دورية أكاديمية
Text Message-Based Cessation Intervention for People Who Smoked or Used Smokeless Tobacco in India: A Feasibility Randomized Controlled Trial.
| العنوان: | Text Message-Based Cessation Intervention for People Who Smoked or Used Smokeless Tobacco in India: A Feasibility Randomized Controlled Trial. |
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| المؤلفون: | Nadkarni A; Centre for Global Mental Health, Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.; Addictions and Related Research Group, Sangath, Goa, India., Gaikwad L; Addictions and Related Research Group, Sangath, Goa, India., Sequeira M; Addictions and Related Research Group, Sangath, Goa, India., D'souza J; Addictions and Related Research Group, Sangath, Goa, India., Lopes M; Addictions and Related Research Group, Sangath, Goa, India., Haldankar R; Addictions and Related Research Group, Sangath, Goa, India., Murthy P; National Institute of Mental Health and Neurosciences, Bengaluru, India., Velleman R; Addictions and Related Research Group, Sangath, Goa, India.; Department of Psychology, University of Bath, Bath, UK., Bhatia U; Addictions and Related Research Group, Sangath, Goa, India.; Department of Psychology, Health and Professional Development, Oxford Brookes University, Oxford, UK., Naughton F; School of Health Sciences, University of East Anglia, Norwich, UK. |
| المصدر: | Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco [Nicotine Tob Res] 2024 Aug 22; Vol. 26 (9), pp. 1201-1208. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9815751 Publication Model: Print Cited Medium: Internet ISSN: 1469-994X (Electronic) Linking ISSN: 14622203 NLM ISO Abbreviation: Nicotine Tob Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2009->: Oxford : Oxford University Press Original Publication: Abingdon, Oxfordshire, UK : Carfax Pub. and Society for Research on Nicotine and Tobacco, c1999- |
| مواضيع طبية MeSH: | Text Messaging* , Tobacco, Smokeless* , Feasibility Studies* , Tobacco Use Cessation*/methods , Tobacco Use Cessation*/psychology, Humans ; India ; Female ; Adult ; Male ; Middle Aged ; Pilot Projects ; Smoking Cessation/methods ; Smoking Cessation/psychology ; Single-Blind Method ; Young Adult |
| مستخلص: | Introduction: Despite the high burden of tobacco use in India, users do not have access to adequate help. This pilot trial aimed to evaluate the feasibility and acceptability of a text messaging intervention for tobacco cessation, generate preliminary estimates of its impact, and fine-tune procedures for a definitive trial. Aims and Methods: Parallel two-arm single blind individually randomized controlled pilot trial with nested qualitative study. Participants included adult current tobacco users (smoked and smokeless). Eligible and consenting participants were randomized to receive either (1) text messaging intervention (ToQuit) which covered specific content areas such as psychoeducation about consequences of tobacco use and benefits of quitting and tobacco avoidance strategies or (2) information about tobacco cessation helplines such as the helpline number and the languages in which tobacco cessation support was available (control). Feasibility data included screening and consent rates, treatment dropouts, and outcome ascertainment. The primary abstinence outcome was self-reported abstinence from tobacco in the past seven days at 3 months post-randomization. In-depth interviews were conducted with a subsample of participants primarily to collect acceptability data. The primary abstinence analysis used a chi-squared test and logistic regression (complete case), and qualitative data was analyzed using thematic analysis. Results: Ninety-eight participants were randomized into the two trial arms; 77 (79%) completed outcome evaluation. No between-arm differences in abstinence were found though findings favored the intervention (7-day abstinence: ToQuit 23%, control 19%; adjusted odds ratio 1.23, 95% confidence interval 0.38, 3.97). Participants appreciated the language, comprehensibility, and relevance of the messages; and reported overall satisfaction with and positive impact from the intervention on their lives. Conclusions: The findings indicate the acceptability and feasibility of ToQuit and if found effective, it could be a potentially scalable first-line response to tobacco use in low-resource settings. Implications: Our pilot randomized control trial provides sufficient findings supporting the acceptability and feasibility of an intervention for tobacco cessation which is suitable for a context which has a shortage of healthcare workers and for individuals who use smoked or smokeless tobacco. This is critical on a background of limited contextually relevant interventions for a problem with a high burden in low- and middle-income countries such as India. (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.) |
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| معلومات مُعتمدة: | United Kingdom MRC_ Medical Research Council; United Kingdom WT_ Wellcome Trust; Foreign, Commonwealth & Development Office; MR/R018456/1 Wellcome, UK; Department of Health and Social Care |
| تواريخ الأحداث: | Date Created: 20240312 Date Completed: 20240822 Latest Revision: 20240824 |
| رمز التحديث: | 20240826 |
| مُعرف محوري في PubMed: | PMC11339165 |
| DOI: | 10.1093/ntr/ntae056 |
| PMID: | 38468498 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1469-994X |
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| DOI: | 10.1093/ntr/ntae056 |