Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Study protocol

Effectiveness of an intensive E-mail based intervention in smoking cessation (TABATIC study): study protocol for a randomized controlled trial

Authors: Laura Díaz-Gete, Elisa Puigdomènech, Elena Mercedes Briones, Mireia Fàbregas-Escurriola, Soraya Fernandez, Jose Luis del Val, Jose Luis Ballvé, Marc Casajuana, Jessica Sánchez-Fondevila, Lourdes Clemente, Carmen Castaño, Carlos Martín-Cantera, Grupo estudio TABATIC

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Intensive interventions on smoking cessation increase abstinence rates. However, few electronic mail (E-mail) based intensive interventions have been tested in smokers and none in primary care (PC) setting. The aim of the present study is to evaluate the effectiveness of an intensive E-mail based intervention in smokers attending PC services.

Methods/design

Randomized Controlled Multicentric Trial. Study population: 1060 smokers aged between 18–70 years from Catalonia, Salamanca and Aragón (Spain) who have and check regularly an E-mail account. Patients will be randomly assigned to control or intervention group. Intervention: Six phase intensive intervention with two face to face interviews and four automatically created and personal E-mail patients tracking, if needed other E-mail contacts will be made. Control group will receive a brief advice on smoking cessation. Outcome measures: Will be measured at 6 and 12 months after intervention: self reported continuous abstinence (confirmed by cooximetry), point prevalence abstinence, tobacco consumption, evolution of stage according to Prochaska and DiClemente's Stages of Change Model, length of visit, costs for the patient to access Primary Care Center. Statistical analysis: Descriptive and logistic and Poisson regression analysis under the intention to treat basis using SPSS v.17.

Discussion

The proposed intervention is an E-mail based intensive intervention in smokers attending primary care. Positive results could be useful to demonstrate a higher percentage of short and long-term abstinence among smokers attended in PC in Spain who regularly use E-mail. Furthermore, this intervention could be helpful in all health services to help smokers to quit.

Trial Registration

Clinical Trials.gov Identifier: NCT01494246.
Appendix
Available only for authorised users
Literature
1.
2.
3.
National Committee for Smoking Prevention (CNPT): Expert consensus document on tobacco addiction treatment in Spain. [www cnpt es/doc_pdf/Doc_Trat_CNPT_2008 pdf 2008]
4.
5.
Becoña E, Vazquez F: 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: 33-40.CrossRefPubMed
6.
Hughes JR, Keely J, Naud S: Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction. 2004, 99: 29-38. 10.1111/j.1360-0443.2004.00540.x.CrossRefPubMed
7.
Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, Dorfman SF, Froelicher ES, Goldstein MG, Healton CG, Henderson PN, Richard B, 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: Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. 2008, Rockville, MD: US Department of Health and Human Services Public Health Service
8.
9.
Lancaster T, Stead LF: Physician advice for smoking cessation. Cochrane Database Syst Rev. 2004
10.
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: 535-544. 10.1097/CEJ.0b013e3282f75e48.CrossRefPubMed
11.
Stead F, Bergson G, Lancaster T: Physician advice for smoking cessation. 2008, Cochrane Database of Systematic Reviews: Cochrane Database of Systematic Reviews, 000165-
12.
Cabezas C, Martin C, Granollers S, Morera C, Ballve JL, Zarza E, Blade J, Borras M, Serra A, Puente D, Grupo ISTAPS: Effectiveness of a stepped primary care smoking cessation intervention (ISTAPS): design of a cluster randomised trial. BMC Public Health. 2009, 9: 48-10.1186/1471-2458-9-48.CrossRefPubMedPubMedCentral
13.
Codern N, Pla M, de Ormijana AS, González FJ, Pujol E, Soler M, Cabezas C: Risk perception among smokers: a qualitative study. Risk Anal. 2010, 30: 1563-1571. 10.1111/j.1539-6924.2010.01462.x.CrossRefPubMed
14.
Miller WR, Rollnick S: Motivational Interviewing: Preparing people for change. 2.ª ed. 2002, New York: Guilford Press edn
15.
16.
McClure JB: Are biomarkers a useful aid in smoking cessation. A review and analysis of the literature. Behav Med. 2001, 27: 47-CrossRef
17.
Prochaska JO, DiClemente CC, Norcross JC: In search of how people change. Applications to addictive behaviors. Am Psychol. 1992, 47: 1102-1114.CrossRefPubMed
18.
Roig L, Perez S, Prieto G, Martin C, Advani M, Armengol A, Roura P, Manresa JM, Briones E, ITADI Study Group: Cluster randomized trial in smoking cessation with intensive advice in diabetic patients in primary care. ITADI Study. BMC Public Health. 2010, 10: 58-10.1186/1471-2458-10-58.CrossRefPubMedPubMedCentral
19.
Ripoll J, Girauta H, Ramos M, Medina-Bombardó D, Pastor A, Alvarez-Ossorio C, Gorreto L, Esteva M, García E, Uréndez A, Buades A, Torres E: Clinical trial on the efficacy of exhaled carbon monoxide measurement in smoking cessation in primary health care. BMC Public Health. 2012, 12: 322-10.1186/1471-2458-12-322.CrossRefPubMedPubMedCentral
20.
21.
Kuppersmith RB: Is E-mail an effective medium for physician-patient interactions?. Arch Otolaryngol Head Neck Surg. 1999, 125: 470-CrossRef
22.
Wallwiener M, Wallwiener CW, Kansy JK, Seeger H, Rajab TK: Impact of electronic messaging on the patient-physician interaction. J Telemed Telecare. 2009, 15: 243-250. 10.1258/jtt.2009.090111.CrossRefPubMed
23.
Hsiung RC: E-therapy. Case studies, guiding principles, and the clinical potential of the internet. 2002, New York: W W Norton & Company
24.
Atherton H, Huckvale C, Car J: Communicating health promotion and disease prevention information to patients via email: a review. J Telemed Telecare. 2010, 16: 172-175. 10.1258/jtt.2010.004002.CrossRefPubMed
25.
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: 46-52. 10.1016/S1575-0973(07)75630-1.CrossRef
26.
Graham AL, Papandonatos GD: Reliability of internet- versus telephone-administered questionnaires in a diverse sample of smokers. J Med Internet Res. 2008, 10: e8-10.2196/jmir.987.CrossRefPubMedPubMedCentral
27.
An LC, Hennrikus DJ, Perry CL, Lein EB, Klatt C, Farley DM, Bliss RL, Pallonen UE, Lando HA, Ehlinger EP, Ahluwalia JS: Feasibility of Internet health screening to recruit college students to an online smoking cessation intervention. Nicotine Tob Res. 2007, 9 (Suppl 1): S11-8.CrossRefPubMed
28.
Stead LF, Perera R, Lancaster T: Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2006, 3: CD002850
29.
Shahab L, McEwen A: Online support for smoking cessation: a systematic review of the literature. Addiction. 2009, 104: 1792-1804. 10.1111/j.1360-0443.2009.02710.x.CrossRefPubMed
30.
31.
Civljak M, Sheikh A, Stead LF, Car J: Internet-based interventions for smoking cessation. Cochrane Database Syst Rev. 2010, 9: CD007078-PubMed
32.
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: 930-940. 10.1093/her/cyp036.CrossRefPubMed
33.
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: 1033-1039.PubMed
34.
Lenert L, Munoz RF, Perez JE, Bansod A: Automated e-mail messaging as a tool for improving quit rates in an internet smoking cessation intervention. J Am Med Inform Assoc. 2004, 11: 235-240. 10.1197/jamia.M1464.CrossRefPubMedPubMedCentral
35.
Klatt C, Berg CJ, Thomas JL, Ehlinger E, Ahluwalia JS, An LC: The Role of Peer E-mail Support As Part of a College Smoking-Cessation Website. Am J Prev Med. 2008, 35: S471-S478. 10.1016/j.amepre.2008.09.001.CrossRefPubMed
36.
Patten CA, Croghan IT, Meis TM, Decker PA, Pingree S, Colligan RC, Dornelas EA, Offord KP, Boberg EW, Baumberger RK, Hurt RD, Gustafson DH: Randomized clinical trial of an Internet-based versus brief office intervention for adolescent smoking cessation. Patient Educ Couns. 2006, 64: 249-258. 10.1016/j.pec.2006.03.001.CrossRefPubMed
37.
Meis T, Gaie M, Pingree S, Boberg E, Patten C, Offord K, Berry KL, Gustafson DH: Development of a Tailored, Internet-based Smoking Cessation Intervention for Adolescents. J Comput-Mediat Comm. 2002, 7: 1-15.
38.
Moreno JJ: El programa para dejar de fumar "on line" del Ayuntamiento de Madrid. Un estudio exploratorio. Addiciones. 2006, 18: 345-358.CrossRef
39.
40.
41.
Miltenberg R: Behavior modification. Principles and procedures. 1997, Pacific Grove, CA: Brooks/Cole
42.
43.
Hughes JR, Keely JP, Niaura RS, Ossip-Klein DJ, Richmond RL, Swan GE: Measures of abstinence in clinical trials: issues and recommendations. Nicotine Tob Res. 2003, 5: 13-25.CrossRefPubMed
44.
Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO: Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict. 1991, 86: 1119-1127. 10.1111/j.1360-0443.1991.tb01879.x.CrossRefPubMed
45.
Graham AL, Papandonatos GD, Kang H, Moreno JL, Abrams DB: Development and validation of the online social support for smokers scale. J Med Internet Res. 2011, 13: e69-10.2196/jmir.1801.CrossRefPubMedPubMedCentral
46.
47.
Drummond M, Sculpher MJ, Torrance GW, O'Brien BJ, Stoddart GL: Methods for the Economic Evaluation of Health Care Programmes, 3rd Revised edition. 2005, Oxford University Press
48.
Andronis L, Barton P, Bryan S: Sensitivity analysis in economic evaluation: an audit of NICE current practice and a review of its use and value in decision-making. Health Technol Assess. 2009, 13: iii-ix-6-CrossRef
49.
Stoddard J, Delucchi K, Muñoz R, Collins N, Stable EP, Augustson E, Lenert L: Smoking cessation research via the internet: a feasibility study. J Health Commun. 2005, 10: 27-41. 10.1080/10810730590904562.CrossRefPubMed
50.
51.
Josseran L, King G, Guilbert P, Davis J, Brucker G: Smoking by French general practitioners: behaviour, attitudes and practice. Eur J Public Health. 2005, 15: 33-38. 10.1093/eurpub/cki108.CrossRefPubMed
52.
Ortega G, Castellà C, Martín-Cantera C, Ballvé JL, Díaz E, Saez M, Lozano J, Rofes L, Morera C, Barceló A, Cabezas C, Pascual JA, Pérez-Ortuño R, Saltó E, Valverde A, Jané M: BIBE Study Group: Passive smoking in babies: the BIBE study (Brief Intervention in babies. Effectiveness). BMC Public Health. 2010, 10: 772-10.1186/1471-2458-10-772.CrossRefPubMedPubMedCentral
53.
Wakefield DS, Mehr D, Keplinger L, Canfield S, Gopidi R, Wakefield BJ, Koopman RJ, Belden JL, Kruse R, Kochendorfer KM: Issues and questions to consider in implementing secure electronic patient-provider web portal communications systems. Int J Med Inform. 2010, 79: 469-477. 10.1016/j.ijmedinf.2010.04.005.CrossRefPubMed
54.
Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, McKinstry B, Procter R, Majeed A, Sheikh A: The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011, 8: e1000387-10.1371/journal.pmed.1000387.CrossRefPubMedPubMedCentral
Metadata
Title
Effectiveness of an intensive E-mail based intervention in smoking cessation (TABATIC study): study protocol for a randomized controlled trial
Authors
Laura Díaz-Gete
Elisa Puigdomènech
Elena Mercedes Briones
Mireia Fàbregas-Escurriola
Soraya Fernandez
Jose Luis del Val
Jose Luis Ballvé
Marc Casajuana
Jessica Sánchez-Fondevila
Lourdes Clemente
Carmen Castaño
Carlos Martín-Cantera
Grupo estudio TABATIC
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-364

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue

Research article

Suicide and related health risk behaviours among school learners in South Africa: results from the 2002 and 2008 national youth risk behaviour surveys

Research article

Correlates of prolonged television viewing time in older Japanese men and women

Research article

Declining HIV-1 prevalence and incidence among Police Officers – a potential cohort for HIV vaccine trials, in Dar es Salaam, Tanzania

Research article

Prevalence and complications of diabetes mellitus in Northern Africa, a systematic review

Research article

How has the flu virus infected the Web? 2010 influenza and vaccine information available on the Internet

Research article

Geographic and urban–rural disparities in the total prevalence of neural tube defects and their subtypes during 2006–2008 in China: a study using the hospital-based birth defects surveillance system