Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study
BackgroundRandomized controlled trials on text message interventions for smoking cessation have shown they are effective and recommended for tobacco control. However, the effectiveness in real-world settings is largely unknown, especially in low- and middle-income countries....
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-05-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2023/1/e44840 |
| _version_ | 1797734218100375552 |
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| author | Zheng Su Xiaowen Wei Anqi Cheng Xinmei Zhou Jinxuan Li Rui Qin Yi Liu Xin Xia Qingqing Song Zhao Liu Liang Zhao Dan Xiao Chen Wang |
| author_facet | Zheng Su Xiaowen Wei Anqi Cheng Xinmei Zhou Jinxuan Li Rui Qin Yi Liu Xin Xia Qingqing Song Zhao Liu Liang Zhao Dan Xiao Chen Wang |
| author_sort | Zheng Su |
| collection | DOAJ |
| description |
BackgroundRandomized controlled trials on text message interventions for smoking cessation have shown they are effective and recommended for tobacco control. However, the effectiveness in real-world settings is largely unknown, especially in low- and middle-income countries.
ObjectiveThis study aimed to provide real-world evidence about the utilization and effectiveness of a message-based tobacco cessation program (mCessation) in China.
MethodsFrom May 2021 to September 2022, 16,746 people from the general population participated in the mCessation program provided by the World Health Organization. All participants received text messages on smoking cessation via instant messaging for 6 months, and they were also required to report smoking status. We randomly selected 2500 participants and interviewed them by telephone to determine the 7-day point prevalence abstinence rate at 6 months. Descriptive statistics were used to analyze population characteristics and abstinence rate. Logistic regression analysis was performed to explore risk factors for the abstinence rate.
ResultsAmong the 2500 participants, the mean age was 35 years, and most (2407/2500, 96.20%) were male. The prevalence of tobacco dependence and light degree of tobacco dependence were 85.70% (2142/2500) and 89.10% (2228/2500), respectively. For respondents (953/2500, 38.10%), the 7-day point prevalence abstinence rate at 6 months was 21.90% (209/953). Participants older than 40 years or with tobacco dependence had significantly higher abstinence rates than those who were younger than 30 years old (odds ratio [OR] 1.77, 95% CI 1.06-3.29) or without dependence (OR 1.64, 95% CI 1.08-2.51), respectively. However, married people or heavily dependent smokers tended to find it more difficult to successfully quit smoking compared with unmarried people (OR 0.57, 95% CI 0.34-0.93) or lightly dependent smokers (OR 0.16, 95% CI 0.02-0.98), respectively.
ConclusionsIn a real-world setting, mCessation China was generally acceptable to men and lightly dependent smokers, and it could help 1 in 5 smokers aged 18 years to 67 years quit smoking. However, strategies to increase awareness of young and married adults may improve implementation and abstinence rates. |
| first_indexed | 2024-03-12T12:40:05Z |
| format | Article |
| id | doaj.art-208f34eb7d3849a49c8ce618ef63a1fb |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T12:40:05Z |
| publishDate | 2023-05-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-208f34eb7d3849a49c8ce618ef63a1fb2023-08-28T23:51:20ZengJMIR PublicationsJournal of Medical Internet Research1438-88712023-05-0125e4484010.2196/44840Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world StudyZheng Suhttps://orcid.org/0000-0002-3266-3373Xiaowen Weihttps://orcid.org/0000-0002-1438-4557Anqi Chenghttps://orcid.org/0009-0000-4245-0315Xinmei Zhouhttps://orcid.org/0000-0002-6775-8583Jinxuan Lihttps://orcid.org/0000-0001-5408-5765Rui Qinhttps://orcid.org/0009-0004-5382-4633Yi Liuhttps://orcid.org/0009-0003-8033-4341Xin Xiahttps://orcid.org/0009-0000-3101-2555Qingqing Songhttps://orcid.org/0000-0002-8027-1534Zhao Liuhttps://orcid.org/0000-0001-9529-3720Liang Zhaohttps://orcid.org/0009-0007-5366-4088Dan Xiaohttps://orcid.org/0000-0002-3691-7852Chen Wanghttps://orcid.org/0000-0001-7857-5435 BackgroundRandomized controlled trials on text message interventions for smoking cessation have shown they are effective and recommended for tobacco control. However, the effectiveness in real-world settings is largely unknown, especially in low- and middle-income countries. ObjectiveThis study aimed to provide real-world evidence about the utilization and effectiveness of a message-based tobacco cessation program (mCessation) in China. MethodsFrom May 2021 to September 2022, 16,746 people from the general population participated in the mCessation program provided by the World Health Organization. All participants received text messages on smoking cessation via instant messaging for 6 months, and they were also required to report smoking status. We randomly selected 2500 participants and interviewed them by telephone to determine the 7-day point prevalence abstinence rate at 6 months. Descriptive statistics were used to analyze population characteristics and abstinence rate. Logistic regression analysis was performed to explore risk factors for the abstinence rate. ResultsAmong the 2500 participants, the mean age was 35 years, and most (2407/2500, 96.20%) were male. The prevalence of tobacco dependence and light degree of tobacco dependence were 85.70% (2142/2500) and 89.10% (2228/2500), respectively. For respondents (953/2500, 38.10%), the 7-day point prevalence abstinence rate at 6 months was 21.90% (209/953). Participants older than 40 years or with tobacco dependence had significantly higher abstinence rates than those who were younger than 30 years old (odds ratio [OR] 1.77, 95% CI 1.06-3.29) or without dependence (OR 1.64, 95% CI 1.08-2.51), respectively. However, married people or heavily dependent smokers tended to find it more difficult to successfully quit smoking compared with unmarried people (OR 0.57, 95% CI 0.34-0.93) or lightly dependent smokers (OR 0.16, 95% CI 0.02-0.98), respectively. ConclusionsIn a real-world setting, mCessation China was generally acceptable to men and lightly dependent smokers, and it could help 1 in 5 smokers aged 18 years to 67 years quit smoking. However, strategies to increase awareness of young and married adults may improve implementation and abstinence rates.https://www.jmir.org/2023/1/e44840 |
| spellingShingle | Zheng Su Xiaowen Wei Anqi Cheng Xinmei Zhou Jinxuan Li Rui Qin Yi Liu Xin Xia Qingqing Song Zhao Liu Liang Zhao Dan Xiao Chen Wang Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study Journal of Medical Internet Research |
| title | Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study |
| title_full | Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study |
| title_fullStr | Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study |
| title_full_unstemmed | Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study |
| title_short | Utilization and Effectiveness of a Message-Based Tobacco Cessation Program (mCessation) in the Chinese General Population: Longitudinal, Real-world Study |
| title_sort | utilization and effectiveness of a message based tobacco cessation program mcessation in the chinese general population longitudinal real world study |
| url | https://www.jmir.org/2023/1/e44840 |
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