{"id":859,"date":"2022-04-27T10:21:57","date_gmt":"2022-04-27T10:21:57","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=859"},"modified":"2022-04-27T10:21:57","modified_gmt":"2022-04-27T10:21:57","slug":"a-clinician-assisted-digital-cognitive-behavioural-therapy-intervention-for-smoking-cessation","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2022\/04\/27\/a-clinician-assisted-digital-cognitive-behavioural-therapy-intervention-for-smoking-cessation\/","title":{"rendered":"A Clinician-Assisted Digital Cognitive Behavioural Therapy Intervention for Smoking Cessation"},"content":{"rendered":"

In a study published in the journal Nicotine and Tobacco Research<\/a>, we evaluated the secondary effectiveness outcomes for Quit Genius, a digital clinician-assisted cognitive behavioural therapy (CBT) intervention for smoking cessation.<\/p>\n

Adult smokers (N=556) were randomly assigned to Quit Genius (n=277), a digital, clinician-assisted CBT intervention or Very Brief Advice (VBA) to stop smoking, an evidence-based, 30-second intervention designed to facilitate quit attempts, coupled with referral to a cessation service (n=279). Participants were offered combination nicotine replacement therapy (patches and gum) tailored to individual nicotine dependence. Analyses (N=530), by intention-to-treat, compared Quit Genius and VBA at 4, 26, and 52 weeks post-quit date.<\/p>\n

The primary outcome was self-reported seven-day point prevalence abstinence at 4 weeks post-quit date. Consecutive seven-day point-prevalence abstinence, defined as abstinent at two or more consecutive timepoints, was examined at weeks 26 and 52 to indicate long-term effectiveness. Abstinence was verified using a random sample of participants with carbon monoxide breath testing of <5 parts per million (n=280).<\/p>\n

Self-reported consecutive seven-day point prevalence abstinence at weeks 26 and 52 for Quit Genius was 27.2% and 22.6% respectively, compared to VBA which was 16.6% and 13.2% (RR=1.70,95% CI,1.22-2.37;p=0.003, 26 weeks; RR=1.71,95% CI,1.17-2.50; p=0.005, 52 weeks). Biochemically verified abstinence was significantly different at 26- (p=0.03) but not 52 weeks (p=0.16). Quit Genius participants were more likely to remain abstinent than those who received VBA (RR=1.71,95% CI 1.17-2.50;p=0.005).<\/p>\n

This study provides secondary evidence for the long-term effectiveness of Quit Genius in comparison with VBA. Future trials of digital interventions without clinician support and comparisons with active treatment are needed.<\/p>\n

The long-term effectiveness of clinician-assisted digital smoking cessation interventions has not been well-studied. This study established the long-term effectiveness of an extended CBT-based intervention; results may inform implementation of scalable approaches to smoking cessation in the health system.<\/p>\n

DOI:\u00a0https:\/\/doi.org\/10.1093\/ntr\/ntac113<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

In a study published in the journal Nicotine and Tobacco Research, we evaluated the secondary effectiveness outcomes for Quit Genius, a digital clinician-assisted cognitive behavioural therapy (CBT) intervention for smoking cessation. Adult smokers (N=556) were randomly assigned to Quit Genius (n=277), a digital, clinician-assisted CBT intervention or Very Brief Advice (VBA) to stop smoking, an […]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[196202],"class_list":["post-859","post","type-post","status-publish","format-standard","hentry","category-health","tag-prevention"],"yoast_head":"\nA Clinician-Assisted Digital Cognitive Behavioural Therapy Intervention for Smoking Cessation - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2022\/04\/27\/a-clinician-assisted-digital-cognitive-behavioural-therapy-intervention-for-smoking-cessation\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Clinician-Assisted Digital Cognitive Behavioural Therapy Intervention for Smoking Cessation - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"In a study published in the journal Nicotine and Tobacco Research, we evaluated the secondary effectiveness outcomes for Quit Genius, a digital clinician-assisted cognitive behavioural therapy (CBT) intervention for smoking cessation. 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