{"title":"“Appagalo”是一项针对女性戒烟的定制移动健康干预(mHealth):一项随机对照试验。","authors":"Javiera Martinez-Gutierrez, Angélica Domínguez, Carolina López, Juan Alcántara, Carolina Althausen, Mildred Rojas, Leonardo Véjar, Claudia Bambs","doi":"10.1177/1179173X231152316","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Almost 30% of Chilean women report cigarette smoking with important repercussions on their health.</p><p><strong>Objective: </strong>Design and test a mobile phone intervention for smoking cessation in young women.</p><p><strong>Study design: </strong>A mobile application (app) was created using the best available evidence and consumer input. Its effectiveness was assessed through a randomized clinical trial.</p><p><strong>Study participants: </strong>Women 18 to 44 years old from middle-class neighborhoods in Santiago, Chile. Inclusion criteria were intention to quit cigarette smoking in the following month and having a smartphone cell phone. Women with positive screening for risky alcohol consumption were excluded.</p><p><strong>Intervention: </strong>App with content to support cigarette smoking cessation over 6 months. The control arm included an app that delivered general messages to promote permanence in the study. Telephone follow-up was performed at 6 weeks, and at 3 and 6 months after randomization.</p><p><strong>Main outcome measure: </strong>No smoking in the past 7 days at 6 weeks from enrolment. Intention-to-treat analysis was carried out using SPSS 17.0 with a significance level set at .05.</p><p><strong>Results: </strong>309 women entered the study. Mean number of cigarettes smoked in a day was 8.8. 58.6% of the participants (n = 181) completed the follow-up for the primary outcome. With intention-to-treat analysis, 9.7% of participants in the intervention group reported not having smoked any cigarettes in the last 7 days vs 3.2% in the control group (RR 2.98 CI 95% 1.11-8.0, <i>P</i> = .022). Additionally, 12.3% vs 1.9% of the participants in the intervention group and control group reported continuous abstinence at 6 weeks, respectively (RR 6.29 95% CI 1.9-20.8, <i>P</i> < .001). Continuous abstinence was also significant at 6 months (<i>P</i>-value of .036).</p><p><strong>Conclusions: </strong>The \"Appagalo\" app is an effective tool to support smoking cessation in young women. It is a simple mHealth alternative for smoking cessation that can contribute to improving women's health in the Americas and worldwide.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/68/10.1177_1179173X231152316.PMC9944159.pdf","citationCount":"2","resultStr":"{\"title\":\"\\\"Appagalo\\\" a Customized Mobile Health Intervention (mHealth) for Smoking Cessation in Women: A Randomized Controlled Trial.\",\"authors\":\"Javiera Martinez-Gutierrez, Angélica Domínguez, Carolina López, Juan Alcántara, Carolina Althausen, Mildred Rojas, Leonardo Véjar, Claudia Bambs\",\"doi\":\"10.1177/1179173X231152316\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Almost 30% of Chilean women report cigarette smoking with important repercussions on their health.</p><p><strong>Objective: </strong>Design and test a mobile phone intervention for smoking cessation in young women.</p><p><strong>Study design: </strong>A mobile application (app) was created using the best available evidence and consumer input. Its effectiveness was assessed through a randomized clinical trial.</p><p><strong>Study participants: </strong>Women 18 to 44 years old from middle-class neighborhoods in Santiago, Chile. Inclusion criteria were intention to quit cigarette smoking in the following month and having a smartphone cell phone. Women with positive screening for risky alcohol consumption were excluded.</p><p><strong>Intervention: </strong>App with content to support cigarette smoking cessation over 6 months. The control arm included an app that delivered general messages to promote permanence in the study. Telephone follow-up was performed at 6 weeks, and at 3 and 6 months after randomization.</p><p><strong>Main outcome measure: </strong>No smoking in the past 7 days at 6 weeks from enrolment. Intention-to-treat analysis was carried out using SPSS 17.0 with a significance level set at .05.</p><p><strong>Results: </strong>309 women entered the study. Mean number of cigarettes smoked in a day was 8.8. 58.6% of the participants (n = 181) completed the follow-up for the primary outcome. With intention-to-treat analysis, 9.7% of participants in the intervention group reported not having smoked any cigarettes in the last 7 days vs 3.2% in the control group (RR 2.98 CI 95% 1.11-8.0, <i>P</i> = .022). Additionally, 12.3% vs 1.9% of the participants in the intervention group and control group reported continuous abstinence at 6 weeks, respectively (RR 6.29 95% CI 1.9-20.8, <i>P</i> < .001). Continuous abstinence was also significant at 6 months (<i>P</i>-value of .036).</p><p><strong>Conclusions: </strong>The \\\"Appagalo\\\" app is an effective tool to support smoking cessation in young women. It is a simple mHealth alternative for smoking cessation that can contribute to improving women's health in the Americas and worldwide.</p>\",\"PeriodicalId\":43361,\"journal\":{\"name\":\"Tobacco Use Insights\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/68/10.1177_1179173X231152316.PMC9944159.pdf\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tobacco Use Insights\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/1179173X231152316\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tobacco Use Insights","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1179173X231152316","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 2
摘要
背景:近30%的智利妇女报告吸烟对她们的健康有重要影响。目的:设计并检验手机干预年轻女性戒烟的方法。研究设计:使用最佳可用证据和消费者输入创建移动应用程序(app)。通过随机临床试验评估其有效性。研究参与者:来自智利圣地亚哥中产阶级社区的18至44岁的女性。纳入标准是打算在接下来的一个月内戒烟，并拥有智能手机。在危险饮酒筛查中呈阳性的妇女被排除在外。干预:App提供支持戒烟6个月以上的内容。对照组安装了一个应用程序，该应用程序传递一般性信息，以促进研究的持久性。在随机分组后6周、3个月和6个月进行电话随访。主要观察指标:受试者入组后6周内7天内无吸烟记录。意向治疗分析采用SPSS 17.0进行，显著性水平设为0.05。结果:309名女性进入研究。平均每天吸烟8.8支。58.6%的参与者(n = 181)完成了主要结局的随访。意向治疗分析显示，干预组中9.7%的参与者报告在过去7天内没有吸烟，而对照组为3.2% (RR 2.98 CI 95% 1.11-8.0, P = 0.022)。此外，干预组和对照组中分别有12.3%和1.9%的参与者报告在6周时持续戒断(RR为6.29,95% CI为1.9-20.8,P < 0.001)。持续禁欲在6个月时也具有显著性(p值为0.036)。结论:“Appagalo”应用程序是支持年轻女性戒烟的有效工具。这是一种简单的移动健康戒烟替代方案，可以有助于改善美洲和全世界妇女的健康。
"Appagalo" a Customized Mobile Health Intervention (mHealth) for Smoking Cessation in Women: A Randomized Controlled Trial.
Background: Almost 30% of Chilean women report cigarette smoking with important repercussions on their health.
Objective: Design and test a mobile phone intervention for smoking cessation in young women.
Study design: A mobile application (app) was created using the best available evidence and consumer input. Its effectiveness was assessed through a randomized clinical trial.
Study participants: Women 18 to 44 years old from middle-class neighborhoods in Santiago, Chile. Inclusion criteria were intention to quit cigarette smoking in the following month and having a smartphone cell phone. Women with positive screening for risky alcohol consumption were excluded.
Intervention: App with content to support cigarette smoking cessation over 6 months. The control arm included an app that delivered general messages to promote permanence in the study. Telephone follow-up was performed at 6 weeks, and at 3 and 6 months after randomization.
Main outcome measure: No smoking in the past 7 days at 6 weeks from enrolment. Intention-to-treat analysis was carried out using SPSS 17.0 with a significance level set at .05.
Results: 309 women entered the study. Mean number of cigarettes smoked in a day was 8.8. 58.6% of the participants (n = 181) completed the follow-up for the primary outcome. With intention-to-treat analysis, 9.7% of participants in the intervention group reported not having smoked any cigarettes in the last 7 days vs 3.2% in the control group (RR 2.98 CI 95% 1.11-8.0, P = .022). Additionally, 12.3% vs 1.9% of the participants in the intervention group and control group reported continuous abstinence at 6 weeks, respectively (RR 6.29 95% CI 1.9-20.8, P < .001). Continuous abstinence was also significant at 6 months (P-value of .036).
Conclusions: The "Appagalo" app is an effective tool to support smoking cessation in young women. It is a simple mHealth alternative for smoking cessation that can contribute to improving women's health in the Americas and worldwide.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
