Evidence map›Paper›PMID 34472676›Full record

Trial reportAddiction (Abingdon, England)2022

Effectiveness of an optimized text message and Internet intervention for smoking cessation: A randomized controlled trial.

Amanda L Graham, George D Papandonatos, Sarah Cha, Michael S Amato, Megan A Jacobs, Amy M Cohn, Lorien C Abroms, Robyn Whittaker

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Amanda L GrahamInnovations Center, Truth Initiative, Washington, DC, USA.ORCID 0000-0003-3036-9653
George D PapandonatosCenter for Statistical Sciences, Brown University, Providence, RI, USA.ORCID 0000-0001-6770-932X
Sarah ChaInnovations Center, Truth Initiative, Washington, DC, USA.ORCID 0000-0003-3505-3164
Michael S AmatoInnovations Center, Truth Initiative, Washington, DC, USA.ORCID 0000-0002-9769-957X
Megan A JacobsInnovations Center, Truth Initiative, Washington, DC, USA.ORCID 0000-0001-6526-964X
Amy M CohnHealth Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID 0000-0001-9034-4293
Lorien C AbromsDepartment of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.ORCID 0000-0001-6859-283X
Robyn WhittakerNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.ORCID 0000-0003-0901-9149
American Legacy Foundation · USBrown University · USChildren's Hospital of Oklahoma · USMilken Institute · USUniversity of Auckland · NZ

Funding

Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ROBERT S. MANNEL · 2018 to 2026
$27.1M
Optimizing Text Messaging to Improve Adherence to Web-Based Cessation TreatmentR01DA038139 · NIDA · TRUTH INITIATIVE FOUNDATION · PI GRAHAM, AMANDA L · 2015 to 2019
$2.8M
NCI NIH HHS P30 CA225520NIDA NIH HHS R01 DA038139
6 · The paper itself

Abstract

aimsTo evaluate the effectiveness of a combined internet and text message intervention for smoking cessation compared with an internet intervention alone. The text message intervention was optimized for engagement in an earlier multiphase optimization (MOST) screening phase.

designA parallel, two-group, individually randomized clinical trial (RCT) was conducted in a MOST confirming phase. Recruitment spanned December 2018 to March 2019. Follow-up was conducted at 3 and 9 months, beginning March 2019 and ending January 2020.

settingUnited States: a digital study conducted among new registrants on a free tobacco cessation website.

participantsEligible individuals were 618 adult current smokers in the United States, age 18 years or older who signed up for text messages during website registration (67.2% female, 70.4% white).

interventionsThe treatment arm (WEB+TXT; n = 311) received access to the website and text messaging. The control arm (WEB; n = 307) received access to the website alone. MEASUREMENTS: The primary outcome was self-reported 30-day point prevalence abstinence (ppa) at 9 months post-randomization analyzed under intent to treat (ITT), counting non-responders as smoking. Secondary outcomes included 3-month measures of 30-day ppa, intervention engagement and intervention satisfaction.

findingsAbstinence rates at 9 months were 23.1% among WEB+TXT and 23.2% among WEB (OR = 1.00, 95% CI = 0.69-1.45; P = 0.99). WEB+TXT increased engagement with 5 of 6 interactive features (standardized mean difference (SMD) = 0.26-0.47, all P < 0.001) and repeat website visits (48.7% vs 38.9%, SMD = 0.14, P = 0.02). Satisfaction metrics favored WEB+TXT (satisfied: 96.3% vs 90.5%, SMD = 0.17, P = 0.008; recommend to friend: 95.9% vs 90.1%, SMD = 0.16, P = 0.028).

conclusionsA randomized controlled trial found no evidence that a combined internet and text message intervention for smoking cessation compared with an internet intervention alone increased 9-month abstinence rates among adult current smokers in the United States, despite evidence of higher levels of intervention engagement and satisfaction at 3 months.

Indexed as

Internet-Based InterventionSmoking CessationText MessagingAdolescentAdultFemaleHumansMaleSmokersSmokingUnited StatesAdherencedigitalengagementfactorial experimentinternetMOSTmultiphase optimization strategysmoking cessationtext messagingtobacco dependence

Identifiers

PMID34472676
PMCPMC9293135
OpenAlexW3197569312

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.