{"id":859,"date":"2022-04-27T10:21:57","date_gmt":"2022-04-27T10:21:57","guid":{"rendered":"https:\/\/blogs-staging.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-staging.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":"<p>In a study published in the journal <a href=\"https:\/\/academic.oup.com\/ntr\/advance-article\/doi\/10.1093\/ntr\/ntac113\/6574261\">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<p>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<p>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 &lt;5 parts per million (n=280).<\/p>\n<p>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<p>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<p>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<p>DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1093\/ntr\/ntac113\">https:\/\/doi.org\/10.1093\/ntr\/ntac113<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/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"],"_links":{"self":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/users\/1115"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/comments?post=859"}],"version-history":[{"count":1,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/859\/revisions"}],"predecessor-version":[{"id":860,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/posts\/859\/revisions\/860"}],"wp:attachment":[{"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/media?parent=859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/categories?post=859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs-staging.imperial.ac.uk\/medical-centre\/wp-json\/wp\/v2\/tags?post=859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}