A randomised trial of real-time video counselling for smoking cessation among rural and remote residents.

IF 3.5 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Journal of Telemedicine and Telecare Pub Date : 2024-08-21 DOI:10.1177/1357633X241273076

Flora Tzelepis, John Wiggers, Christine L Paul, Aimee Mitchell, Emma Byrnes, Judith Byaruhanga, Louise Wilson, Christophe Lecathelinais, Jennifer Bowman, Elizabeth Campbell, Karen Gillham

{"title":"A randomised trial of real-time video counselling for smoking cessation among rural and remote residents.","authors":"Flora Tzelepis, John Wiggers, Christine L Paul, Aimee Mitchell, Emma Byrnes, Judith Byaruhanga, Louise Wilson, Christophe Lecathelinais, Jennifer Bowman, Elizabeth Campbell, Karen Gillham","doi":"10.1177/1357633X241273076","DOIUrl":null,"url":null,"abstract":"Introduction: Despite its reach, very limited evidence exists on the effectiveness of real-time video counselling for smoking cessation (e.g. via Skype). This study compared the effectiveness of real-time video counselling for smoking cessation to (a) telephone counselling; and (b) a control among rural and remote residents.Methods: Between 25 May 2017 and 3 March 2020, a three-arm, parallel group, randomised trial, randomised 1244 rural and remote residents from New South Wales, Australia who smoked tobacco to: video counselling (4-6 video sessions); telephone counselling (4-6 telephone calls); or a control (printed materials). The primary outcome was 7-day point prevalence abstinence at 13 months post-baseline. Secondary outcomes were point prevalence abstinence at 4 months and 7-months post-baseline, prolonged abstinence, quit attempts, anxiety and depression.Results: For the primary outcome of 7-day point prevalence abstinence at 13 months post-baseline, there was no significant difference between video counselling and telephone counselling (14.6% vs 13.3%; (OR = 1.11, 95% CI (0.75-1.64), P = 0.61) or video counselling and control (14.6% vs 13.9%; (OR = 1.06, 95% CI (0.71-1.57), P = 0.77). For secondary outcomes at 4 months post-baseline, the video counselling group had significantly higher odds than the control of 7-day point prevalence abstinence (14.3% vs 8.2%; OR = 1.88, 95% CI (1.20-2.95), P = 0.006) and 3-month prolonged abstinence (4.9% vs 2.2%; OR = 2.28, 95% CI (1.03-5.07), P = 0.04). There were no significant differences for other secondary outcomes.Discussion: Video counselling increased smoking cessation in the short-term compared to a control although strategies to improve its long-term effectiveness are needed.Trial registration: Australian New Zealand Clinical Trials Registry, https://www.anzctr.org.au ACTRN12617000514303.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X241273076"},"PeriodicalIF":3.5000,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Telemedicine and Telecare","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/1357633X241273076","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Despite its reach, very limited evidence exists on the effectiveness of real-time video counselling for smoking cessation (e.g. via Skype). This study compared the effectiveness of real-time video counselling for smoking cessation to (a) telephone counselling; and (b) a control among rural and remote residents.

Methods: Between 25 May 2017 and 3 March 2020, a three-arm, parallel group, randomised trial, randomised 1244 rural and remote residents from New South Wales, Australia who smoked tobacco to: video counselling (4-6 video sessions); telephone counselling (4-6 telephone calls); or a control (printed materials). The primary outcome was 7-day point prevalence abstinence at 13 months post-baseline. Secondary outcomes were point prevalence abstinence at 4 months and 7-months post-baseline, prolonged abstinence, quit attempts, anxiety and depression.

Results: For the primary outcome of 7-day point prevalence abstinence at 13 months post-baseline, there was no significant difference between video counselling and telephone counselling (14.6% vs 13.3%; (OR = 1.11, 95% CI (0.75-1.64), P = 0.61) or video counselling and control (14.6% vs 13.9%; (OR = 1.06, 95% CI (0.71-1.57), P = 0.77). For secondary outcomes at 4 months post-baseline, the video counselling group had significantly higher odds than the control of 7-day point prevalence abstinence (14.3% vs 8.2%; OR = 1.88, 95% CI (1.20-2.95), P = 0.006) and 3-month prolonged abstinence (4.9% vs 2.2%; OR = 2.28, 95% CI (1.03-5.07), P = 0.04). There were no significant differences for other secondary outcomes.

Discussion: Video counselling increased smoking cessation in the short-term compared to a control although strategies to improve its long-term effectiveness are needed.

Trial registration: Australian New Zealand Clinical Trials Registry, https://www.anzctr.org.au ACTRN12617000514303.

查看原文本刊更多论文

在农村和偏远地区居民中开展戒烟实时视频咨询随机试验。

导言：尽管实时视频戒烟咨询（如通过 Skype）的覆盖范围很广，但有关其效果的证据却非常有限。本研究比较了实时视频戒烟咨询与（a）电话戒烟咨询；以及（b）农村和偏远地区居民对照组戒烟咨询的效果：2017年5月25日至2020年3月3日期间，一项三臂平行组随机试验将澳大利亚新南威尔士州的1244名农村和偏远地区吸烟居民随机分为：视频咨询（4-6节视频课程）；电话咨询（4-6通电话）；或对照组（印刷材料）。主要结果是基线后 13 个月的 7 天点戒烟率。次要结果为基线后 4 个月和 7 个月的点戒断率、长期戒断率、戒烟尝试率、焦虑和抑郁：对于基线后 13 个月的 7 天点戒断率这一主要结果，视频咨询与电话咨询（14.6% vs 13.3%；（OR = 1.11，95% CI (0.75-1.64)，P = 0.61）或视频咨询与对照组（14.6% vs 13.9%；（OR = 1.06，95% CI (0.71-1.57)，P = 0.77）之间没有显著差异。在基线后 4 个月的次要结果中，视频辅导组的 7 天点戒断率（14.3% vs 8.2%；OR = 1.88，95% CI (1.20-2.95)，P = 0.006）和 3 个月延长戒断率（4.9% vs 2.2%；OR = 2.28，95% CI (1.03-5.07)，P = 0.04）显著高于对照组。其他次要结果无明显差异：讨论：与对照组相比，视频咨询在短期内提高了戒烟率，但仍需采取策略提高其长期有效性：澳大利亚新西兰临床试验注册中心，https://www.anzctr.org.au ACTRN12617000514303。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Telemedicine and Telecare 医学-卫生保健

CiteScore

14.10

自引率

10.60%

发文量

174

审稿时长

6-12 weeks

期刊介绍： Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.