Authors: Strecher, Victor J.¹; Shiffman, Saul; West, Robert²

Source: Addiction, Volume 100, Number 5, May 2005 , pp. 682-688(7)

Publisher: Wiley-Blackwell

Abstract:

Aim

To assess the efficacy of World Wide Web-based tailored behavioral smoking cessation materials among nicotine patch users. Design

Two-group randomized controlled trial. Setting

World Wide Web in England and Republic of Ireland. Participants

A total of 3971 subjects who purchased a particular brand of nicotine patch and logged-on to use a free web-based behavioral support program. Intervention

Web-based tailored behavioral smoking cessation materials or web-based non-tailored materials. Measurements

Twenty-eight-day continuous abstinence rates were assessed by internet-based survey at 6-week follow-up and 10-week continuous rates at 12-week follow-up. Findings

Using three approaches to the analyses of 6- and 12-week outcomes, participants in the tailored condition reported clinically and statistically significantly higher continuous abstinence rates than participants in the non-tailored condition. In our primary analyses using as a denominator all subjects who logged-on to the treatment site at least once, continuous abstinence rates at 6 weeks were 29.0% in the tailored condition versus 23.9% in the non-tailored condition (OR = 1.30; P = 0.0006); at 12 weeks continuous abstinence rates were 22.8% versus 18.1%, respectively (OR = 1.34; P = 0.0006). Moreover, satisfaction with the program was significantly higher in the tailored than in the non-tailored condition. Conclusions

The results of this study demonstrate a benefit of the web-based tailored behavioral support materials used in conjunction with nicotine replacement therapy. A web-based program that collects relevant information from users and tailors the intervention to their specific needs had significant advantages over a web-based non-tailored cessation program.

Keywords: Internet; smoking cessation; nicotine replacement therapy; tailoring; web

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1360-0443.2005.01093.x

Affiliations: 1: University of Michigan, Ann Arbor, USA , 2: University College London, London, UK

Publication date: 2005-05-01

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