Efficacy of synchronous telecare compared to cell phone application on smoking cessation rates in a low-middle-income country: A pilot randomized trial.
Rhodes Van Houten, Isis Grigoletto, Bruna Aparecida Santos Medina et al.
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In 30 seconds
This parallel pilot randomized controlled trial compared synchronous video-based telecare with a cell phone application for smoking cessation among 51 participants recruited in Brazil. Over 10 weeks, abstinence rates did not differ between the application group and synchronous telecare group (44.84% vs 45.45%, p = 1.00). Relapse frequency, withdrawal symptoms, and psychological distress also showed no detected between-group differences. The findings suggest similar outcomes for these two remote approaches in this small trial, but the authors note that larger randomized trials are needed to inform public health strategies.
Key findings
- Abstinence rates were 44.84% with the application and 45.45% with synchronous telecare (p = 1.00).
- Relapse frequency did not differ between groups (AppG: 1.00±1.11, STG: 0.79±1.08, p = 0.43).
- No between-group differences were found in withdrawal syndrome or psychological distress scores after intervention.
Why it matters
Remote smoking cessation support may help extend access in settings with high smoking prevalence and limited healthcare resources. This pilot provides a direct comparison of two digital delivery modes, but its results do not establish that either approach is more effective. Larger randomized trials could clarify whether these options produce comparable cessation outcomes and support decisions about virtual service delivery.
What to keep in mind
This was a pilot trial with 51 participants and 10 weeks of treatment; the authors state that larger randomized controlled trials are needed.