Web-based smoking intervention as an add-on to routine smoking cessation clinical treatment: a randomized controlled trial
Makaleler > Tam Makale · 2026
Yazarlar: Duygu Altin, Görkem YARARBAŞ, Hür HASSOY
CURRENT PSYCHOLOGY, SSCI İndekslerine Giren Dergi, Uluslararası, Wos, 2026, cilt 45, ss 1-16
DOI: 10.1007/s12144-026-09952-3
Özet
This randomized controlled trial evaluated the effectiveness of an online psychoeducation program added to routine care in a smoking cessation clinic. Adults seeking treatment at Ege University Smoking Cessation Clinic (n = 208) were systematically allocated to an intervention group (routine care plus online psychoeducation; n = 103) or control group (routine care alone; n = 105). Primary outcomes were daily cigarette consumption, Fagerstr & ouml;m Test for Nicotine Dependence (FTND) score and smoking status at 1-month follow-up; secondary outcomes were stage of change within the Health Action Process Approach and mental well-being. Primary analyses used multiple imputation (MI) under a missing-at-random assumption; complete-case analyses were conducted as sensitivity analyses. In MI analyses, compared with controls, the intervention group showed lower FTND scores (B = - 1.18, 95% CI: -1.58 to - 0.79) and fewer cigarettes per day (B = - 4.18, 95% CI: -5.63 to - 2.73), complete-case analyses yielded directionally similar effects for both outcomes (FTND: B = - 1.88, 95% CI: -3.42 to - 0.33, p = .018; cigarettes/day: B = - 6.47, 95% CI: -11.94 to - 1.00, p = .021). The effect on abstinence was not statistically significant in MI analyses but reached significance in complete-case analyses (OR = 2.88, 95% CI: 1.01 to 8.19, p = .046), and should be interpreted cautiously. Overall, integrating online psychoeducation into routine cessation care was associated with meaningful short-term reductions in smoking frequency and nicotine dependence. This study was retrospectively registered with ClinicalTrials.gov (NCT06945770).