Mobile health interventions for smoking cessation services uptake and smoking cessation: a factorial randomised trial in Thailand

AbstractIntroductionRoles for pharmacists in general practice are developing in Australia. It is known that pharmacists can provide effective smoking cessation services in other settings but evidence in general practice is lacking.AimTo determine whether a pharmacist can provide effective smoking cessation services within general practice.MethodData from smoking cessation consultations were obtained for 66 consecutive patients seen by one practice pharmacist. The pharmacist tailored interventions to the individual. Medication was offered in collaboration with community pharmacists and general practitioners. Quit coaching, based on motivational interviewing, was conducted. Smoking status was ascertained at least 6 months after the intended quit date and verified by a carbon monoxide breath test where possible.ResultsThe patients’ median age was 43 years (range 19–74 years); 42 were females (64%). At baseline, the median (i) number of pack years smoked was 20 (range: 1–75); (ii) Fagerstrom Test of dependence score was 6 (1–10); and (iii) number of previous quit attempts was 3 (0–10). Follow-up after at least 6 months determined a self-reported point prevalence abstinence rate of 30% (20/66). Of all patients who reported to be abstinent, 65% (13/20) were tested for carbon monoxide breath levels and were all below 7 ppm. The biochemically verified smoking abstinence rate was therefore 20% overall (13/66). Successful quit attempts were associated with varenicline recommendation (69% v 25%), increased median number of practice pharmacist consultations (4 v 2 per patient) and mental health diagnosis (85% v 51%).ConclusionOur observed abstinence rate was comparable or better than those obtained by practice nurses, community pharmacists and outpatient pharmacists, indicating the general practice pharmacist provided an effective smoking cessation intervention. A larger randomised trial is warranted.

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Medicaid Offers Smoking Cessation Services for Pregnant Women

PsycEXTRA Dataset ◽

10.1037/e559562009-004 ◽

2002 ◽

Author(s):

Julie Olson

Keyword(s):

Smoking Cessation ◽

Pregnant Women ◽

Smoking Cessation Services

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Engagement With an Adaptive Mobile Health Smoking Cessation Intervention

Case Medical Research ◽

10.31525/ct1-nct04020718 ◽

2019 ◽

Author(s):

Keyword(s):

Smoking Cessation ◽

Mobile Health ◽

Smoking Cessation Intervention ◽

Cessation Intervention

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Mobile Health Interventions for Medication Adherence Among PLWH

Case Medical Research ◽

10.31525/ct1-nct04191278 ◽

2019 ◽

Author(s):

Keyword(s):

Medication Adherence ◽

Mobile Health ◽

Health Interventions

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User-Centered Design Enhances Usability of an mHealth System for Users with Dexterity Impairments (Preprint)

10.2196/preprints.23794 ◽

2020 ◽

Author(s):

Kuntal Chowdhary ◽

Daihua Xie Yu ◽

Gede Pramana ◽

Andrea Fairman ◽

Brad Edward Dicianno ◽

...

Keyword(s):

User Interface ◽

Mobile Health ◽

Chronic Conditions ◽

Independent Living ◽

Health Interventions ◽

Self Management ◽

User Centered Design ◽

Entire Study ◽

Efficiency And Effectiveness ◽

User Centered

BACKGROUND Mobile health (mHealth) systems have been shown to be useful in supporting self-management by promoting adherence to schedules and longitudinal health interventions, especially in people with disabilities (PwD). The Interactive Mobile Health and Rehabilitation (iMHere) System was developed to empower PwD and those with chronic conditions with supports needed for self-management and independent living. Since the first iteration of the iMHere 1.0 app, several studies have evaluated accessibility and usability of the system. Potential opportunities to improve and simplify the user interface (UI) were identified, and the iMHere modules were redesigned accordingly. OBJECTIVE The aim of this study was to evaluate the usability of the redesigned modules within iMHere 1.0. METHODS This study evaluated the original and redesigned MyMeds and SkinCare modules. To assess the participants’ dexterity levels, the Purdue Pegboard Test (PPBT) was administered. Participants were then asked to perform a set of tasks using both the original and redesigned MyMeds and SkinCare modules to assess efficiency and effectiveness. Usability was measured using the Telehealth Usability Questionnaire (TUQ) to evaluate 10 new accessibility features that were added to the redesigned app. Participants were also asked which version they preferred. RESULTS Twenty-four participants with disabilities and varied degrees of dexterity impairments completed the entire study protocol. Participants displayed improved efficiency and effectiveness of use when using the redesigned modules, as compared to the original modules. Participants also reported improved usability and preferred the redesigned modules. CONCLUSIONS This study demonstrated that the iMHere System became more efficient, effective, and usable for individuals with dexterity impairments after redesigning it according to user-centered principles.

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Effects of active referral combined with a small financial incentive on smoking cessation: study protocol for a cluster randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2020-038351 ◽

2020 ◽

Vol 10 (10) ◽

pp. e038351

Author(s):

Xue Weng ◽

Man Ping Wang ◽

Ho Cheung William Li ◽

Yee Tak Derek Cheung ◽

Ching Yin Lau ◽

...

Keyword(s):

Smoking Cessation ◽

Hong Kong ◽

Randomised Controlled Trial ◽

Financial Incentive ◽

Controlled Trial ◽

Reduction Rate ◽

Cluster Randomised Controlled Trial ◽

Cluster Randomised ◽

Smoking Cessation Services ◽

Randomised Controlled

IntroductionEvidence-based smoking cessation treatments are effective but underutilised, accentuating the need for novel approaches to increase use. This trial investigates the effects of active referral combined with a financial incentive to use smoking cessation services on smoking abstinence among community smokers.Methods and analysisThis ongoing study is a two-arm, assessor-blinded, pragmatic, cluster randomised controlled trial with follow‐ups at 1, 2, 3 and 6 months after randomisation. We aim to enrol 1134 daily smokers from 70 community sites (clusters) in Hong Kong. All participants receive Ask, Warn, Advise, Refer, Do-it-again (AWARD) guided advice and a self-help booklet at baseline. Additionally, participants in the intervention group receive an offer of referral to smoking cessation services at baseline and a small financial incentive (HK$300≈US$38) contingent on using any of such services within 3 months. The primary outcomes are bioverified abstinence (exhaled carbon monoxide <4 ppm and salivary cotinine <10 ng/mL) at 3 and 6 months. Secondary outcomes include self-reported 7-day point prevalence of abstinence, smoking reduction rate, quit attempts and the use of smoking cessation services at 3 and 6 months. Intention-to-treat approach and regression models will be used in primary analyses.Ethics and disseminationThis protocol has been approved by the Institutional Review Board of the University of Hong Kong/Hospital Authority Hong Kong West Cluster (IRB reference number: UW 18-318). The results of this trial will be submitted for publication in peer-reviewed journals, and the key findings will be presented at national and international conferences.Trial registration numberClinicalTrials.gov Registry NCT03565796.

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Health impact of smoking and smoking cessation services

Dental Nursing ◽

10.12968/denn.2012.8.12.788 ◽

2012 ◽

Vol 8 (12) ◽

pp. 788-793

Author(s):

Maria Duaso ◽

Debbie Duncan

Keyword(s):

Smoking Cessation ◽

Health Impact ◽

Smoking Cessation Services

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A systematic review of mobile health interventions in China: Identifying gaps in care

Journal of Telemedicine and Telecare ◽

10.1177/1357633x19856746 ◽

2019 ◽

pp. 1357633X1985674 ◽

Cited By ~ 6

Author(s):

Xiaoshi Yang ◽

Carrie L Kovarik

Keyword(s):

Systematic Review ◽

Behaviour Change ◽

Mobile Health ◽

Urban Areas ◽

Healthcare Services ◽

Text Messages ◽

Health Interventions ◽

Health System Strengthening ◽

World Health ◽

Common Disease

Introduction Mobile health has a promising future in the healthcare system in most developed countries. China’s rapidly developing mobile technology infrastructure offers an unprecedented opportunity for wide adoption of mobile health interventions in the delivery of effective and timely healthcare services. However, there is little data on the current extent of the mobile health landscape in China. The aim of this study was to systematically review the existing mobile health initiatives in China, characterise the technology used, disease categories targeted, location of the end user (urban versus rural), and examine the potential effects of mobile health on health system strengthening in China. Furthermore, we identified gaps in development and evaluation of the effectiveness of mobile health interventions. Methods A systematic review of the literature published from 18 December 2015–3 April 2019 was conducted and yielded 2863 articles from English and Chinese retrieval database and trial registries, including PubMed, EMBASE, China National Knowledge of Infrastructure and World Health Organization International Clinical Trials Registry Platform. Studies were included if they used mobile health to support patient healthcare outcomes. Results A total of 1129 full-text articles were assessed and 338 were included in this study. The review found that most studies targeted client education and behaviour change via applications (apps) (65.4%), including WeChat, and text messaging (short text messages) (19.8%) to improve patient medical treatment outcomes such as compliance and appointment reminders. The most common disease-specific mobile health interventions focused primarily on chronic disease management and behaviour change in cardiology (13.3%), endocrinology/diabetes (12.1%), behavioural health (11.8%), oncology (11.2%) and neurology (6.8%). The mobile health interventions related to nutrition (0.6%) and chronic respiratory diseases (1.6%) are underrepresented in mobile health in comparison to the burden of disease in China. The majority (90.0%) of the mobile health interventions were conducted exclusively in urban areas, with few opportunities reaching rural populations. Conclusions Overall, mobile health has a promising future in China, with recent rapid growth in initiatives. The majority are focused on education and behaviour change in the realm of chronic diseases and target patients in urban areas. The imbalance in mobile health between the urban and rural areas, as well as between population disease spectrum and health service delivery, pose substantial dilemmas. However, mobile health may be redirected to correct this imbalance, possibly improving access to healthcare services, and filling the gaps in order to improve health equity for the underserved populations in China.

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