Text messaging interventions to support smoking cessation among hospitalized patients in Brazil: a randomized comparative effectiveness clinical trial

Lígia Menezes do Amaral, Telmo Mota Ronzani, Erica Cruvinel, Kimber Richter, Rafaela de Oliveira Andrade, Isabella Oliveira Lanzieri, Ângela Caroline Dias Albino Destro de Macêdo, Isabel Cristina Gonçalves Leite, Lígia Menezes do Amaral, Telmo Mota Ronzani, Erica Cruvinel, Kimber Richter, Rafaela de Oliveira Andrade, Isabella Oliveira Lanzieri, Ângela Caroline Dias Albino Destro de Macêdo, Isabel Cristina Gonçalves Leite

Abstract

Objective: A clinical trial carried out in patients hospitalized for clinical and surgical conditions. This study evaluated the effectiveness of text messaging interventions (TM) versus telephone counseling (TC) to promote smoking cessation among hospitalized smokers in a middle-income country. Seven-day abstinence was measured during follow-up phone calls one month after discharge. The comparative cost of the two interventions considered the cost of calls, time spent on phone calls and sending SMS and cost of the professional involved in the approaches.

Results: Past 7-day tobacco abstinence was not statistically different between groups (30.5% in TM group and 26% in TC, p = 0.318). Costs were significantly lower in the TM group (U$9.28 × U$19.45- p < 0,001). Continuous abstinence was reported by 26% of TM participants and 24.5% of TC participants (p = 0.730). In the 3-month follow-up, 7-day abstinence was 23% in the TMI and 27% in the TC (p = 0.356) group. Continuous abstinence was reported by 20% of TM participants and 24% of TC participants (p = 0.334).

Trial registration: ClinicalTrials.gov ID: NCT03237949 Registred on: 30th May 2017.

Keywords: Patient discharge; Randomized trial; Smoking cessation; Text messaging.

Conflict of interest statement

The authors declared no competing interest in the subject matter or materials discussed in this article.

© 2022. The Author(s).

References

    1. Ekpu VU, Brown AK. The economic impact of smoking and of reducing smoking prevalence: review of evidence. Tob Use Insights. 2015;8(1):1–35. doi: 10.4137/TUI.S15628.
    1. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, et al. 21st-century hazards of smoking and benefits of cessation in the United States. N Engl J Med. 2013;368(4):341–350. doi: 10.1056/NEJMsa1211128.
    1. Cruvinel E, Richter KP, Colugnati F, Ronzani TM. An experimental feasibility study of a hybrid telephone counseling/text messaging intervention for post-discharge cessation support among hospitalized smokers in Brazil. Nicotine Tob Res. 2019;21(12):1700–1705. doi: 10.1093/ntr/nty165.
    1. Rigotti NA, Clair C, Munafò MR, Stead LF. Interventions for smoking cessation in hospitalised patients. Cochrane Database Syst Rev. 2012;12(1):1–86. doi: 10.1002/14651858.CD001837.pub3.
    1. Reid ZZ, Regan S, Kelley JH, Streck JN, Ylioja T, Tindle HA, et al. Comparative effectiveness of post-discharge strategies for hospitalized smokers: study protocol for the helping HAND 2 randomized controlled trial. BMC Public Health. 2015;15(1):1–12. doi: 10.1186/s12889-015-1484-0.
    1. Rigotti NA, Arnsten JH, McKool KM, Wood-Reid KM, Pasternak RC, Singer DE. Efficacy of a smoking cessation program for hospital patients. Arch Intern Med. 1997;157(22):2653–2660. doi: 10.1001/archinte.1997.00440430135016.
    1. Richter KP, Faseru B, Mussulman LM, Ellerbeck EF, Shireman TI, Hunt JJ, et al. Using warm handoffs to link hospitalized smokers with tobacco treatment after discharge: study protocol of a randomized controlled trial. Trials. 2012;13(127):1–11. doi: 10.1186/1745-6215-13-127.
    1. Abu-Hasaballah K, James A, Aseltine RH. Lessons and pitfalls of interactive voice response in medical research. Contemp Clin Trials. 2007;28(5):593–602. doi: 10.1016/j.cct.2007.02.007.
    1. Cummins S, Zhu SH, Gamst A, Kirby C, Brandstein K, Klonoff C, et al. Nicotine patches and quitline counseling to help hospitalized smokers stay quit: study protocol for a randomized controlled trial. Trials. 2012;13(128):1–9. doi: 10.1186/1745-6215-13-128.
    1. Buller DB, Borland R, Bettinghaus EP, Shane JH, Zimmerman DE. Randomized trial of a smartphone mobile application compared to text messaging to support smoking cessation. Telemed e-Health. 2014;20(3):206–214. doi: 10.1089/tmj.2013.0169.
    1. Harrington KF, Kim Y-I, Chen M, Ramachandran R, Pisu M, Sadasivan RS, et al. Web-Based intervention for transitioning smokers from inpatient to outpatient care: an RCT. Am J Prev Med. 2016;51(4):620–629. doi: 10.1016/j.amepre.2016.04.008.
    1. Rigotti NA, Tindle HA, Regan S, Levy DE, Chang Y, Carpenter KM, et al. A post-discharge smoking-cessation intervention for hospital patients. Am J Prev Med. 2016;51(4):597–608. doi: 10.1016/j.amepre.2016.04.005.
    1. Richter KP, Faseru B, Shireman TI, Mussulman LM, Nazir N, Bush T, et al. Warm handoff versus fax referral for linking hospitalized smokers to quitlines. Am J Prev Med. 2016;51(4):587–596. doi: 10.1016/j.amepre.2016.04.006.
    1. Fellows JL, Mularski RA, Leo MC, Bentz CJ, Waiwaiole LA, Francisco MC, et al. Referring hospitalized smokers to outpatient quit services: a randomized trial: a randomized trial. Am J Prev Med. 2016;51(4):609–619. doi: 10.1016/j.amepre.2016.06.014.
    1. Sherman SE, Link AR, Rogers ES, Krebs P, Ladapo JA, Shelley DR, et al. Smoking-cessation interventions for urban hospital patients: a randomized comparative effectiveness trial. Am J Prev Med. 2016;51(4):566–577. doi: 10.1016/j.amepre.2016.06.023.
    1. Brazilian Ministry of Health. Strategies for the care of the person with chronic disease: the care of the person who smokes. Brasília: Health Care Department Primary Care Department. 2015; 1(40):1–154.
    1. Lee K, Chagas LC, Novotny TE. Brazil and the framework convention on tobacco control: global health diplomacy as soft power. PLoS Med. 2010;7(4):1–6. doi: 10.1371/journal.pmed.1000232.
    1. Levy D, de Almeida LM, Szklo A. The Brazil simsmoke policy simulation model: the effect of strong tobacco control policies on smoking prevalence and smoking-attributable deaths in a middle income nation. PLoS Med. 2012;9(11):1–13. doi: 10.1371/journal.pmed.1001336.
    1. Shibuya K, Ciecierski C, Guindon E, Bettcher DW, Evans DB, Murray CJL. WHO framework convention on tobacco control: Development of an evidence based global public health treaty. Br Med J. 2003;327(7407):154–157. doi: 10.1136/bmj.327.7407.154.
    1. Garcia T, dos Andrade SAS, Biral AT, Bertani AL, de Caram LMO, Cezare TJ, et al. Evaluation of smoking cessation treatment initiated during hospitalization in patients with heart disease or respiratory disease. J Bras Pneumol. 2018;44(1):42–48. doi: 10.1590/S1806-37562017000000026.
    1. de Azevedo RCS, Mauro MLF, Lima DD, Gaspar KC, da Silva VF, Botega NJ. General hospital admission as an opportunity for smoking-cessation strategies: a clinical trial in Brazil. Gen Hosp Psychiatry. 2010;32(6):599–606. doi: 10.1016/j.genhosppsych.2010.09.013.
    1. de Abreu Perez C, Pinheiro T, Bialous S, Cunha V, Maria Cavalcante T. Disque Saúde Pare de Fumar no Brasil: uma Fonte de Informação a mais para a População. Brazilian J Cancerol. 2011;57(3):337–344. doi: 10.32635/2176-9745.RBC.2011v57n3.668.
    1. Matkin W, Ordóñez-Mena JM, Hartmann-Boyce J. Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2019;2019(5):1–163. doi: 10.1002/14651858.CD002850.pub4.
    1. Spohr SA, Nandy R, Gandhiraj D, Vemulapalli A, Anne S, Walters ST. Efficacy of SMS text message interventions for smoking cessation: a meta-analysis. J Subst Abuse Treat. 2015;56:1–10. doi: 10.1016/j.jsat.2015.01.011.
    1. Scott-Sheldon LAJ, Lantini R, Jennings EG, Thind H, Rosen RK, Salmoirago B, et al. Text messaging-based interventions for smoking cessation: a systematic review and meta-analysis. JMIR mHealth uHealth. 2016;4(2):e49. doi: 10.2196/mhealth.5436.
    1. Whittaker R, McRobbie H, Bullen C, Rodgers A, Gu Y, Dobson R. Mobile phone text messaging and app-based interventions for smoking cessation. Cochrane Database Syst Rev. 2019;1(1):1–87. doi: 10.1002/14651858.CD006611.pub5.
    1. Barbosa AF. Survey on the Use of Information and Communication Technologies in Brazilian Households - ICT Households 2015. São Paulo: Brazilian Internet Steering Committee; 2015. . Accessed 28 Oct 2019.
    1. Brazilian Ministry of Health, National Cancer Institute - INCA. Approach and Treatment of Smokers: Consensus 2001. Rio de Janeiro: Prevention and Surveillance Coordination - CONPREV. 2001;1(1):1–38.
    1. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Adv Behav Res Ther. 1978;1(4):139–161. doi: 10.1016/0146-6402(78)90002-4.
    1. Rollnick S, Butler CC, Kinnersley P, Gregory J, Mash B. Motivational interviewing. BMJ. 2010;340:c1900–c1900. doi: 10.1136/bmj.c1900.
    1. Kamakura W, Mazzon JA. Critérios De Estratificação E Comparação De Classificadores Socioeconômicos No Brasil. Rev Adm Empres. 2016;56(1):55–70. doi: 10.1590/s0034-759020160106.
    1. Fagerstrom K-O, Schneider NG. Measuring nicotine dependence: a review of the fagerstrom tolerance questionnaire. J Behav Med. 1989;12(2):159–182. doi: 10.1007/BF00846549.
    1. Hughes JR, Hatsukami D. Signs and symptoms of tobacco withdrawal. Arch Gen Psychiatry. 1986;43(3):289–294. doi: 10.1001/archpsyc.1986.01800030107013.
    1. DiClemente CC, Schlundt D, Gemmell L. Readiness and stages of change in addiction treatment. Am J Addict. 2004;13(2):103–19. doi: 10.1080/10550490490435777.
    1. Löwe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, et al. A 4-item measure of depression and anxiety: validation and standardization of the patient health questionnaire-4 (PHQ-4) in the general population. J Affect Disord. 2010;122(1–2):86–95. doi: 10.1016/j.jad.2009.06.019.
    1. (ACQUIP) for the ACQIP. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Arch Intern Med. 1998;158(16):1789–1795. doi: 10.1001/archinte.158.16.1789.
    1. SRNT Subcommittee on Biochemical Verification Biochemical verification of tobacco use and cessation. Nicotine Tob Res. 2002;4(2):149–159. doi: 10.1080/14622200210123581.
    1. Higgins AM, Harris AH. health economic methods: cost-minimization, cost-effectiveness, cost-utility, and cost-benefit evaluations. Crit Care Clin. 2012;28(1):11–24. doi: 10.1016/j.ccc.2011.10.002.
    1. Irvine L, Falconer DW, Jones C, Ricketts IW, Williams B, Crombie IK. Can text messages reach the parts other process measures cannot reach: an evaluation of a behavior change intervention delivered by mobile phone? PLoS ONE. 2012;7(12):1–7. doi: 10.1371/journal.pone.0052621.
    1. Suffoletto B. Text message behavioral interventions: From here to where? Curr Opin Psychol. 2016;9:16–21. doi: 10.1016/j.copsyc.2015.09.012.

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