ReviewPatient preference and adherence2018
Which eHealth interventions are most effective for smoking cessation? A systematic review.
Review in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Effectiveness of eHealth Smoking Cessation Interventions: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2023Pooled it
- Pooled it
- Tailored Web-Based Smoking Interventions and Reduced Attrition: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- The effect of computerized decision support systems on cardiovascular risk factors: a systematic review and meta-analysis.BMC medical informatics and decision making · 2019Pooled it
- Effectiveness of Text Messaging in Encouraging Smoking Cessation among Non-Communicable Disease Patients: A Randomized Controlled Trial.Asian Pacific journal of cancer prevention : APJCP · 2024Trial
- Digital Smoking Cessation With a Comprehensive Guideline-Based App-Results of a Nationwide, Multicentric, Parallel, Randomized Controlled Trial in Germany.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Trial
- The Effect of Interactivity, Tailoring, and Use Intensity on the Effectiveness of an Internet-Based Smoking Cessation Intervention Over a 12-Month Period: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Effectiveness of an optimized text message and Internet intervention for smoking cessation: A randomized controlled trial.Addiction (Abingdon, England) · 2022Trial
- Comparing Reminders Sent via SMS Text Messaging and Email for Improving Adherence to an Electronic Health Program: Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
- A community pharmacist-led smoking cessation intervention using a smartphone app (PharmQuit): A randomized controlled trial.PloS one · 2022Trial
- Article
- PICO-based assessment and categorization of evidence for digital health interventions: an inductive framework development.Frontiers in digital health · 2026Review
- Effect and acceptability of an mHealth smoking cessation intervention 'Stopcoach' combined with smoking cessation counseling for people from multiple levels of socioeconomic position: a multi-methods study.Substance abuse treatment, prevention, and policy · 2025Article
- Article
- Article
- Therapeutic Content of Mobile Phone Applications for Substance Use Disorders: An Umbrella Review.Mayo Clinic proceedings. Digital health · 2024Article
- Barriers to smoking interventions in community healthcare settings: a scoping review.Health promotion international · 2024Article
- NoFumo+: Mobile Health App to Quit Smoking Using Cognitive-Behavioral Therapy.Nursing research and practice · 2024Article
- Digital interventions targeting excessive substance use and substance use disorders: a comprehensive and systematic scoping review and bibliometric analysis.Frontiers in psychiatry · 2024Article
- Non-pharmacological interventions for smoking cessation: analysis of systematic reviews and meta-analyses.BMC medicine · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo synthesize evidence of the effects and potential effect modifiers of different electronic health (eHealth) interventions to help people quit smoking.
methodsFour databases (MEDLINE, PsycINFO, Embase, and The Cochrane Library) were searched in March 2017 using terms that included "smoking cessation", "eHealth/mHealth" and "electronic technology" to find relevant studies. Meta-analysis and meta-regression analyses were performed using Mantel-Haenszel test for fixed-effect risk ratio (RR) and restricted maximum-likelihood technique, respectively. Protocol Registration Number: CRD42017072560.
resultsThe review included 108 studies and 110,372 participants. Compared to nonactive control groups (eg, usual care), smoking cessation interventions using web-based and mobile health (mHealth) platform resulted in significantly greater smoking abstinence, RR 2.03 (95% CI 1.7-2.03), and RR 1.71 (95% CI 1.35-2.16), respectively. Similarly, smoking cessation trials using tailored text messages (RR 1.80, 95% CI 1.54-2.10) and web-based information and conjunctive nicotine replacement therapy (RR 1.29, 95% CI 1.17-1.43) may also increase cessation. In contrast, little or no benefit for smoking abstinence was found for computer-assisted interventions (RR 1.31, 95% CI 1.11-1.53). The magnitude of effect sizes from mHealth smoking cessation interventions was likely to be greater if the trial was conducted in the USA or Europe and when the intervention included individually tailored text messages. In contrast, high frequency of texts (daily) was less effective than weekly texts.
conclusionsThere was consistent evidence that web-based and mHealth smoking cessation interventions may increase abstinence moderately. Methodologic quality of trials and the intervention characteristics (tailored vs untailored) are critical effect modifiers among eHealth smoking cessation interventions, especially for web-based and text messaging trials. Future smoking cessation intervention should take advantages of web-based and mHealth engagement to improve prolonged abstinence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.