The video group also had significantly higher 7-day PPA than the text group (24.6% [82 of 333] versus 17.4% [56 of 322], P = 0.02), with an adjusted OR of 1.56 (95% CI: 1.07–2.29, P = 0.02) at 6 months. However, neither trial found significant differences between the intervention and control groups. Video content was developed using the theory of planned behavior. Those individuals who have positive attitudes, who believe they have the approval of others, and who perceive themselves as capable of performing or controlling a behavior are motivated to change their behavior. NRT Smoking Cessation Aids in Hong Kong, China - COVID-19 Leads to Deep Dip in NRT Smoking Cessation Aids - ResearchAndMarkets.com January 05, … These 1,023 participants were randomly allocated to the video group (n = 333), text group (n = 322), or control group (n = 368). We appreciate Dr. Carlos Wong and Dr. Socrates Yongda Wu for their advices on statistical analysis. A random code list was generated using a personal computer by an independent research assistant with no involvement in participant recruitment. Watch Queue Queue Getty Images offers exclusive rights-ready and premium royalty-free analog, HD, and 4K video of the highest quality. Each participant from the 3 hospitals was allocated into one of 3 groups by simple randomization. Project administration, Written consent was obtained from eligible expectant fathers after the purpose of the study was explained. Although the percentage of adults who smoke is at an all-time low in the U.S., 34 million adults still smoke and therefore continue to be at risk of developing smoking-related diseases. No, Is the Subject Area "Child health" applicable to this article? The response rate was 79.7% (815 of 1,023) at 6 months. Validation, Text group with low dependence—adjusted OR: 2.82, 95% CI: 1.56–5.13; moderate/high dependence—adjusted OR: 1.10, 95% CI: 0.61–1.53; interaction P = 0.03). Differences in demographic and smoking characteristics between the 3 groups were compared using the chi-squared test for categorical variables and analysis of variance for continuous variables [28]. The video and text groups had higher rates of 7-day PPA than the control group at 6 months (video group: 24.6% [82 of 333] versus 11.4% [42 of 368], P < 0.001; text group: 17.4% [56 of 333] versus 11.4% [42 of 368], P = 0.02). For more information about PLOS Subject Areas, click Although most people try to quit this way, it's not the most successful method. CI, Generalized estimating equations (GEEs) were used to evaluate the effect of the intervention on the primary and secondary outcomes at each follow-up point with adjustment for age, hospital, employment status, annual income level, first-time expectant father, level of nicotine dependence, level of readiness to quit, and smoking self-efficacy at baseline. Roles Video can be used to deliver health-related messages easily and effectively by providing auditory, visual, and verbal stimulation [16]. The results also demonstrate the suitability of using video as a medium to deliver smoking cessation interventions. No, Is the Subject Area "Nicotine" applicable to this article? generalized estimating equation; ITT, We had a good retention rate of 79.7% and a high participation rate for biochemical validation (98.9%) at 6 months, which increases the generalizability of the findings. 1. Additionally, the video group had significantly higher validated abstinence than the text group (22.5% [75 of 333] versus 14.9% [48 of 322], P = 0.008), with an adjusted OR of 1.64 (95% CI, 1.10–2.46, P = 0.02) at 6 months. One advantage of video-based intervention for smoking cessation is that a variety of videos can be created by healthcare professionals according to specific health-related issues, and these videos can be used repeatedly. Following the Russell standard, intention-to-treat (ITT) analysis was performed in the primary analysis, in which all participants were included in the analysis with the assumption that participants lost to follow-up were smokers with unchanged smoking habits. Investigation, A single-blind, 3-arm, randomized controlled trial was conducted at the obstetrics registration centers of 3 tertiary public hospitals in 3 major cities (Guangzhou, Shenzhen, and Foshan) in China. 13 Best Quit-Smoking Tips Ever. Funding: Sanming project of medicine in Shenzhen, China (Project number: SZSM201612018) [URL: http://wjw.sz.gov.cn/ztzl/smgc/] and The MOE (MINISTRY OF EDUCATION IN CHINA) project of Humanities and Social Sciences, China (10YJA630004) [URL: http://www.moe.gov.cn/s78/A13/], awarded to WC. A comparison of the results obtained using ITT analysis, PMM-MI, and completed cases showed similar parameter estimates (Table 5). here. Conceptualization, Virtual Clinics. https://doi.org/10.1371/journal.pmed.1003355, Academic Editor: Rachel O'Donnell, University of Stirling, UNITED KINGDOM, Received: April 5, 2020; Accepted: August 26, 2020; Published: September 29, 2020. Overall, the video-based intervention was more effective than text messages and printed materials in promoting quitting among smoking expectant fathers at 6 months. *An ITT analysis was performed by included all cases with the assumption that all participants lost to follow-up were smokers with unchanged smoking habits. To minimize the impact of missing values, PMM-MI was used to handle missing data, and sensitivity analyses were conducted [29]. The video and text groups differed in the rates of validated abstinence (22.5% versus 14.9%, P = 0.008; adjusted OR: 1.64, 95% CI: 1.10–2.46, P = 0.02). Participants’ health-related quality of life was assessed using the Chinese version of the 12-item Short-Form Survey for physical and mental health status, which showed good internal consistency (0.91) and reliability (0.81) [24]. Yes It is therefore vital to help expectant fathers quit smoking, especially in China, where more than 40% of expectant fathers but only 3.8% of pregnant women smoke and approximately 75% of nonsmoking women reported regular exposure to secondhand smoke during their pregnancy [5,6]. This trial was limited in that we only assessed the outcomes up to 6 months. Given an expected dropout rate of 20% at the 6-month follow-up, we needed to recruit at least 990 participants. A total of 208 participants had withdrawn from the trial by the 6-month follow-up, with a retention rate of 79.7%. We used the R programming language for statistical computing and graphics (version 3.1) to perform all data analyses. GEE analysis found that adjusted ORs were higher in the video intervention group (2.50, 95% CI: 1.65–3.80, P < 0.001) and text group (1.61, 95% CI: 1.04–2.50, P = 0.03) than in the control group. Yes Repeated measures for estimating secondary outcomes considering the within-subject effect were also performed (Text B in S5 Text). intention to treat; OR, S1A and S1B Fig show the changes of secondary outcomes with the follow-ups. Courage to Quit is a stop-smoking program developed by UChicago Medicine’s Andrea King, PhD, in partnership with the Respiratory Health Association (RHA). Get your team aligned with all the tools you need on one secure, reliable video platform. Smoking Cessation. However, the superiority of video over text in this context requires a longer time to emerge and becomes more apparent at 6 months [31]. School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China, Roles PLoS Med 17(9): Busy clinical environments and a lack of training in smoking cessation often preclude healthcare professionals from delivering in-person, comprehensive, and specific health-related smoking cessation advice to expectant fathers who smoke [13]. Related Videos. Expectant fathers were excluded if they were unable to provide informed consent or receive counseling because of impaired mental status, cognitive impairment, or communication barriers identified from their medical records or if they had participated in other smoking cessation programs or services. Sirois said these were the only two fatal structure fires in Agawam in over 25 years. According to the ITT analysis, the video group showed higher proportions of validated abstinence at 6 months than the control group (22.5% [75 of 333] versus 9.2% [34 of 368], P < 0.001; Table 2). of 41. stop smoking now tobacco cessation tobacco chemicals nicotine cessation toxins in cigarette give up smoking smoking hazards stop smoking infographics cigarette chemicals quit smoking gum. The committee comprised an associate professor and an assistant professor with experience in smoking cessation interventions and an obstetrics nurse practitioner. https://doi.org/10.1371/journal.pmed.1003355.s001, https://doi.org/10.1371/journal.pmed.1003355.s002, https://doi.org/10.1371/journal.pmed.1003355.s003, https://doi.org/10.1371/journal.pmed.1003355.s004, https://doi.org/10.1371/journal.pmed.1003355.s005, (S5A) Multiple imputation. The CONSORT flowchart is shown in Fig 1. We changed it to the primary outcome in October 2017 following a suggestion by a senior professor on the smoking cessation team who had no involvement in this study. Clem & Margaret Turner Expectant fathers were invited by research nurses to participate in the study if they met the following inclusion criteria: (1) aged 18 years or above, (2) had smoked at least 1 cigarette per day in the previous month and with a carbon monoxide level in expired air of 4 parts per million (ppm) or above, (3) able to read Chinese and communicate in Mandarin, and (4) able to use an instant messaging tool such as WeChat or WhatsApp for communication. We hypothesized that video-based intervention would be more effective than text messages and printed materials in increasing smoking cessation and that information focused on maternal and child health would be more effective than generic information in promoting smoking cessation among expectant fathers. Also read this stuff: Smoking Cessation by Scott P Marlow and James K Stoller—Cleveland, Ohio. Healthcare professionals can select and use appropriate videos with engaging content to help smokers quit. First, the research question has been underexplored, according to the existing literature. The primary outcome, by intention to treat (ITT), was validated abstinence from smoking at the 6-month follow-up. The U.S. Preventive Services Task Force (USPSTF) concludes that there is substantial net benefit for behavioral and pharmacological therapies for smoking cessation, alone or combined. Project administration, The secondary outcomes included 7-day point prevalence of abstinence (PPA) and level of readiness to quit at each follow-up. The Chinese scale demonstrated excellent test–retest reliability, with 0.95 and 0.93 for internal and external stimuli, respectively [26]. Videos. 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