Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial

Background: Smoking is considered the main cause of preventable illness and early deaths worldwide. The treatment usually prescribed to people who wish to quit smoking is a multidisciplinary intervention, combining both psychological advice and pharmacological therapy, since the application of both...

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Authors: Jódar Sánchez, Francisco; Carrasco Hernández, Laura; Núñez Benjumea, Francisco José; Mesa González, Marco Antonio; Moreno Conde, Jesús; Parra Calderón, Carlos Luis; Fernández Luque, Luis; Hors Fraile, Santiago; Civit Balcells, Antón; Bamidis, Panagiotis D.; Ortega Ruiz, Francisco
Format: Article
Status:Published version
Publication date:2018
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/94435
Online Access:https://hdl.handle.net/11441/94435
https://doi.org/10.2196/12464
Access Level:Open access
Keyword:Smoking cessation
Mobile applications
Randomized controlled trial
Economic evaluation
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author Jódar Sánchez, Francisco
author2 Carrasco Hernández, Laura
Núñez Benjumea, Francisco José
Mesa González, Marco Antonio
Moreno Conde, Jesús
Parra Calderón, Carlos Luis
Fernández Luque, Luis
Hors Fraile, Santiago
Civit Balcells, Antón
Bamidis, Panagiotis D.
Ortega Ruiz, Francisco
author2_role author
author
author
author
author
author
author
author
author
author
author_browse Bamidis, Panagiotis D.
Carrasco Hernández, Laura
Civit Balcells, Antón
Fernández Luque, Luis
Hors Fraile, Santiago
Jódar Sánchez, Francisco
Mesa González, Marco Antonio
Moreno Conde, Jesús
Núñez Benjumea, Francisco José
Ortega Ruiz, Francisco
Parra Calderón, Carlos Luis
author_facet Jódar Sánchez, Francisco
Carrasco Hernández, Laura
Núñez Benjumea, Francisco José
Mesa González, Marco Antonio
Moreno Conde, Jesús
Parra Calderón, Carlos Luis
Fernández Luque, Luis
Hors Fraile, Santiago
Civit Balcells, Antón
Bamidis, Panagiotis D.
Ortega Ruiz, Francisco
author_role author
collection idUS. Depósito de Investigación de la Universidad de Sevilla
description Background: Smoking is considered the main cause of preventable illness and early deaths worldwide. The treatment usually prescribed to people who wish to quit smoking is a multidisciplinary intervention, combining both psychological advice and pharmacological therapy, since the application of both strategies significantly increases the chance of success in a quit attempt. Objective: We present a study protocol of a 12-month randomized open-label parallel-group trial whose primary objective is to analyze the efficacy and efficiency of usual psychopharmacological therapy plus the Social-Local-Mobile app (intervention group) applied to the smoking cessation process compared with usual psychopharmacological therapy alone (control group). Methods: The target population consists of adult smokers (both male and female) attending the Smoking Cessation Unit at Virgen del Rocío University Hospital, Seville, Spain. Social-Local-Mobile is an innovative intervention based on mobile technologies and their capacity to trigger behavioral changes. The app is a complement to pharmacological therapies to quit smoking by providing personalized motivational messages, physical activity monitoring, lifestyle advice, and distractions (minigames) to help overcome cravings. Usual pharmacological therapy consists of bupropion (Zyntabac 150 mg) or varenicline (Champix 0.5 mg or 1 mg). The main outcomes will be (1) the smoking abstinence rate at 1 year measured by means of exhaled carbon monoxide and urinary cotinine tests, and (2) the result of the cost-effectiveness analysis, which will be expressed in terms of an incremental cost-effectiveness ratio. Secondary outcome measures will be (1) analysis of the safety of pharmacological therapy, (2) analysis of the health-related quality of life of patients, and (3) monitoring of healthy lifestyle and physical exercise habits. Results: Of 548 patients identified using the hospital’s electronic records system, we excluded 308 patients: 188 declined to participate and 120 did not meet the inclusion criteria. A total of 240 patients were enrolled: the control group (n=120) will receive usual psychopharmacological therapy, while the intervention group (n=120) will receive usual psychopharmacological therapy plus the So-Lo-Mo app. The project was approved for funding in June 2015. Enrollment started in October 2016 and was completed in October 2017. Data gathering was completed in November 2018, and data analysis is under way. The first results are expected to be submitted for publication in early 2019. Conclusions: Social networks and mobile technologies influence our daily lives and, therefore, may influence our smoking habits as well. As part of the SmokeFreeBrain H2020 European Commission project, this study aims at elucidating the potential role of these technologies when used as an extra aid to quit smoking.
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instname_str Universidad de Sevilla (US)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:idus.us.es:11441/94435
publishDate 2018
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spelling Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial Jódar Sánchez, Francisco Carrasco Hernández, Laura Núñez Benjumea, Francisco José Mesa González, Marco Antonio Moreno Conde, Jesús Parra Calderón, Carlos Luis Fernández Luque, Luis Hors Fraile, Santiago Civit Balcells, Antón Bamidis, Panagiotis D. Ortega Ruiz, Francisco Smoking cessation Mobile applications Randomized controlled trial Economic evaluation Background: Smoking is considered the main cause of preventable illness and early deaths worldwide. The treatment usually prescribed to people who wish to quit smoking is a multidisciplinary intervention, combining both psychological advice and pharmacological therapy, since the application of both strategies significantly increases the chance of success in a quit attempt. Objective: We present a study protocol of a 12-month randomized open-label parallel-group trial whose primary objective is to analyze the efficacy and efficiency of usual psychopharmacological therapy plus the Social-Local-Mobile app (intervention group) applied to the smoking cessation process compared with usual psychopharmacological therapy alone (control group). Methods: The target population consists of adult smokers (both male and female) attending the Smoking Cessation Unit at Virgen del Rocío University Hospital, Seville, Spain. Social-Local-Mobile is an innovative intervention based on mobile technologies and their capacity to trigger behavioral changes. The app is a complement to pharmacological therapies to quit smoking by providing personalized motivational messages, physical activity monitoring, lifestyle advice, and distractions (minigames) to help overcome cravings. Usual pharmacological therapy consists of bupropion (Zyntabac 150 mg) or varenicline (Champix 0.5 mg or 1 mg). The main outcomes will be (1) the smoking abstinence rate at 1 year measured by means of exhaled carbon monoxide and urinary cotinine tests, and (2) the result of the cost-effectiveness analysis, which will be expressed in terms of an incremental cost-effectiveness ratio. Secondary outcome measures will be (1) analysis of the safety of pharmacological therapy, (2) analysis of the health-related quality of life of patients, and (3) monitoring of healthy lifestyle and physical exercise habits. Results: Of 548 patients identified using the hospital’s electronic records system, we excluded 308 patients: 188 declined to participate and 120 did not meet the inclusion criteria. A total of 240 patients were enrolled: the control group (n=120) will receive usual psychopharmacological therapy, while the intervention group (n=120) will receive usual psychopharmacological therapy plus the So-Lo-Mo app. The project was approved for funding in June 2015. Enrollment started in October 2016 and was completed in October 2017. Data gathering was completed in November 2018, and data analysis is under way. The first results are expected to be submitted for publication in early 2019. Conclusions: Social networks and mobile technologies influence our daily lives and, therefore, may influence our smoking habits as well. As part of the SmokeFreeBrain H2020 European Commission project, this study aims at elucidating the potential role of these technologies when used as an extra aid to quit smoking. JMIR Publications https://hdl.handle.net/11441/94435 https://doi.org/10.2196/12464
spellingShingle Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
Jódar Sánchez, Francisco
Smoking cessation
Mobile applications
Randomized controlled trial
Economic evaluation
status_str publishedVersion
title Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
title_full Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
title_fullStr Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
title_full_unstemmed Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
title_short Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
title_sort Using the Social-Local-Mobile App for Smoking Cessation in the SmokeFreeBrain Project: Protocol for a Randomized Controlled Trial
topic Smoking cessation
Mobile applications
Randomized controlled trial
Economic evaluation
topic_facet Smoking cessation
Mobile applications
Randomized controlled trial
Economic evaluation
url https://hdl.handle.net/11441/94435
https://doi.org/10.2196/12464