The Effectiveness of Smartphone App–Based Interventions for Assisting Smoking Cessation: Systematic Review and Meta-analysis

Smoking is a leading cause of premature death globally. Quitting smoking reduces the risk of all-cause mortality by 11%-34%. Smartphone app-based smoking cessation (SASC) interventions have been developed and are widely used. However, the evidence for the effectiveness of smartphone-based interventi...

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Veröffentlicht in:Journal of medical Internet research Jg. 25; H. 3; S. e43242
Hauptverfasser: Guo, Yi-Qiang, Chen, Yuling, Dabbs, Annette DeVito, Wu, Ying
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Canada Journal of Medical Internet Research 20.04.2023
Gunther Eysenbach MD MPH, Associate Professor
JMIR Publications
Schlagworte:
Abstinence
Adult
Adults
Analysis
Bias
Cellular telephones
Clinical trials
Drug therapy
Effectiveness
Efficacy
Health Behavior
Humans
Infrastructure
Internet
Intervention
Medical informatics
Medical research
Meta-analysis
Mobile Applications
Mortality
Pharmacology
Pilot projects
Premature mortality
Randomized Controlled Trials as Topic
Registration
Review
Smartphone
Smartphones
Smoking
Smoking cessation
Smoking Cessation - methods
Smoking cessation programs
Software
Systematic review
Telemedicine
Text messaging
Tobacco
China
effectiveness
application
smoking cessation
pharmacotherapy
smoking
electronic
mHealth
meta-analysis
smartphone app
adult
intervention
eHealth
ISSN:1438-8871, 1439-4456, 1438-8871
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Zusammenfassung:Smoking is a leading cause of premature death globally. Quitting smoking reduces the risk of all-cause mortality by 11%-34%. Smartphone app-based smoking cessation (SASC) interventions have been developed and are widely used. However, the evidence for the effectiveness of smartphone-based interventions for smoking cessation is currently equivocal. The purpose of this study was to synthesize the evidence for the effectiveness of smartphone app-based interventions for smoking cessation. We conducted a systematic review and meta-analysis of the effectiveness of smartphone interventions for smoking cessation based on the Cochrane methodology. An electronic literature search was performed using the Cochrane Library, Web of Science, PubMed, Embase, PsycINFO, China National Knowledge Infrastructure, and Wanfang databases to identify published papers in English or Chinese (there was no time limit regarding the publication date). The outcome was the smoking abstinence rate, which was either a 7-day point prevalence abstinence rate or a continuous abstinence rate. A total of 9 randomized controlled trials involving 12,967 adults were selected for the final analysis. The selected studies from 6 countries (the United States, Spain, France, Switzerland, Canada, and Japan) were included in the meta-analysis between 2018 and 2022. Pooled effect sizes (across all follow-up time points) revealed no difference between the smartphone app group and the comparators (standard care, SMS text messaging intervention, web-based intervention, smoking cessation counseling, or apps as placebos without real function; odds ratio [OR] 1.25, 95% CI 0.99-1.56, P=.06, I =73.6%). Based on the subanalyses, 6 trials comparing smartphone app interventions to comparator interventions reported no significant differences in effectiveness (OR 1.03, 95% CI 0.85-1.26, P=.74, I =57.1%). However, the 3 trials that evaluated the combination of smartphone interventions combined with pharmacotherapy compared to pharmacotherapy alone found higher smoking abstinence rates in the combined intervention (OR 1.79, 95% CI 1.38-2.33, P=.74, I =7.4%). All SASC interventions with higher levels of adherence were significantly more effective (OR 1.48, 95% CI 1.20-1.84, P<.001, I =24.5%). This systematic review and meta-analysis did not support the effectiveness of delivering smartphone-based interventions alone to achieve higher smoking abstinence rates. However, the efficacy of smartphone-based interventions increased when combined with pharmacotherapy-based smoking cessation approaches. PROSPERO CRD42021267615; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=267615.
Bibliographie:ObjectType-Article-2
SourceType-Scholarly Journals-1
content type line 14
ObjectType-Feature-3
ObjectType-Evidence Based Healthcare-1
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ObjectType-Review-4
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ISSN:1438-8871
1439-4456
1438-8871
DOI:10.2196/43242