Journal
ADDICTION
Volume 100, Issue 5, Pages 682-688Publisher
WILEY
DOI: 10.1111/j.1360-0443.2005.01093.x
Keywords
internet; smoking cessation; nicotine replacement therapy; tailoring; web
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Aim To assess the efficacy of World Wide Web-based tailored behavioral smoking cessation materials among nicotine patch users. Design Two-group randomized controlled trial. Setting World Wide Web in England and Republic of Ireland. Participants A total of 3971 subjects who purchased a particular brand of nicotine patch and logged-on to use a free web-based behavioral support program. Intervention Web-based tailored behavioral smoking cessation materials or web-based non-tailored materials. Measurements Twenty-eight-day continuous abstinence rates were assessed by internet-based survey at 6-week follow-up and 10-week continuous rates at 12-week follow-up. Findings Using three approaches to the analyses of 6- and 12-week outcomes, participants in the tailored condition reported clinically and statistically significantly higher continuous abstinence rates than participants in the non-tailored condition. In our primary analyses using as a denominator all subjects who logged-on to the treatment site at least once, continuous abstinence rates at 6 weeks were 29.0% in the tailored condition versus 23.9% in the non-tailored condition (OR = 1.30; P = 0.0006); at 12 weeks continuous abstinence rates were 22.8% versus 18.1%, respectively (OR = 1.34; P = 0.0006). Moreover, satisfaction with the program was significantly higher in the tailored than in the non-tailored condition. Conclusions The results of this study demonstrate a benefit of the web-based tailored behavioral support materials used in conjunction with nicotine replacement therapy. A web-based program that collects relevant information from users and tailors the intervention to their specific needs had significant advantages over a web-based non-tailored cessation program.
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