A Digital Smoking Cessation Program Delivered Through Internet and Cell Phone Without Nicotine Replacement (Happy Ending): Randomized Controlled Trial
2008

Digital Smoking Cessation Program: Happy Ending

Sample size: 290 publication 10 minutes Evidence: high

Author Information

Author(s): Peter Selby, Scott McIntosh, Cameron Norman, Aghi Mira Ward, Kenneth Brendryen, Håvar Brendryen, Filip Drozd, Pål Kraft

Primary Institution: University of Oslo

Hypothesis

A digital, fully automated smoking cessation intervention would produce an increased 12-month abstinence rate compared with a control condition of a self-help booklet.

Conclusion

The study demonstrates that a fully automated smoking cessation intervention can significantly help smokers achieve long-term abstinence without nicotine replacement therapy.

Supporting Evidence

  • Participants in the intervention group reported 20% abstinence compared to 7% in the control group.
  • The intervention significantly increased precessation coping planning and self-efficacy.
  • Repeated point abstinence was significantly higher in the intervention group at all follow-up points.

Takeaway

This study shows that a digital program can help people stop smoking for a long time, even without using patches or gum.

Methodology

A two-arm randomized controlled trial with participants assigned to either the digital intervention or a control self-help booklet, measuring abstinence at multiple time points.

Potential Biases

Potential bias due to self-selection of participants and reliance on self-reported data for abstinence.

Limitations

The study could not biochemically verify self-reported abstinence and some participants used nicotine replacement therapy despite agreeing not to.

Participant Demographics

{"female_percentage":50,"average_age":39.6,"nicotine_dependence":4.5}

Statistical Information

P-Value

0.002

Confidence Interval

95% CI = 1.60-7.34

Statistical Significance

p = .002

Digital Object Identifier (DOI)

10.2196/jmir.1005

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