Cited by 452Smoking Behavior and CessationMobile Health and mHealth ApplicationsSubstance Abuse Treatment and Outcomes

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Mobile phone text messaging and app-based interventions for smoking cessation

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Whittaker, Robyn, McRobbie, Hayden, Bullen, Chris, Rodgers, Anthony, Gu, Yulong, Dobson, Rosie·2019·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd006611.pub5PMC PMC6804292

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Abstract

BACKGROUND: Mobile phone-based smoking cessation support (mCessation) offers the opportunity to provide behavioural support to those who cannot or do not want face-to-face support. In addition, mCessation can be automated and therefore provided affordably even in resource-poor settings. This is an update of a Cochrane Review first published in 2006, and previously updated in 2009 and 2012. OBJECTIVES: To determine whether mobile phone-based smoking cessation interventions increase smoking cessation rates in people who smoke. SEARCH METHODS: For this update, we searched the Cochrane Tobacco Addiction Group's Specialised Register, along with clinicaltrials.gov and the ICTRP. The date of the most recent searches was 29 October 2018. SELECTION CRITERIA: Participants were smokers of any age. Eligible interventions were those testing any type of predominantly mobile phone-based programme (such as text messages (or smartphone app) for smoking cessation. We included randomised controlled trials with smoking cessation outcomes reported at at least six-month follow-up. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures described in the Cochrane Handbook for Systematic Reviews of Interventions. We performed both study eligibility checks and data extraction in duplicate. We performed meta-analyses of the most stringent measures of abstinence at six months' follow-up or longer, using a Mantel-Haenszel random-effects method, pooling studies with similar interventions and similar comparators to calculate risk ratios (RR) and their corresponding 95% confidence intervals (CI). We conducted analyses including all randomised (with dropouts counted as still smoking) and complete cases only. MAIN RESULTS: = 59%; 5 studies, 3079 participants). Other smartphone apps tested differed from the apps included in the analysis, as two used contingency management and one combined text messaging with an app, and so we did not pool them. Using complete case data as opposed to using data from all participants randomised did not substantially alter the findings. AUTHORS' CONCLUSIONS: There is moderate-certainty evidence that automated text message-based smoking cessation interventions result in greater quit rates than minimal smoking cessation support. There is moderate-certainty evidence of the benefit of text messaging interventions in addition to other smoking cessation support in comparison with that smoking cessation support alone. The evidence comparing smartphone apps with less intensive support was of very low certainty, and more randomised controlled trials are needed to test these interventions.

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Self-citation
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Authors: Whittaker, R., McRobbie, H., Bullen, C., Rodgers, A., Gu, Y., & Dobson, R.
Affiliations: University of Auckland (NZ)
UNSW Sydney (AU)
The George Institute for Global Health (AU)
Stockton University (US)
ORCID: Whittaker, Robyn
McRobbie, Hayden
Bullen, Chris
Rodgers, Anthony
Gu, Yulong
Dobson, Rosie
Venue: Cochrane Database of Systematic Reviews
Publisher: Wiley
Published: 2019-10-22
Volume: 10
Pages: CD006611-CD006611
ISSN: 1361-6137 (ISSN-L)
1465-1858
DOI: 10.1002/14651858.cd006611.pub5
PMC: PMC6804292
OpenAlex: W2982082714
Cited by: 452
References: 129
Citations by year: 2026: 39 · 2025: 56 · 2024: 71 · 2023: 76 · 2022: 76 · 2021: 86 · 2020: 44 · 2019: 4
FWCI: 6.18
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
ResearchSpace (University of Auckland) (submittedVersion)
Funders: Bill and Melinda Gates Foundation
American Heart Association (K12DA00167, 14CRP18200010)
China Medical Board (15-226)
Pfizer
World Health Organization
George Washington University
Center for Drug Use and HIV Research
National Institute for Health and Care Research (16/114/20, SRP/16/114/20)
National Institutes of Health (14CRP18200010)
Milken Institute School of Public Health, George Washington University
Health Research Council of New Zealand
National Institute on Drug Abuse (14CRP18200010, K12 DA00167, K12DA000167)
National Cancer Institute (K07CA124579)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: smoking cessation, mobile phone intervention, text messaging, mobile application, automated intervention, abstinence rates, contingency management, resource-limited settings

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Mobile phone text messaging and app-based interventions for smoking cessation

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