A study protocol for a randomised controlled trial evaluating the use of information communication technology (WhatsApp/WeChat) to deliver brief motivational interviewing (i-BMI) in promoting smoking cessation among smokers with chronic diseases

William Ho Cheung Li, Ka Yan Ho, Katherine Ka Wai Lam, Man Ping Wang, Derek Yee Tak Cheung, Laurie Long Kwan Ho, Wei Xia, Tai Hing Lam, William Ho Cheung Li, Ka Yan Ho, Katherine Ka Wai Lam, Man Ping Wang, Derek Yee Tak Cheung, Laurie Long Kwan Ho, Wei Xia, Tai Hing Lam

Abstract

Background: The recent development of smoking cessation interventions for smokers with chronic diseases has focused heavily on brief interventions. However, these interventions are too brief to make an impact on these smokers, especially when most of them are without any intention to quit. Previous studies showed that smokers who did not want to quit might be interested in changing other health behaviours. Also, once people engage in a health behaviour, they are found more likely to change other unhealthy habits. Hence, a general health promotion approach could be a feasible approach to motivate smokers who do not want to quit to first engage in any desirable health behaviour, and later quit smoking when they intend to do so. This study aims to determine the potential efficacy and effect size of such intervention approach in promoting smoking cessation for smokers with chronic diseases.

Methods: This is a randomized controlled trial. A convenience sample of 60 smokers with chronic diseases will be randomly assigned into either experimental (n = 30) or control group (n = 30). Smokers in the experimental group will receive an individual face-to-face brief motivational interviewing (MI) with generic advice on selected health behaviour. More brief MI messages will be delivered to them via WhatsApp/WeChat for 6 months. For subject in the control group, they will be asked to indicate their desirable health-related practice. However, no MI and booster interventions will be given. All subjects will complete a questionnaire at 1, 3, 6 and 12 months. Subjects abstinent from cigarettes at 12 months will perform a biochemical validation. The primary outcome is biochemically validated smoking abstinence at 12 months. Effect size of the intervention will be estimated by the odd ratios using intention-to-treat.

Discussion: This is the first study to determine the potential efficacy for the use of a personalized general health promotion approach in promoting smoking cessation for smokers with chronic diseases. If our proposed intervention is effective, we will able to assist smokers with chronic disease to quit smoking and change their health behaviour simultaneously.

Trial registration: CinicalTrials.gov NCT03983330 (Prospectively registered), registered on June 12, 2019.

Keywords: Chronic disease; General health; Information communication technology; Motivational interviewing; Randomized controlled trial; Smoking cessation.

Conflict of interest statement

Ho Cheung William Li (Corresponding author) and Man Ping Wang (co-author) are Associate Editors for BMC Public Health. Other authors declare that they have no competing interests.

Figures

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Fig. 1
Study protocol (CONSORT statements)

References

    1. World Health Organization: Tobacco fact sheet. ). Accessed 20 Feb 2018.
    1. U.S. Department of Health and Human Services . The health consequences of smoking—50 years of Progress: a report of the surgeon General. Atlanta: Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on smoking and health; 2014.
    1. Census & Statistics Department . Pattern of smoking. Thematic household survey report No. 59: Pattern of Smoking. Hong Kong: Hong Kong Census & Statistics Department; 2016.
    1. Chau J, McGhee SM, Lam TH. Economic costs attributable to smoking in Hong Kong in 2011: a possible increase from 1998. Nicotine Tob Res. 2017;1:8.
    1. Li HCW, Wang MP, LAM TH, Cheung YT, Cheung DY, Suen YN, et al. Brief intervention to promote smoking cessation and improve glycemic control in smokers with type 2 diabetes: a randomized controlled trial. Sci Rep. 2017;7:45902. doi: 10.1038/srep45902.
    1. Chan SS, Leung DY, Wong DC, Lau CP, Wong VT, Lam TH. A randomized controlled trial of stage-matched intervention for smoking cessation in cardiac out-patients. Addiction. 2012;107:829–837. doi: 10.1111/j.1360-0443.2011.03733.x.
    1. Li HCW, Wang MP, Ho KY, Lam KKW, Cheung DYT, Cheung YTY, et al. Helping cancer patients quit smoking using brief advice based on risk communication: a randomized controlled trial. Sci Rep. 2018;8:2712. doi: 10.1038/s41598-018-21207-1.
    1. Ho KY, Li WHC, Wang MP, Lam KKW, Lam TH, Chan SSC. Comparison of two approaches in achieving smoking abstinence among patients in an outpatient clinic: a phase 2 randomized controlled trial. Patient Educ Couns. 2018;101:885–893. doi: 10.1016/j.pec.2018.02.003.
    1. Wankel L, Sefton J. Physical activity and other lifestyle behaviours. In: Bouchard C, Stephard R, Stephens T, editors. Physical activity, fitness and health Champaign. IL: human kinetics. 1994. pp. 530–550.
    1. Dallongeville J, Marecaux N, Fruchart JC, Amouyel P. Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis. J Nutr. 1998;128:1450–1457. doi: 10.1093/jn/128.9.1450.
    1. Bien TH, Burge R. Smoking and drinking: a review of the literature. Int J Addict. 1990;25:1429–1454. doi: 10.3109/10826089009056229.
    1. Lam TH, Chan B, Ho SY, Chan WM. Stage of change for general health promotion action and health-related lifestyle practices in Chinese adults. Prev Med. 2004;38:302–308. doi: 10.1016/j.ypmed.2003.10.005.
    1. Lam TH, Chan BH, Chan SK, Leung GM, Ho SY, Chan WM. A prospective study of stage of change for general health promotion action and health-related lifestyle practices among Chinese adults. Soc Sci Med. 2006;63:1846–1856. doi: 10.1016/j.socscimed.2006.04.028.
    1. Freedman JL, Fraser SC. Compliance without pressure: the foot-in-the-door technique. J Pers Soc Psychol. 1966;4:195. doi: 10.1037/h0023552.
    1. Miller WR. Motivational interviewing with problem drinkers. Behav Cogn Psychoth. 1983;11:147–172. doi: 10.1017/S0141347300006583.
    1. Miller WR, Rollnick S. Motivational interviewing: preparing people to change addictive behaviour. 3. New York: Guilford Press; 2012.
    1. Rollnick S, Heather N, Bell A. Negotiating behaviour change in medical settings: the development of brief motivational interviewing. J Ment Health. 1992;1:25–37. doi: 10.3109/09638239209034509.
    1. Jarvis MI, Tunstall-Pedoe H, Feyerabend C, Vesey C, Saloojee Y. Comparison of tests used to distinguish smokers from non-smokers. Am J Public Health. 1987;77:1435–1438. doi: 10.2105/AJPH.77.11.1435.
    1. Chan SSC, Leung DYP, Abdullah ASM, Wong VT, Hedley AJ, Lam TH. A randomized controlled trial of a smoking reduction plus nicotine replacement therapy intervention for smokers not willing to quit smoking. Addiction. 2011;106:1155–1163. doi: 10.1111/j.1360-0443.2011.03363.x.
    1. Wennike P, Danielsson T, Landfeldt B, Westin A, Tønnesen P. Smoking reduction promotes smoking cessation: results from a double blind, randomized, placebo-controlled trial of nicotine gum with 2-year follow-up. Addiction. 2003;98:1395–1402. doi: 10.1046/j.1360-0443.2003.00489.x.
    1. Ho KY, Li HCW, Lam KKW, Chan SSC, Wang MP, Chan VWF, et al. Exploratory study on the relationship between smoking and other risk behaviours among young smokers. J Clin Nurs. 2018;27:2859–2867. doi: 10.1111/jocn.14375.

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