A randomized controlled pilot trial of a smoking cessation intervention for US women living with HIV: telephone-based video call vs voice call
Open accessAbstract
Background: People living with HIV smoke at a rate three times that of the general population. This randomized controlled pilot trial tested the feasibility and acceptability of a video-call smoking cessation intervention in women living with HIV and its preliminary efficacy compared with a voice-call smoking cessation intervention. The study focused on women due to a paucity of studies among this population, and women are less likely than men to quit smoking when provided with conventional treatment. Methods: Participants in both arms received an HIV-tailored smoking cessation intervention comprising eight 30-minute weekly counseling sessions in conjunction with active nicotine patches for 8 weeks. The only difference between the two arms was the delivery mode of the intervention: via either telephone-based video or voice call. Survival analysis and a Cox proportional hazard regression model were performed to identify factors predicting 6-month prolonged abstinence from smoking. Results: A video-call intervention was almost 30% less feasible than a voice-call intervention because women in their 50s and 60s or poorer women living in some southern states did not have access to video-call equipment. However, those who received the video-call intervention were more likely to complete the study than those who had the voice-call intervention. There was no difference in the acceptability of the two interventions. A survival analysis revealed that those in the video arm were significantly more likely to maintain smoking abstinence over the 6-month follow-up period than those in the voice arm (log rank χ2=4.02, P <0.05). Conclusion: Although a video-call intervention is less feasible than a voice-call intervention, the former seems to outperform the latter in achieving long-term smoking abstinence for women living with HIV, which may offer an advantage over establishing therapeutic alliance and visually monitoring their adherence to nicotine patches. Clinical trial registration: ClinicalTrials.gov NCT02898597. Keywords: HIV, women, smoking cessation intervention, video call
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There is no significant difference between video counselling and telephone counselling for assisting people to quit smoking.
“The results of the two RCTs do not suggest a significant difference between video counselling and telephone counselling for assisting people to quit smoking.40,41”
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Byaruhanga, J., Paul, C. L., Wiggers, J. H., Byrnes, E., Mitchell, A., Lecathelinais, C., Bowman, J., Campbell, E. M., Gillham, K. E., & Tzelepis, F. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108448 · Cited by 22 · see citing works
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Contribution of behavioral health factors to non-AIDS-related comorbidities: an updated review
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COPD in People with HIV: Epidemiology, Pathogenesis, Management, and Prevention Strategies
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Interventions for tobacco use cessation in people living with HIV
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Advances in Psychotherapy for Older Adults Using Video-to-Home Treatment
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Telehealth in primary health care: a study of activities and time spent by professionals
da Silva, D. B., Bonfim, D., de Almeida, L. Y., Vesga-Varela, A. L., Bonassi, N. M., & Belotti, L. (2025) · Revista Latino-Americana de Enfermagem · doi:10.1590/1518-8345.7255.4500 · Cited by 6 · see citing works
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Smoking Cessation Programs for Women in Non-reproductive Contexts: A Systematic Review
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Self-citationPrediction of Smoking Abstinence in Women Living With Human Immunodeficiency Virus Infection
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Comparative Outcomes of Video, Phone, and In-Person Mental Health Care
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- Authors
- Kim, S., Darwish, S., Lee, S. A., Sprague, C., & DeMarco, R. F.
- Affiliations
- University of Massachusetts Boston (US)
- University of the Witwatersrand (ZA)
- Corresponding author
- Kim, Sun
- Venue
- International Journal of Women s Health
- Publisher
- Informa UK Limited
- Published
- 2018-09
- Volume
- Volume 10
- Pages
- 545-555
- ISSN
- 1179-1411 (ISSN-L)
- PMC
- PMC6161719
- OpenAlex
- W2890179624
- Cited by
- 45
- References
- 74
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 6 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 8 · 2019: 2 · 2017: 1
- FWCI
- 2.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Women s Health (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (acceptedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- University of Massachusetts Boston
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- smoking cessation, HIV, women living with HIV, nicotine patch, smoking abstinence, feasibility, acceptability, intervention delivery mode
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