A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker

Abstract Evidence of the long-term efficacy of digital therapies for smoking cessation that include a smartphone application (app) is limited. In this multi-center randomized controlled trial, we tested the efficacy of a novel digital therapy for smoking cessation: the “CureApp Smoking Cessation (CA...

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Autores principales:	Katsunori Masaki, Hiroki Tateno, Akihiro Nomura, Tomoyasu Muto, Shin Suzuki, Kohta Satake, Eisuke Hida, Koichi Fukunaga
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/635e6de65c914cca90b8a67ebf3bffc1
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spelling	oai:doaj.org-article:635e6de65c914cca90b8a67ebf3bffc12021-12-02T13:31:11ZA randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker10.1038/s41746-020-0243-52398-6352https://doaj.org/article/635e6de65c914cca90b8a67ebf3bffc12020-03-01T00:00:00Zhttps://doi.org/10.1038/s41746-020-0243-5https://doaj.org/toc/2398-6352Abstract Evidence of the long-term efficacy of digital therapies for smoking cessation that include a smartphone application (app) is limited. In this multi-center randomized controlled trial, we tested the efficacy of a novel digital therapy for smoking cessation: the “CureApp Smoking Cessation (CASC)” system, including a CASC smartphone app, a web-based patient management PC software for primary physicians, and a mobile exhaled carbon monoxide (CO) checker. A total of 584 participants with nicotine dependence were recruited from October 2017 to January 2018, and allocated 1:1 to the CASC intervention group or the control group. Both groups received a standard smoking cessation treatment with pharmacotherapy and counseling for 12 weeks. Meanwhile, the intervention group used the CASC system, and the control group used a control-app without a mobile CO checker, each for 24 weeks. The primary outcome was the biochemically validated continuous abstinence rate (CAR) from weeks 9 to 24. The main secondary outcome was an extended CAR from weeks 9 to 52. Except for 12 participants who did not download or use the apps, 285 participants were assigned to the intervention group, and 287, to the control. CAR from weeks 9 to 24 in the intervention group was significantly higher than that in the control group (63.9% vs. 50.5%; odds ratio [OR], 1.73; 95% confidence interval [CI], 1.24 to 2.42; P = 0.001). The CAR from weeks 9 to 52 was also higher in the intervention group than that in the control group (52.3% vs. 41.5%; OR, 1.55; 95% CI, 1.11 to 2.16; P = 0.010). No specific adverse events caused by the CASC system were reported. Augmenting standard face-to-face counseling and pharmacotherapy with a novel smartphone app, the CASC system significantly improved long-term CARs compared to standard treatment and a minimally supportive control app.Katsunori MasakiHiroki TatenoAkihiro NomuraTomoyasu MutoShin SuzukiKohta SatakeEisuke HidaKoichi FukunagaNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 3, Iss 1, Pp 1-7 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Katsunori Masaki Hiroki Tateno Akihiro Nomura Tomoyasu Muto Shin Suzuki Kohta Satake Eisuke Hida Koichi Fukunaga A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
description	Abstract Evidence of the long-term efficacy of digital therapies for smoking cessation that include a smartphone application (app) is limited. In this multi-center randomized controlled trial, we tested the efficacy of a novel digital therapy for smoking cessation: the “CureApp Smoking Cessation (CASC)” system, including a CASC smartphone app, a web-based patient management PC software for primary physicians, and a mobile exhaled carbon monoxide (CO) checker. A total of 584 participants with nicotine dependence were recruited from October 2017 to January 2018, and allocated 1:1 to the CASC intervention group or the control group. Both groups received a standard smoking cessation treatment with pharmacotherapy and counseling for 12 weeks. Meanwhile, the intervention group used the CASC system, and the control group used a control-app without a mobile CO checker, each for 24 weeks. The primary outcome was the biochemically validated continuous abstinence rate (CAR) from weeks 9 to 24. The main secondary outcome was an extended CAR from weeks 9 to 52. Except for 12 participants who did not download or use the apps, 285 participants were assigned to the intervention group, and 287, to the control. CAR from weeks 9 to 24 in the intervention group was significantly higher than that in the control group (63.9% vs. 50.5%; odds ratio [OR], 1.73; 95% confidence interval [CI], 1.24 to 2.42; P = 0.001). The CAR from weeks 9 to 52 was also higher in the intervention group than that in the control group (52.3% vs. 41.5%; OR, 1.55; 95% CI, 1.11 to 2.16; P = 0.010). No specific adverse events caused by the CASC system were reported. Augmenting standard face-to-face counseling and pharmacotherapy with a novel smartphone app, the CASC system significantly improved long-term CARs compared to standard treatment and a minimally supportive control app.
format	article
author	Katsunori Masaki Hiroki Tateno Akihiro Nomura Tomoyasu Muto Shin Suzuki Kohta Satake Eisuke Hida Koichi Fukunaga
author_facet	Katsunori Masaki Hiroki Tateno Akihiro Nomura Tomoyasu Muto Shin Suzuki Kohta Satake Eisuke Hida Koichi Fukunaga
author_sort	Katsunori Masaki
title	A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
title_short	A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
title_full	A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
title_fullStr	A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
title_full_unstemmed	A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
title_sort	randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/635e6de65c914cca90b8a67ebf3bffc1
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A randomized controlled trial of a smoking cessation smartphone application with a carbon monoxide checker

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