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Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging
Open accessAbstract
Objectives: To determine the effectiveness of a mobile phone text messaging smoking cessation programme. Design: Randomised controlled trial Setting: New Zealand Participants: 1705 smokers from throughout New Zealand who wanted to quit, were aged over 15 years, and owned a mobile phone were randomised to an intervention group that received regular, personalised text messages providing smoking cessation advice, support, and distraction, or to a control group. All participants received a free month of text messaging; starting for the intervention group on their quit day to assist with quitting, and starting for the control group at six months to encourage follow up. Follow up data were available for 1624 (95%) at six weeks and 1265 (74%) at six months. Main outcome measures: The main trial outcome was current non-smoking (that is, not smoking in the past week) six weeks after randomisation. Secondary outcomes included current non-smoking at 12 and 26 weeks. Results: More participants had quit at six weeks in the intervention compared to the control group: 239 (28%) v 109 (13%), relative risk 2.20 (95% confidence interval 1.79 to 2.70), p < 0.0001. This treatment effect was consistent across subgroups defined by age, sex, income level, or geographic location (p homogeneity > 0.2). The relative risk estimates were similar in sensitivity analyses adjusting for missing data and salivary cotinine verification tests. Reported quit rates remained high at six months, but there was some uncertainty about between group differences because of incomplete follow up. Conclusions: This programme offers potential for a new way to help young smokers to quit, being affordable, personalised, age appropriate, and not location dependent. Future research should test these findings in different settings, and provide further assessment of long term quit rates.
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In the citing paper
“Previous studies have applied texting to health care interventions [43-47].”
From LIBER8 design and methods: An integrative intervention for loss of control eating among African American and White adolescent girls (2013) · cites this paper as [45]
In the citing paper
“With the exception of the Rodgers intervention [24, 29], these mobile smoking cessation interventions provided a theoretical basis, citing Social Cognitive Theory, Self-Regulation Theory, the Transtheoretical Model, and cognitive–behavioral theory.”
From Health behavior models in the age of mobile interventions: are our theories up to the task? (2011) · cites this paper as [24]
In the citing paper
“Several factors suggest that mCessation may be a viable motivator to quit smoking in Samoa: the high acceptability of the mCessation program among Pacific populations in New Zealand [30], the empirical evidence of its efficacy [15,35], and increasing mobile phone coverage in Samoa [28].”
From Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (2018) · cites this paper as [15]
In the citing paper
“The original STOMP design was based on effective brief intervention methods and social cognitive theory, particularly around enhancing self-efficacy for quitting [15] and was retrospectively referenced against the Michie’s Behaviour Change Technique Taxonomy [38].”
From Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (2018) · cites this paper as [15]
In the citing paper
“STOMP was designed in New Zealand to deliver targeted, theoretically sound SMS text messages to people who wanted to quit smoking; this original program demonstrated success in a randomized controlled trial by doubling quit rates after 6 weeks compared with unassisted quit attempts, that is 239 (28%) versus 109 (13%), respectively, (P<.001) [15].”
From Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (2018) · cites this paper as [15]
In the citing paper
“STOMP was designed in New Zealand to deliver targeted, theoretically sound SMS text messages to people who wanted to quit smoking; this original program demonstrated success in a randomized controlled trial by doubling quit rates after 6 weeks compared with unassisted quit attempts, that is 239 (28%) versus 109 (13%), respectively, (P<.001) [15].”
From Assessing the Cross-Cultural Adaptation and Translation of a Text-Based Mobile Smoking Cessation Program in Samoa (TXTTaofiTapaa): Pilot Study (2018) · cites this paper as [15]
In the citing paper
“For instance, a text messaging behavioral intervention designed for smoking cessation among youth demonstrated improved quit rates at 6 weeks (Rodgers et al., 2005).”
From Substance use recovery outcomes among a cohort of youth participating in a mobile-based texting aftercare pilot program (2014) · cites this paper as Rodgers et al., 2005
In the citing paper
“These interventions have produced favorable outcomes in areas such as weight loss, physical activity, smoking cessation, and anxiety [3-7].”
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Metadata
- Authors
- Rodgers, A., Corbett, T., Bramley, D., Riddell, T., Wills, M., Lin, R.-B., & Jones, M.
- Affiliations
- University of Auckland (NZ)
- Corresponding author
- Rodgers, A
- ORCID
- Venue
- Tobacco Control
- Publisher
- BMJ
- Published
- 2005-07-26
- Volume
- 14
- Issue
- 4
- Pages
- 255-261
- ISSN
- 0964-4563 (ISSN-L)
- 1468-3318
- PMC
- PMC1748056
- OpenAlex
- W2106444270
- Cited by
- 732
- References
- 16
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 19 · 2023: 18 · 2022: 19 · 2021: 26 · 2020: 27 · 2019: 55 · 2018: 43 · 2017: 42 · 2016: 44 · 2015: 61 · 2014: 49 · 2013: 64 · 2012: 64
- FWCI
- 13.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Tobacco Control (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Cancer Society of New Zealand
- National Heart Foundation of New Zealand
- 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, text messaging, text messaging intervention, smoking cessation counseling, young smokers, quit rates
- MeSH terms
- Smoking Prevention, Adolescent, Adult, Female, Follow-Up Studies, Health Education, Humans, Income, Male, Confidence Intervals, Smoking Cessation, Treatment Outcome, Patient Selection, Cell Phone
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