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Cited by 134Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesHealth Literacy and Information Accessibility

Smoking cessation via the Internet: A randomized clinical trial of an Internet intervention as adjuvant treatment in a smoking cessation intervention

Japuntich, Sandra, Zehner, Mark, Smith, Stevens, Jorenby, Douglas, Valdez, José, Fiore, Michael, Baker, Timothy, Gustafson, David·2006·Nicotine & Tobacco Research
DOI 10.1080/14622200601047900
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Abstract

Internet interventions for smoking cessation are ubiquitous. Yet, to date, there are few randomized clinical trials that gauge their efficacy. This study is a randomized clinical trial (N= 284, n= 140 in the treatment group, n= 144 in the control group) of an Internet smoking cessation intervention. Smokers were randomly assigned to receive either bupropion plus counseling alone, or bupropion and counseling in addition to 12 weeks of access to the Comprehensive Health Enhancement Support System for Smoking Cessation and Relapse Prevention (CHESS SCRP; a Web site which provided information on smoking cessation as well as support). We found that access to CHESS SCRP was not significantly related to abstinence at the end of the treatment period (OR= 1.13, 95% CI 0.66-2.62) or at 6 months postquit (OR= 1.48, 95% CI 0.66-2.62). However, the number of times participants used CHESS SCRP per week was related to abstinence at both end of treatment (OR= 1.79, 95% CI 1.25-2.56) and at the 6-month follow-up (OR= 1.59, 95% CI 1.06-2.38). Participants with access to CHESS SCRP logged in an average of 33.64 times (SD=30.76) over the 90-day period of access. Rates of CHESS SCRP use did not differ by ethnicity, level of education or gender (all p>.05). In sum, results suggest that participants used CHESS SCRP frequently, CHESS SCRP use was related to success, but the effects in general did not yield intergroup effects.

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  • There are viable models ranging from clinic staff merely referring to a state quitline or an eHealth intervention, to a chronic care model approach to disease management.

    “The possibilities are legion with viable models ranging from clinic staff merely referring to a state quitline or an eHealth intervention (54, 55), to a chronic care model approach to disease management in which staff take primary responsibility for assessment, intervening, and patient tracking (7).”

    From The Multiphase Optimization Strategy for Engineering Effective Tobacco Use Interventions (2011) · cites this paper as [54]

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Authors
Japuntich, S., Zehner, M., Smith, S., Jorenby, D., Valdez, J., Fiore, M., Baker, T., & Gustafson, D.
Affiliations
University of Wisconsin–Madison (US)
ORCID
Venue
Nicotine & Tobacco Research
Publisher
Oxford University Press (OUP)
Published
2006-12
Volume
8
Issue
1
Pages
59-67
ISSN
1462-2203 (ISSN-L)
DOI
10.1080/14622200601047900
OpenAlex
W2143178622
Cited by
134
References
10
Citations by year
2024: 1 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 7 · 2018: 5 · 2017: 7 · 2016: 14 · 2015: 7 · 2014: 10 · 2013: 18 · 2012: 9
FWCI
5.08
Type
journal article
Language
en
Open access
closed
Locations
  • Nicotine & Tobacco Research (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • GlaxoSmithKline
  • National Cancer Institute (P50CA084724)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Keywords
smoking cessation, online intervention, bupropion, counseling, abstinence, relapse prevention, adjuvant therapy, online health support
MeSH terms
Adult, Analysis of Variance, Combined Modality Therapy, Counseling, Female, Humans, Male, Middle Aged, Self-Help Groups, Therapy, Computer-Assisted, Tobacco Use Disorder, Confidence Intervals, Odds Ratio, Smoking Cessation, Bupropion, Treatment Outcome, Patient Satisfaction, Dopamine Uptake Inhibitors, Internet

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