Smoking Cessation, Mobile Health
Conditions
Brief summary
This study aims to explore the feasibility, preliminary effectiveness, and implementation outcomes of chatbot-led smoking cessation support in community smokers.
Interventions
5A's (Ask, Advise, Assess, Assist, Arrange) for smokers who are ready to quit, and 5R's (relevance, risks, rewards, roadblocks, and repetition) for smokers who are not ready to quit.
The contents of the leaflet include the absolute risk of smoking, diseases caused by active and second-hand smoking, horrible pictorial warnings of the health consequences of active and second-hand smoking, and the benefits of quitting.
The contents include information about the benefits of quitting, methods to quit, how to handle withdrawal symptoms, misperceptions of quitting, etc.
Participants will receive three months of counselor-led individual support via WeChat. The regular messages and instant messaging on psychosocial support aim to provide cessation advice, increase self-efficacy and confidence, and social support and behavioral capacity of quitting.
Participants will receive three months of chatbot-led group support via WeChat.
Sponsors
Study design
Eligibility
Inclusion criteria
1. aged 18 and above, reside in Zhuhai for the next 6 months; 2. smoke at least 1 cigarette or use e-cigarettes daily; 3. Having a smartphone and a WeChat account, being able to use WeChat skillfully.
Exclusion criteria
1. Smokers who have communication barrier (either physically or cognitively); 2. Smokers who are currently participating in other SC programmes or services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participation rate of eligible smokers | Baseline | the percentage of eligible smokers out of the total number of smokers screened |
| Biochemical validated quit rate at 6 months follow-up | 6 months follow-up | The primary outcomes are biochemically validated quit rate (exhaled CO \< 4 ppm or salivary cotinine \< 30 ng/ml) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biochemical validated quit rate at 3 months follow-up | 3 months follow-up | The primary outcomes are biochemically validated quit rate (exhaled CO \< 4 ppm or salivary cotinine \< 30 ng/ml) at 3-month in the two groups |
| Self-reported 7-day point prevalence quit rate | 3 and 6 months follow-up | Self-reported 7-day point prevalence quit rate in the two groups |
| Smoking reduction rate | 3 and 6 months follow-up | Rate of smoking reduction by at least half of baseline amount in the two groups |
| Engagement in chatbot-led group support and/or counselor-led individual support | 3 and 6 months follow-up | Self-reported engagement in chatbot-led/counselor-led support in the two groups |
Countries
China