Determination of Effectiveness of Online Psycho-education Embedded in Routine Service Delivery for Smoking Cessation: a Randomized Controlled Trial

Project no. 29724 · Status: Kapanmış (Yayın bekleniyor) · 2023

Summary

Objective: This study aims to evaluate the effectiveness of online psychoeducation provided in addition to routine treatment in a smoking cessation clinic compared to routine treatment alone.Method: The study is a single-center, single-blind, randomized controlled experimental trial conducted between May 2024 and January 2025 at the Smoking Cessation Clinic of the Ege University Institute on Substance Abuse, Toxicology, and Pharmaceutical Sciences. Participants were randomly assigned to the intervention (n=103) and control (n=105) groups in a 1:1 ratio. During the study, the Warwick-Edinburgh Mental Well-being Scale Short Form (WEMWBS-SF), the Fagerström Nicotine Dependence Test (FNBT), and a case information form including HAPA stages of change were administered. The primary outcomes of this study are cigarette consumption, FNBT score, and smoking cessation success. The secondary outcomes include the HAPA stage of change and mental well-being score. Confounding variables considered in the study include education level, age, gender, employment status, mental health issues, marital status, and smoking cessation attempt. Based on follow-up data, analyses were conducted using data from 37 participants in the intervention group and 24 in the control group. Data analysis included paired and independent samples t-tests, chi-square analysis, one-way ANOVA, and linear and logistic regression analysis.Results: When comparing the intervention and control groups regarding smoking frequency and dependence levels, initially similar FNBT scores (B =-1.88, 95% CI:-3.42 – -0.33, p = 0.018) and daily cigarette consumption (B =-6.47, %95 CI: -11.94 – -1.00, p = 0.021) significantly decreased in the intervention group following the intervention compared to the control group (p<0.05). A statistically significant difference was also found between the groups in terms of smoking cessation success (OR = 2.889, %95 CI: 1.019- 8.194, p = 0.046). However, no statistically significant differences were observed between the groups regarding secondary outcomes, such as HAPA stages of change (B = 0.08, 95% CI: -0.21 - 0.39, p = 0.55) and mental well-being scores (B = 1.54, 95% CI: -1.37 – 4.46, p = 0.294).Conclusion: The online psychoeducation program developed within this study has been found to be effective in reducing smoking frequency and dependence levels while increasing smoking cessation success. As one of the first online intervention programs integrated into clinic-based treatment, it represents an important step in addressing system needs. Future studies with larger sample sizes and follow-up data are expected to contribute to the development of national standards for smoking cessation clinic systems.

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