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Txt2stop - mobile phones based smoking cessation support

Txt2stop - mobile phones based smoking cessation support A systematic review of mobile phone based trials for NCD Dr Cari Free Clinical Senior lecturer London School of Hygiene and Tropical Medicine. A randomised controlled trial of mobile phone based smoking cessation support

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Txt2stop - mobile phones based smoking cessation support

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  1. Txt2stop - mobile phones based smoking cessation support A systematic review of mobile phone based trials for NCD Dr Cari Free Clinical Senior lecturer London School of Hygiene and Tropical Medicine

  2. A randomised controlled trial of mobile phone based smoking cessation support Free C, Whittaker R, Knight R, Roberts I, Cairns J, Rogers A LSHTM CTRU Auckland QUIT (Bosworth R) Pilot funded by Cancer Research UK Main trial funded by the MRC

  3. Smoking leading cause of preventable death • Txt2stop • 5800 smokers willing to quit • Allocated to txt2stop or control • Doubled biochemically validated quitting at six months • 10.7% txt2stop versus 4.9% control, relative risk 2.20 (95% CI 1.80 to 2.68), p<0.0001. • Implemented UK with over 48,000 users since 2012

  4. Systematic review of trials of mobile technology based interventions for health or health care Promising results • Physical activity (only short term), hypertension • Appropriate disease management for providers (11/25 outcomes showed statistically significant benefits) Clear small benefits • appointment reminders. Mixed results few trials .e.g. asthma No clinically important benefits • Weight loss • Daily medication reminders RR 1.00 (95% CI 0.77 to 1.30)

  5. Effects of texting interventions on HBA1C for diabetes

  6. Summary • Where there is good evidence of benefit strong implementation plans are needed e.g. smoking cessation • Lack of evidence in many areas for NCD • New and improved NCD interventions needed. • Well designed and adequately powered trials to demonstrate the effectiveness of interventions are needed in many areas.

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