Home > The effectiveness of smoking cessation, physical activity/diet and alcohol reduction interventions delivered by mobile phones for the prevention of non-communicable diseases: A systematic review of randomised controlled trials.

Palmer, Melissa and Sutherland, Jennifer and Barnard, Sharmani and Wynne, Aileen and Rezel, Emma and Doel, Andrew and Grigsby-Duffy, Lily and Edwards, Suzanne and Russell, Sophie and Hotopf, Ellie and Perel, Pablo and Free, Caroline [PLOS One] . (2018) The effectiveness of smoking cessation, physical activity/diet and alcohol reduction interventions delivered by mobile phones for the prevention of non-communicable diseases: A systematic review of randomised controlled trials. Public Library of Science. PLoS ONE, 13 (1) https://doi.org/10.1371/journal.pone.0189801

URL: http://journals.plos.org/plosone/article?id=10.137...

BACKGROUND: We conducted a systematic review to assess the effectiveness of smoking cessation, physical activity (PA), diet, and alcohol reduction interventions delivered by mobile technology to prevent non-communicable diseases (NCDs).

METHODS: We searched for randomised controlled trials (RCTs) of mobile-based NCD prevention interventions using MEDLINE, EMBASE, Global Health, CINAHL (Jan 1990-Jan 2016). Two authors extracted data.

FINDINGS: 71 trials were included: smoking cessation (n = 18); PA (n = 15), diet (n = 3), PA and diet (n = 25); PA, diet, and smoking cessation (n = 2); and harmful alcohol consumption (n = 8). 4 trials had low risk of bias. The effect of SMS-based smoking cessation support on biochemically verified continuous abstinence was pooled relative risk [RR] 2.19 and on verified 7 day point prevalence of smoking cessation was pooled RR 1.51, I2 = 0%, with no reported adverse events. There was no difference in peak oxygen intake at 3 months in a trial of an SMS-based PA intervention. The effect of SMS-based diet and PA interventions on: incidence of diabetes was pooled RR 0.67, I2 = 0.0%; end-point weight was pooled MD -0.99Kg] I2 = 29.4%; % change in weight was pooled MD -3.1 I2 0.3%; and on triglyceride levels was pooled MD -0.19 mmol/L, I2 = 0.0%. The results of other pooled analyses of the effect of SMS-based diet and PA interventions were heterogenous (I2 59-90%). The effects of alcohol reduction interventions were inconclusive.

CONCLUSIONS: Smoking cessation support delivered by SMS increases quitting rates. Trials of PA interventions reporting outcomes ≥3 months showed no benefits. There were at best modest benefits of diet and PA interventions. The effects of the most promising SMS-based smoking, diet and PA interventions on morbidity and mortality in high-risk groups should be established in adequately powered RCTs.


Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol, Tobacco
Intervention Type:AOD disorder, AOD prevention, AOD disorder harm reduction
Source:PLOS One
Date:2018
Page Range:e0189801
Publisher:Public Library of Science
Volume:13
Number:1
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
B Substances > Tobacco (cigarette smoking)
G Health and disease > State of health
HJ Treatment method > Substance disorder treatment method > Cessation of substance use
J Health care, prevention and rehabilitation > Substance use prevention > Substance use harm reduction
J Health care, prevention and rehabilitation > Prevention programme or service
J Health care, prevention and rehabilitation > Health related prevention > Health information and education > Communicable disease control
N Communication, information and education > Information technology / Digital

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