Evidence map›Paper›PMID 30961557›Full record

Trial reportBMC public health2019

WhatsApp embedded in routine service delivery for smoking cessation: effects on abstinence rates in a randomized controlled study.

Seyfi Durmaz, Isil Ergin, Raika Durusoy, Hur Hassoy, Ayhan Caliskan, Pinar Okyay

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT03714971 nacompletednot on this map

WhatsApp Embedded in Routine Service Delivery for Smoking Cessation: Effects on Success Rates in a Randomized Controlled Study

TypeinterventionalSponsorEge UniversityRan2017 to 2017Enrolled127ConditionsSmoking CessationArmsWhatsApp embedded in smoking cessation service
NCT04478682 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect of Continuous Breastfeeding Support Provided to Mothers Through WhatsApp Messaging Application on Breastfeeding: A Randomized Controlled Trial

TypeinterventionalSponsorAhi Evran University Education and Research HospitalRan2020 to 2021Enrolled150ConditionsExclusive Breastfeeding, Breastfeeding SupportArmsBreastfeeding Support Provided to Mothers Through WhatsApp Messaging Application
NCT07001722 nacompletednot on this mapstarted 2023, after this paper: background citation

Development and Implementation of an Online Psychological Support Program for Tobacco Users

TypeinterventionalSponsorEge UniversityRan2023 to 2025Enrolled124ConditionsTobacco AddictionArmsTÜBSİS Web-based Psycho-education Programme
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Behavioral Interventions for Tobacco Cessation in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Relapse prevention interventions for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. mHealth Technology and CVD Risk Reduction.Current atherosclerosis reports · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Seyfi DurmazEge University Faculty of Medicine, Department of Medical Education, Izmir, Turkey. seyfidurmaz@gmail.com.ORCID http://orcid.org/0000-0001-9756-7764
Isil ErginEge University Faculty of Medicine, Department of Medical Education, Izmir, Turkey.
Raika DurusoyEge University Faculty of Medicine, Department of Medical Education, Izmir, Turkey.
Hur HassoyEge University Faculty of Medicine, Department of Medical Education, Izmir, Turkey.
Ayhan CaliskanEge University Faculty of Medicine, Department of Medical Education, Izmir, Turkey.
Pinar OkyayAdnan Menderes University Faculty of Medicine, Department of Public Health, Aydin, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe demand for smoking cessation services has risen in Turkey, as smokers planning to quit reached 35% in 2012. Communication technologies are used globally to support quitters, yet their integration to health services is rare. This study aims to evaluate the effect of support messages through WhatsApp application added to the usual care of a university hospital cessation unit, as compared to usual care alone, on abstinence rates at first month.

methodsA randomized controlled intervention study was conducted with 132 patients applying to Ege University Hospital's Department of Public Health Smoking Cessation Clinic, between March and July 2017. Intervention content was prepared and 60 WhatsApp messages about having a plan of action and preventing relapse were developed through expert panels. These messages lasted for 3 months and follow-ups continued for 6 months. The primary outcome was abstinence rate at 1st month post target quit day. As secondary outcomes; the continuous abstinence rates at 3rd and 6th months, number of follow-ups, change in weight and continuity of medication were evaluated. Intention-to-treat analysis was used.

resultsAbstinence rate at 1st month was 65.9% in the intervention group and 40.9% in the control group (p = 0.007); 50.0 and 30.7% at 3rd month and 40.9 and 22.7% at 6th month, consecutively (both p < 0.05). Being in the intervention group increased abstinence rate by 3.50 (OR, 95% CI = 1.30-9.44) times in the 1st month. When controlled for all other factors in the multivariate logistic regression, the intervention was the only variable significantly associated with abstinence. For secondary outcomes, the intervention increased abstinence rate by 2.50 (OR, 95% CI = 1.08-6.40) times in the 3rd and 2.31 (OR, 95% CI = 1.03-5.16) times in the 6th month. In the intervention group, the number of follow-ups and face-to-face follow-ups were higher at 1st and 3rd months and continuity of medication was longer at 3rd month.

conclusionsWhatsApp support embedded in cessation service delivery increases the abstinence rate and has favorable effects on follow-up.

trial registrationThis trial is retrospectively registered online at ClinicalTrials.gov with the identifier NCT03714971 .

Indexed as

Mobile ApplicationsProgram EvaluationSmoking CessationTelemedicineText MessagingAdolescentAdultAmbulatory Care FacilitiesCigarette SmokingCommunicationComputer SystemsFemaleHealth BehaviorHealth PromotionHumansMaleAbstinenceCessation serviceRandomized controlled studySmoking cessationWhatsApp

Identifiers

PMID30961557
PMCPMC6454636

What OpenQuestion holds

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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.