Feasibility and Preliminary Efficacy of a Web-Based Smoking Cessation Intervention for HIV-Infected Smokers: A Randomized Controlled Trial

Shuter, Jonathan; Morales, Daniela A.; Considine-Dunn, Shannon E.; An, Lawrence C.; Stanton, Cassandra A.

doi:10.1097/qai.0000000000000226

Cited by 51Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesTelemedicine and Telehealth Implementation

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Feasibility and Preliminary Efficacy of a Web-Based Smoking Cessation Intervention for HIV-Infected Smokers: A Randomized Controlled Trial

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Shuter, Jonathan, Morales, Daniela A., Considine-Dunn, Shannon E., An, Lawrence C., Stanton, Cassandra A.·2014·JAIDS Journal of Acquired Immune Deficiency Syndromes

DOI 10.1097/qai.0000000000000226PMC PMC4137501

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Abstract

OBJECTIVE: To evaluate the feasibility and preliminary efficacy of a Web-based tobacco treatment for persons living with HIV (PLWH). DESIGN: Prospective, randomized controlled trial. SETTING: HIV-care center in the Bronx, New York. SUBJECTS: Eligibility criteria included HIV infection, current tobacco usage, interest in quitting, and access to a computer with internet. One hundred thirty-eight subjects enrolled, and 134 completed the study. INTERVENTION: Positively Smoke Free on the Web (PSFW), an 8-session, 7-week targeted tobacco treatment program for PLWH, was compared with standard care (brief advice to quit and self-help brochure). All subjects were offered nicotine patches. MAIN OUTCOME MEASURES: The main feasibility outcomes were number of sessions logged into, number of Web pages visited, number of interactive clicks, and total time logged in. The main efficacy outcome was biochemically verified, 7-day point prevalence abstinence 3 months after intervention. RESULTS: PSFW subjects logged into a mean of 5.5 of 8 sessions and 26.2 of 41 pages. They executed a mean of 10 interactive clicks during a mean total of 59.8 minutes logged in. Most required reminder phone calls to complete the sessions. Educational level, anxiety score, and home access of the Web site were associated with Web site usage. Ten percent of the PSFW group vs. 4.3% of controls achieved the abstinence end point. Among those who completed all 8 sessions, 17.9% were abstinent, and among women completers, 30.8% were abstinent. CONCLUSIONS: Web-based treatment is a feasible strategy for PLWH smokers, and preliminary findings suggest therapeutic efficacy.

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Smoking cessation trials targeting people living with HIV who smoke have produced mixed findings.
“Subsequently, smoking cessation trials that target SLWH have yielded mixed findings.7–15”
From Evaluation of an integrated treatment to address smoking cessation and anxiety/depressive symptoms among people living with HIV: Study protocol for a randomized controlled trial (2021) · cites this paper as [13]

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Self-citation

Authors: Shuter, J., Morales, D. A., Considine-Dunn, S. E., An, L. C., & Stanton, C. A.
Affiliations: Albert Einstein College of Medicine (US)
University of Michigan (US)
Georgetown University Medical Center (US)
Corresponding author: Shuter, Jonathan
Morales, Daniela A.
ORCID: Shuter, Jonathan
Morales, Daniela A.
An, Lawrence C.
Stanton, Cassandra A.
Venue: JAIDS Journal of Acquired Immune Deficiency Syndromes
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-09-01
Volume: 67
Issue: 1
Pages: 59-66
ISSN: 1525-4135 (ISSN-L)
DOI: 10.1097/qai.0000000000000226
PMC: PMC4137501
OpenAlex: W2327613987
Semantic Scholar: 8566e5a94dc53aca126bfef2dda0072cf37dde34
Cited by: 51
References: 49
Citations by year: 2026: 1 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 13 · 2015: 4 · 2014: 2
FWCI: 5.11
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: JAIDS Journal of Acquired Immune Deficiency Syndromes (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (UL1TR001073)
National Institute on Drug Abuse (R34DA037042)
National Cancer Institute (R21CA163100, P30CA051008, P30CA013330)
National Institute of Allergy and Infectious Diseases (AI-51519, P30AI051519)
National Center for Advancing Translational Sciences
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: smoking cessation, HIV infection, online intervention, tobacco use, nicotine patch, abstinence, feasibility, internet use, women smokers, HIV care
MeSH terms: Breath Tests, Carbon Monoxide, Female, Humans, Male, New York City, Prospective Studies, Surveys and Questionnaires, HIV-1, HIV Infections, Logistic Models, Smoking Cessation, Internet

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Feasibility and Preliminary Efficacy of a Web-Based Smoking Cessation Intervention for HIV-Infected Smokers: A Randomized Controlled Trial

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