQ-Mobile. Use of both services predicted increased 30-day abstinence at 12 weeks (used, 47%; not used, 20%; p = 0.03).CONCLUSIONS: REQ-Mobile was feasible for delivering cessation support but appeared to not move smokers to quit as quickly as text messaging. Text messaging may work better because it is simple, well known, and delivered to a primary inbox. These advantages may disappear as smokers become more experienced with new handsets. Mobile phones may be promising delivery platforms for cessation services using either smartphone applications or text messaging.

Resumo Limpo

ckground text messag success support smoke cessat studi compar mobil applic text messag support smoke cessationmateri method young adult smoker year old n particip random pretestposttest trial smoker receiv smartphon applic reqmobil short messag interact tool text messag system onq manag expert system selfreport usabl reqmobil quit behavior quit attempt pointpreval day pointpreval continu abstin assess posttestsresult overal smoker use mobil servic reqmobil mean messag receiv onq mean messag evalu reqmobil userfriend major smoker report abstin posttest week complet week complet case also case report day pointpreval abstin case report continu abstin week onq produc abstin p reqmobil use servic predict increas day abstin week use use p conclus reqmobil feasibl deliv cessat support appear move smoker quit quick text messag text messag may work better simpl well known deliv primari inbox advantag may disappear smoker becom experienc new handset mobil phone may promis deliveri platform cessat servic use either smartphon applic text messag

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