Mail and web based intervention to help smokers quit: TABATIC study A randomized controlled trial Barcelona, 22 September 2015 Laura Díaz Gete, Carlos Martin Cantera, Elisa Puigdomenech, Jessica Sanchez Fondevila

1. Mail and web based intervention to help
smokers quit: TABATIC study
Laura Díaz Gete, Carlos Martin Cantera, Elisa
Puigdomenech, Jessica Sanchez Fondevila
A randomized controlled trial
Barcelona, 22 September 2015

2. OBJECTIVES
To evaluate the effectiveness of an intervention consisting in 2 face-to-
face visits with E-mail follow-up based on the recommendations of
Clinical Practice guides compared to the brief advice at 6 and 12 months
post intervention in terms of:
Continuous abstinence
Reduction of tobacco consumption
Changes in the state of change according to Prochaska and Di
Clemente
Reduction of sanitary resources and time (for both health
professionals and patients)

3. FLOW CHART
Smokers (of at least one
cigarette per day)
Age: 18-75 y.o.
Electronic mail account
and check it regularly (at
least once a week)

4. WEB PAGE

5. WEB PAGE: HEALTH PROFESSIONAL

6. Dear sir/madam xxxxxxxx
According to the visit done on xx/xx/xx (date of first visit) you fixed your quitting date on:
xx/xx/xx . Seven days have passed, so I would like you to answer the following questions
regarding tobacco consumption:
Have you successfully quit smoking? (Yes/No)
If yes, have you experienced difficulties to quit smoking? (Yes/No)
Please, rate from 1 to 5 the difficulties (being 1 no difficult and 5 very difficult) you have
experienced on the quitting smoking process: (numeric field)
If you are currently smoking, how many cigarettes per day do you smoke? (open numeric
space)
If you are taking medicine to stop smoking, do you have any problems with it? (Yes/No)
Please do not hesitate to ask any questions through this internal messaging (open field).
Shortly you will receive my notes/comments.
Thank you.
Xxxxxxxx (name of the doctor or nurse)
Example of an E-mail of the TABATIC study intervention

7. Sociodemographic and tobacco consumption characteristics of study participants
RESULTS

8. 1056 Included patients
3 month follow-up
6 month follow-up
12 month follow-up
567 (53.7% of 1056) follow-up achieved
489 no follow-up achieved
466 (44.6% of 1056) were not
localized
23 did not want to continue in the
study
716 (67.8% of 1056) follow-up achieved
340 (32.2% of 1056) no follow-up achieved
(no response or did not want to continue in the
study)
817 (77.4% of 1056) follow-up achieved
239 (22.6% of 1056) no follow-up achieved
(no response or did not want to continue in the
study)
FOLLOW-UP AND ATTRITION

9. SCIENTIFIC PRODUCTION OF TABATIC STUDY

10. SCIENTIFIC PRODUCTION OF TABATIC STUDY
Cross sectional study
1725 (18-85 y.o.) smokers attended in
PC
Use of E-mail, SMS and web pages >65%
Young age and more educated
individuals are the best target for ICT
interventions for smoking cessation

11. SCIENTIFIC PRODUCTION OF TABATIC STUDY
Qualitative study to assess patients and
health care professionals on ICT
7 individual interviews and 4 focal
groups
Both patients and health professionals
viewed E-mail based interventions as
helpful but only complementary to face-
to-face interventions

12. DISCUSSION
• Strenghts:
– Intervention based on E-mail send by patient’s reference health
professional
– Possibility to answer doubts in a tailored way
– 12 months follow-up
– Randomized inclusion
– Elevated number of participants and health professionals
• Limitations:
– No feasibility nor usability assessment of the web previous to the RCT
– Elevated number of follow-up loss mainly at three months post
intervention (face-to-face visit)
– We have experienced difficulties in the statistical analysis since the
register system is not habitual and is done by an external company

13. Mail and web based intervention to help
smokers quit: TABATIC study
THANK YOU FOR YOUR KIND
ATTENTION!
p.tabatic@gmail.com

15. • Is the project interesting to be published in Tobacco Control?
Is there any more suitable journal?
• Any suggestions to improve the intervention or to improve
the methodology used?
• If it is effective, we would like to be used by primary care
health professionals (for instance by integrating it in the
clinical history)
DISCUSSION

16. Características sociodemográficas y de consumo de tabaco de los partipantes en el estudio (1058)
Resultados basales
Nota: Un mismo paciente puede presentar una o más patologías

17. Características sociodemográficas y de consumo de tabaco de los partipantes en el estudio
Resultados basales

18. Características sociodemográficas y de consumo de tabaco de los partipantes en el estudio
Resultados basales

19. WEB: MENU DE NAVEGACIÓN DE INVESTIGADOR

20. WEB: MENSAJES INVESTIGADOR

21. WEB: CUENTA INVESTIGADOR

22. WEB: TRASPASAR PACIENTE INVESTIGADOR

23. WEB: MATERIAL DEL PROYECTO PARA INVESTIGADOR I

24. WEB: MATERIAL DEL PROYECTO PARA INVESTIGADOR
II

25. WEB: PREGUNTAS FRECUENTES INVESTIGADOR

26. DIAGRAMA DE FLUJO INVESTIGADORES

27. Ayuda FIS (ISCII): 2011-2014
Ensayo clínico Estudio TABATIC
2 Ayudas XB (ayudas ICS, Barcelona Ciudad)
Estudio cualitativo (2011): Intervención en personas
fumadoras mediante nuevas tecnologías de
comunicación: ¿Qué percepción tienen los pacientes y
los profesionales sanitarios?
Ensayo clínico (2012): Efectividad de una intervención por
correo electrónico en el abandono sostenido del
consumo de tabaco. Estudio TABATIC. Un ensayo clínico
multicentrico aleatorizado controlado.
AYUDAS RECIBIDAS