Smoking Cessation Clinical Trial
Official title:
Pharmacological Aids for Interactive Smoking Cessation
There is an important need for effective smoking cessation programs that both (a) promote the effective use of pharmacological aids, such as nicotine replacement products and bupropion, and (b) provide cognitive-behavioral support for stopping smoking.The Internet is an increasingly attractive intervention medium for delivering behavior change interventions, including smoking cessation.This study examined smoking cessation rates among adults participating in a randomized controlled trial of the Smokefree Partners: 21 Days to Freedom ™ program, a theoretically based, online smoking cessation program that included message tailoring and interactivity combined with the live personal support of a smoking cessation coach. Coaching support was provided almost entirely asynchronously via prescripted but individually tailored emails.
The Smokefree Partners: 21 Days to Freedom combined online video, text, and interactive
tools to promote the effective use of pharmacological aids (PA) — nicotine replacement
products and bupropion (Zyban®) — and provide cognitive-behavioral support for users as they
attempted to stop smoking. Smoking cessation content was based on the U.S. Surgeon General's
Clinical Guidelines, Treating Tobacco Use and Dependence, 2008 update. Presentation of some
of the content (e.g., gender of the narrator, PA recommendations) was tailored to the user
on demographic and smoking history information provided during registration and within the
introductory session.
Two critical features provided social support and accountability. First, each user was
assigned a "live" smoking cessation coach to provide support via individually tailored phone
or email contacts (contact preference specified by the user). Users also received automated
email reminders and prompts from the program. Second, a bulletin board/forum feature was
added to promote social support among users.
The Smokefree Partners intervention was a multi-session intervention in which users
experienced a controlled and scheduled exposure to 21 discrete web site sessions. The
program required users to wait at least 10 hours between sessions (i.e., login was "locked"
until 10 hours had passed after a user's previous Web site session). Carefully timed and
tailored coaching messages provided cessation tips and prompted users to return to the web
site to view the next session.
The program was evaluated online in a randomized clinical trial of smokers recruited through
major worksites across the United States. The aim of the evaluation was to determine if a
theoretically based, online smoking cessation program that included message tailoring and
interactivity combined with the live personal support of a coach would result in improved
quit rates when compared to a wait-list control condition.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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