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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Information and communication technologies for approaching smokers: a descriptive study in primary healthcare

Authors: Elisa Puigdomènech, Jose-Manuel Trujillo-Gómez, Carlos Martín-Cantera, Laura Díaz-Gete, Mónica Manzano-Montero, Jessica Sánchez-Fondevila, Yolanda Gonzalez-Fernandez, Beatriz Garcia-Rueda, Elena-Mercedes Briones-Carrió, Mª-Lourdes Clemente-Jiménez, Carmen Castaño, Joan Birulés-Muntané, Grupo Estudio TABATIC

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Common interventions for smoking cessation are based on medical advice and pharmacological aid. Information and communication technologies may be helpful as interventions by themselves or as complementary tools to quit smoking. The objective of the study was to determine the use of information and communication technologies (ICTs) in the smoking population attended in primary care, and describe the major factors associated with its use.

Methods

Descriptive observational study in 84 health centres in Cataluña, Aragon and Salamanca. We included by simple random sampling 1725 primary healthcare smokers (any amount of tobacco) aged 18–85. Through personal interview professionals collected Socio-demographic data and variables related with tobacco consumption and ICTs use were collected through face to face interviews Factors associated with the use of ICTs were analyzed by logistic regression.

Results

Users of at least one ICT were predominantly male, young (18–45 years), from most favoured social classes and of higher education. Compared with non-ICTs users, users declared lower consumption of tobacco, younger onset age, and lower nicotine dependence. The percentages of use of email, text messages and web pages were 65.3%, 74.0% and 71.5%, respectively. Factors associated with the use of ICTs were age, social class, educational level and nicotine dependence level. The factor most closely associated with the use of all three ICTs was age; mainly individuals aged 18–24.

Conclusions

The use of ICTs to quit smoking is promising, with the technology of mobile phones having a broader potential. Younger and more educated subjects are good targets for ICTs interventions on smoking cessation.
Literature
5.
go back to reference Becoña E, Vazquez FL: Effectiveness of personalized written feedback through a mail intervention for smoking cessation: a randomized-controlled trial in Spanish smokers.J Consult Clin Psychol 2001,69(1):33–40.CrossRefPubMed Becoña E, Vazquez FL: Effectiveness of personalized written feedback through a mail intervention for smoking cessation: a randomized-controlled trial in Spanish smokers.J Consult Clin Psychol 2001,69(1):33–40.CrossRefPubMed
6.
go back to reference Hughes JR, Keely J, Naud S: Shape of the relapse curve and long-term abstinence among untreated smokers.Addiction 2004,99(1):29–38. 10.1111/j.1360-0443.2004.00540.xCrossRefPubMed Hughes JR, Keely J, Naud S: Shape of the relapse curve and long-term abstinence among untreated smokers.Addiction 2004,99(1):29–38. 10.1111/j.1360-0443.2004.00540.xCrossRefPubMed
8.
go back to reference Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, Dorfman SF, Froelicher ES, Goldstein MG, Healton CG, Henderson PN, Heyman RB, Koh HK, Kottke TE, Lando HA, Mecklenburg RE, Mermelstein RJ, Mullen PD, Orleans CT, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME: A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report.Am J Prev Med 2008,35(2):158–76.CrossRef Fiore MC, Jaén CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, Dorfman SF, Froelicher ES, Goldstein MG, Healton CG, Henderson PN, Heyman RB, Koh HK, Kottke TE, Lando HA, Mecklenburg RE, Mermelstein RJ, Mullen PD, Orleans CT, Robinson L, Stitzer ML, Tommasello AC, Villejo L, Wewers ME: A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report.Am J Prev Med 2008,35(2):158–76.CrossRef
9.
go back to reference Lemmens V, Oenema A, Knut IK, Brug J: Effectiveness of smoking cessation interventions among adults: a systematic review of reviews.Eur J Cancer Prev 2008,17(6):535–44. 10.1097/CEJ.0b013e3282f75e48CrossRefPubMed Lemmens V, Oenema A, Knut IK, Brug J: Effectiveness of smoking cessation interventions among adults: a systematic review of reviews.Eur J Cancer Prev 2008,17(6):535–44. 10.1097/CEJ.0b013e3282f75e48CrossRefPubMed
10.
go back to reference Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T: Physician advice for smoking cessation.Cochrane Database Syst Rev 2013, 5:CD000165. Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T: Physician advice for smoking cessation.Cochrane Database Syst Rev 2013, 5:CD000165.
11.
go back to reference Marlow SP, Stoller JK: Smoking cessation.Respir Care 2003,48(12):1238–54.PubMed Marlow SP, Stoller JK: Smoking cessation.Respir Care 2003,48(12):1238–54.PubMed
13.
go back to reference Weaver B, Lindsay B, Gitelman B: Communication technology and social media: opportunities and implications for healthcare systems.Online J Issues Nurs 2012,17(3):3.PubMed Weaver B, Lindsay B, Gitelman B: Communication technology and social media: opportunities and implications for healthcare systems.Online J Issues Nurs 2012,17(3):3.PubMed
16.
go back to reference Usher W: Developing policies for e-health: use of online health information by Australian health professionals and their patients.HIM J 2011,40(2):15–22.PubMed Usher W: Developing policies for e-health: use of online health information by Australian health professionals and their patients.HIM J 2011,40(2):15–22.PubMed
17.
go back to reference Wu SJ, Raghupathi W: A panel analysis of the strategic association between information and communication technology and public health delivery.J Med Internet Res 2012,14(5):e147. 10.2196/jmir.2242CrossRefPubMedPubMedCentral Wu SJ, Raghupathi W: A panel analysis of the strategic association between information and communication technology and public health delivery.J Med Internet Res 2012,14(5):e147. 10.2196/jmir.2242CrossRefPubMedPubMedCentral
18.
go back to reference Civljak M, Sheikh A, Stead LF, Car J: Internet-based interventions for smoking cessation.Cochrane Database Syst Rev 2010, 9:CD007078. Civljak M, Sheikh A, Stead LF, Car J: Internet-based interventions for smoking cessation.Cochrane Database Syst Rev 2010, 9:CD007078.
19.
go back to reference Shahab L, McEwen A: Online support for smoking cessation: a systematic review of the literature.Addiction 2009,104(11):1792–804. 10.1111/j.1360-0443.2009.02710.xCrossRefPubMed Shahab L, McEwen A: Online support for smoking cessation: a systematic review of the literature.Addiction 2009,104(11):1792–804. 10.1111/j.1360-0443.2009.02710.xCrossRefPubMed
20.
go back to reference Hutton HE, Wilson LM, Apelberg BJ, Tang EA, Odelola O, Bass EB, Chander G: A systematic review of randomized controlled trials: web-based interventions for smoking cessation among adolescents, college students, and adults.Nicotine Tob Res 2011,13(4):227–38. 10.1093/ntr/ntq252CrossRefPubMed Hutton HE, Wilson LM, Apelberg BJ, Tang EA, Odelola O, Bass EB, Chander G: A systematic review of randomized controlled trials: web-based interventions for smoking cessation among adolescents, college students, and adults.Nicotine Tob Res 2011,13(4):227–38. 10.1093/ntr/ntq252CrossRefPubMed
21.
go back to reference Kuppersmith RB: Is E-mail an effective medium for physician-patient interactions?Arch Otolaryngol Head Neck Surg 1999,125(4):468–70. 10.1001/archotol.125.4.468CrossRefPubMed Kuppersmith RB: Is E-mail an effective medium for physician-patient interactions?Arch Otolaryngol Head Neck Surg 1999,125(4):468–70. 10.1001/archotol.125.4.468CrossRefPubMed
22.
go back to reference Whittaker R1, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y: Mobile phone-based interventions for smoking cessation.Cochrane Database Syst Rev 2012, 11:CD006611. doi: 10.1002/14651858.CD006611.pub3PubMed Whittaker R1, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y: Mobile phone-based interventions for smoking cessation.Cochrane Database Syst Rev 2012, 11:CD006611. doi: 10.1002/14651858.CD006611.pub3PubMed
23.
go back to reference Chen YF1, Madan J, Welton N, Yahaya I, Aveyard P, Bauld L, Wang D, Fry-Smith A, Munafò MR: Effectiveness and cost-effectiveness of computer and other electronic aids for smoking cessation: a systematic review and network meta-analysis.Health Technol Assess 2012,16(38):1–205. iii-v. doi: 10.3310/hta16380CrossRefPubMed Chen YF1, Madan J, Welton N, Yahaya I, Aveyard P, Bauld L, Wang D, Fry-Smith A, Munafò MR: Effectiveness and cost-effectiveness of computer and other electronic aids for smoking cessation: a systematic review and network meta-analysis.Health Technol Assess 2012,16(38):1–205. iii-v. doi: 10.3310/hta16380CrossRefPubMed
24.
go back to reference Civljak M1, Stead LF, Hartmann-Boyce J, Sheikh A, Car J: Internet-based interventions for smoking cessation.Cochrane Database Syst Rev 2013, 7:CD007078. doi: 10.1002/14651858.CD007078.pub4 Civljak M1, Stead LF, Hartmann-Boyce J, Sheikh A, Car J: Internet-based interventions for smoking cessation.Cochrane Database Syst Rev 2013, 7:CD007078. doi: 10.1002/14651858.CD007078.pub4
25.
go back to reference Diaz-Gete L, Puigdomenech E, Briones EM, Fàbregas-Escurriola M, Fernandez S, Del Val JL, Ballvé JL, Casajuana M, Sánchez-Fondevila J, Clemente L, Castaño C, Martín-Cantera C, Grupo Estudio TABATIC: Effectiveness of an intensive E-mail based intervention in smoking cessation (TABATIC study): study protocol for a randomized controlled trial.BMC Public Health 2013, 13:364. 10.1186/1471-2458-13-364CrossRefPubMedPubMedCentral Diaz-Gete L, Puigdomenech E, Briones EM, Fàbregas-Escurriola M, Fernandez S, Del Val JL, Ballvé JL, Casajuana M, Sánchez-Fondevila J, Clemente L, Castaño C, Martín-Cantera C, Grupo Estudio TABATIC: Effectiveness of an intensive E-mail based intervention in smoking cessation (TABATIC study): study protocol for a randomized controlled trial.BMC Public Health 2013, 13:364. 10.1186/1471-2458-13-364CrossRefPubMedPubMedCentral
26.
go back to reference Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO: The fagerstrom test for nicotine dependence: a revision of the fagerstrom tolerance questionnaire.Br J Addict 1991, 86:1119–27. 10.1111/j.1360-0443.1991.tb01879.xCrossRefPubMed Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO: The fagerstrom test for nicotine dependence: a revision of the fagerstrom tolerance questionnaire.Br J Addict 1991, 86:1119–27. 10.1111/j.1360-0443.1991.tb01879.xCrossRefPubMed
27.
go back to reference Shaw M, Galobardes B, Lawlor DA, Lynch J, Wheeler B, Davey Smith G: The handbook of inequality and socioeconomic position: concepts and measures. Bristol, UK: The Policy Press; 2007. Shaw M, Galobardes B, Lawlor DA, Lynch J, Wheeler B, Davey Smith G: The handbook of inequality and socioeconomic position: concepts and measures. Bristol, UK: The Policy Press; 2007.
28.
go back to reference Domingo-Salvany A, Regidor E, Alonso J, Alvarez-Dardet C: Proposal for a social class measure: working group of the Spanish Society of epidemiology and the Spanish Society of family and community medicine.Aten Primaria 2000,25(5):350–63.CrossRefPubMed Domingo-Salvany A, Regidor E, Alonso J, Alvarez-Dardet C: Proposal for a social class measure: working group of the Spanish Society of epidemiology and the Spanish Society of family and community medicine.Aten Primaria 2000,25(5):350–63.CrossRefPubMed
30.
go back to reference Hunt Y: Internet use among smokers in the US: data from the 2003 and 2007 Health Information National Trends Survey (HINTS). Seattle: 31 Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine; 2010. Hunt Y: Internet use among smokers in the US: data from the 2003 and 2007 Health Information National Trends Survey (HINTS). Seattle: 31 Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine; 2010.
32.
go back to reference Weaver JB, Mays D, Lindner G, Eroglu D, Fridinger F, Bernhardt JM: Profiling characteristics of internet medical information users.J Am Med Inform Assoc 2009,16(5):714–22. 10.1197/jamia.M3150CrossRefPubMedPubMedCentral Weaver JB, Mays D, Lindner G, Eroglu D, Fridinger F, Bernhardt JM: Profiling characteristics of internet medical information users.J Am Med Inform Assoc 2009,16(5):714–22. 10.1197/jamia.M3150CrossRefPubMedPubMedCentral
33.
34.
go back to reference Stoddard JL, Augustson EM: Smokers who use internet and smokers who don’t: data from the Health Information and National Trends Survey (HINTS).Nicotine Tob Res 2006, 8Suppl 1:S77–85.CrossRef Stoddard JL, Augustson EM: Smokers who use internet and smokers who don’t: data from the Health Information and National Trends Survey (HINTS).Nicotine Tob Res 2006, 8Suppl 1:S77–85.CrossRef
35.
go back to reference Cobb NK, Graham AL, Bock BC, Papandonatos G, Abrams DB: Initial evaluation of a real-world Internet smoking cessation system.Nicotine Tob Res 2005,7(2):207–16. 10.1080/14622200500055319CrossRefPubMedPubMedCentral Cobb NK, Graham AL, Bock BC, Papandonatos G, Abrams DB: Initial evaluation of a real-world Internet smoking cessation system.Nicotine Tob Res 2005,7(2):207–16. 10.1080/14622200500055319CrossRefPubMedPubMedCentral
36.
go back to reference Chander G, Stanton C, Hutton HE, Abrams DB, Pearson J, Knowlton A, Latkin C, Holtgrave D, Moore RD, Niaura R: Are smokers with HIV using information and communication technology? Implications for behavioral interventions.AIDS Behav 2012,16(2):383–8. 10.1007/s10461-011-9914-1CrossRefPubMedPubMedCentral Chander G, Stanton C, Hutton HE, Abrams DB, Pearson J, Knowlton A, Latkin C, Holtgrave D, Moore RD, Niaura R: Are smokers with HIV using information and communication technology? Implications for behavioral interventions.AIDS Behav 2012,16(2):383–8. 10.1007/s10461-011-9914-1CrossRefPubMedPubMedCentral
39.
go back to reference Free C, Knight R, Robertson S, Whittaker R, Edwards P, Zhou W, Rodgers A, Cairns J, Kenward MG, Roberts I: Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial.Lancet 2011,378(9785):49–55. 10.1016/S0140-6736(11)60701-0CrossRefPubMedPubMedCentral Free C, Knight R, Robertson S, Whittaker R, Edwards P, Zhou W, Rodgers A, Cairns J, Kenward MG, Roberts I: Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial.Lancet 2011,378(9785):49–55. 10.1016/S0140-6736(11)60701-0CrossRefPubMedPubMedCentral
40.
go back to reference Wangberg SC, Nilsen O, Antypas K, Gram IT: Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial.J Med Internet Res 2011,13(4):e121. 10.2196/jmir.1605CrossRefPubMedPubMedCentral Wangberg SC, Nilsen O, Antypas K, Gram IT: Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial.J Med Internet Res 2011,13(4):e121. 10.2196/jmir.1605CrossRefPubMedPubMedCentral
41.
go back to reference Te Poel F, Bolman C, Reubsaet A, De Vries H: Efficacy of a single computer-tailored e-mail for smoking cessation: results after 6 months.Health Educ Res 2009,24(6):930–40. 10.1093/her/cyp036CrossRefPubMed Te Poel F, Bolman C, Reubsaet A, De Vries H: Efficacy of a single computer-tailored e-mail for smoking cessation: results after 6 months.Health Educ Res 2009,24(6):930–40. 10.1093/her/cyp036CrossRefPubMed
42.
go back to reference Polosa R, Russo C, Di Maria A, Arcidiacono G, Morjaria JB, Piccillo GA: Feasibility of using E-mail counseling as part of a smoking-cessation program.Respir Care 2009,54(8):1033–9.PubMed Polosa R, Russo C, Di Maria A, Arcidiacono G, Morjaria JB, Piccillo GA: Feasibility of using E-mail counseling as part of a smoking-cessation program.Respir Care 2009,54(8):1033–9.PubMed
43.
go back to reference Baena A, Quesada M: El papel integrador y complementario de las nuevas tecnologías de la información y de la comunicación en el control y tratamiento del tabaquismo.Trastornos Adictivos 2007,9(1):46–52. 10.1016/S1575-0973(07)75630-1CrossRef Baena A, Quesada M: El papel integrador y complementario de las nuevas tecnologías de la información y de la comunicación en el control y tratamiento del tabaquismo.Trastornos Adictivos 2007,9(1):46–52. 10.1016/S1575-0973(07)75630-1CrossRef
44.
go back to reference Atherton H, Huckvale C, Car J: Communicating health promotion and disease prevention information to patients via email: a review.J Telemed Telecare 2010,16(4):172–5. 10.1258/jtt.2010.004002CrossRefPubMed Atherton H, Huckvale C, Car J: Communicating health promotion and disease prevention information to patients via email: a review.J Telemed Telecare 2010,16(4):172–5. 10.1258/jtt.2010.004002CrossRefPubMed
45.
go back to reference Jaakkimainen L, Upshur RE, Klein-Geltink J, Leong A, Maaten S, Schultz S, Wang L: Ambulatory physician care for adults; primary care in Ontario. Toronto: CES Atlas. Institute for Clinical Evaluative Sciences; 2006. Toronto. CES Atlas. Institute for Clinical Evaluative Sciences, Toronto. 7–7-2013 Jaakkimainen L, Upshur RE, Klein-Geltink J, Leong A, Maaten S, Schultz S, Wang L: Ambulatory physician care for adults; primary care in Ontario. Toronto: CES Atlas. Institute for Clinical Evaluative Sciences; 2006. Toronto. CES Atlas. Institute for Clinical Evaluative Sciences, Toronto. 7–7-2013
46.
go back to reference Zwar NA, Richmond RL: Role of the general practitioner in smoking cessation.Drug Alcohol Rev 2006,25(1):21–6. 10.1080/09595230500459487CrossRefPubMed Zwar NA, Richmond RL: Role of the general practitioner in smoking cessation.Drug Alcohol Rev 2006,25(1):21–6. 10.1080/09595230500459487CrossRefPubMed
47.
go back to reference Abroms LC, Padmanabhan N, Thaweethai L, Phillips T: iPhone apps for smoking cessation: a content analysis.Am J Prev Med 2011,40(3):279–85. 10.1016/j.amepre.2010.10.032CrossRefPubMedPubMedCentral Abroms LC, Padmanabhan N, Thaweethai L, Phillips T: iPhone apps for smoking cessation: a content analysis.Am J Prev Med 2011,40(3):279–85. 10.1016/j.amepre.2010.10.032CrossRefPubMedPubMedCentral
48.
go back to reference Prochaska JJ, Pechmann C, Kim R, Leonhardt JM: Twitter = quitter? An analysis of Twitter quit smoking social networks.Tob Control 2012,21(4):447–9. 10.1136/tc.2010.042507CrossRefPubMed Prochaska JJ, Pechmann C, Kim R, Leonhardt JM: Twitter = quitter? An analysis of Twitter quit smoking social networks.Tob Control 2012,21(4):447–9. 10.1136/tc.2010.042507CrossRefPubMed
Metadata
Title
Information and communication technologies for approaching smokers: a descriptive study in primary healthcare
Authors
Elisa Puigdomènech
Jose-Manuel Trujillo-Gómez
Carlos Martín-Cantera
Laura Díaz-Gete
Mónica Manzano-Montero
Jessica Sánchez-Fondevila
Yolanda Gonzalez-Fernandez
Beatriz Garcia-Rueda
Elena-Mercedes Briones-Carrió
Mª-Lourdes Clemente-Jiménez
Carmen Castaño
Joan Birulés-Muntané
Grupo Estudio TABATIC
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-15-2

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