This is an online study of 1214 UK smokers which aimed to determine which combination(s) of five intervention components can help smokers to stop smoking by using an e-cigarette. A balanced five-factor randomised factorial design was used, guided by the Multiphase Optimisation Strategy (MOST). The five intervention components were: i) tailored advice on which e-cigarette device to purchase; ii) tailored advice on which e-liquid nicotine strength to purchase; iii) tailored advice on which flavour to purchase; iv) brief information on relative harms of e-cigarettes vs smoking; v) text message support. Participants completed a baseline survey online and were then randomised to either receive or not receive each intervention component (resulting in 32 possible combinations). Tailored advice on device, nicotine strength and flavour were based on responses to baseline questions and were displayed at the end of the survey (for participants randomised to receive that condition). Follow up data was collected via a second online survey after 12 weeks to collect information on abstinence rates and adherence to intervention components. Logistic regressions were used to model the main effects and two-way interactions on the primary outcome (4-weeks abstinence) and secondary outcomes (7-day point prevalence and ≥50% smoking reduction). The full dataset and syntax (as SPSS files) are available.
Link to protocol: https://www.qeios.com/read/9RDLJA.3
Link to trial registry: https://www.isrctn.com/ISRCTN54776958
Link to published paper: https://doi.org/10.1111/add.16294
- Keyword
- Digital interventions
- Tailored advice
- Smoking cessation
- Smoking reduction
- E-cigarettes
- Multi-phase Optimisation Strategy (MOST)
- Tobacco
- Nicotine
- Vaping
- Description
- Baseline data was collected from 1455 smokers (N=1214 after removing 241 duplicates and bots – see data processing below) between April and July 2020. Between July and October 2020, 529 of the participants completed the 12-week follow up questionnaire in full and a further 107 provided information on the primary outcome variable only via text/email.
- Five intervention components were tested with each participant randomised to receive each component (ON) or not (OFF) resulting in 32 experimental conditions. Participants were eligible for inclusion if they were aged 18 or over, a daily smoker, resident in the UK, fluent in English, interested in quitting and using an e-cigarette, had access to a mobile phone and able to make an online purchase.
- Participants were provided with a voucher (to the value of £50) for making a purchase at the online store. Information collected at baseline included: demographic, smoking and vaping-related information; questions around preferences and nicotine dependence to inform tailoring of advice around device, flavour and nicotine strength; motivation and confidence in quitting; identity questions; and e-cigarette harm perceptions. At the 12-week follow up, data was collected on: smoking cessation and reduction outcome variables (continuous 4-weeks abstinence, 7-day point prevalence abstinence, smoking reduction from baseline); use of the product; adherence to recommendations and suitability of the advice, text messages and written information; identity questions and covid questions (given that the study commenced at the beginning of the first covid-19 lockdown). All variables are clearly labelled in SPSS and a description of the variables is provided below.
- Description
- Baseline data was collected from 1455 smokers (N=1214 after removing 241 duplicates and bots – see data processing below) between April and July 2020. Between July and October 2020, 529 of the participants completed the 12-week follow up questionnaire in full and a further 107 provided information on the primary outcome variable only via text/email.
- Five intervention components were tested with each participant randomised to receive each component (ON) or not (OFF) resulting in 32 experimental conditions. Participants were eligible for inclusion if they were aged 18 or over, a daily smoker, resident in the UK, fluent in English, interested in quitting and using an e-cigarette, had access to a mobile phone and able to make an online purchase.
- Participants were provided with a voucher (to the value of £50) for making a purchase at the online store. Information collected at baseline included: demographic, smoking and vaping-related information; questions around preferences and nicotine dependence to inform tailoring of advice around device, flavour and nicotine strength; motivation and confidence in quitting; identity questions;
- and e-cigarette harm perceptions. At the 12-week follow up, data was collected on: smoking cessation and reduction outcome variables (continuous 4-weeks abstinence, 7-day point prevalence abstinence, smoking reduction from baseline);
- use of the product; adherence to recommendations and suitability of the advice, text messages and written information; identity questions and covid questions (given that the study commenced at the beginning of the first covid-19 lockdown). All variables are clearly labelled in SPSS and a description of the variables is provided below.