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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, M, Sutherland, J, Barnard, S, Wynne, A, Rezel, E, Doel, A, Grigsby-Duffy, LM, Edwards, S, Russell, S, Hotopf, E, Perel, P and Free, C 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, PLoS ONE, vol. 13, no. 1, pp. 1-71, doi: 10.1371/journal.pone.0189801.

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Title 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
Author(s) Palmer, M
Sutherland, J
Barnard, S
Wynne, A
Rezel, E
Doel, A
Grigsby-Duffy, LM
Edwards, S
Russell, S
Hotopf, E
Perel, P
Free, C
Journal name PLoS ONE
Volume number 13
Issue number 1
Start page 1
End page 71
Total pages 71
Publisher Public Library of Science (PLoS)
Place of publication San Francisco, CA
Publication date 2018-01-05
ISSN 1932-6203
Keyword(s) physical activity
cell phones
diet
apps
body weight
exercise
blood pressure
randomized controlled trials
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
BEHAVIOR-CHANGE TECHNIQUES
WEIGHT-LOSS INTERVENTION
SMARTPHONE APPLICATION
TEXT MESSAGES
YOUNG-ADULTS
PRIMARY-CARE
PROGRAM
SUPPORT
EFFICACY
OUTCOMES
Summary 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 [95% CI 1.80–2.68], I2 = 0%) and on verified 7 day point prevalence of smoking cessation was pooled RR 1.51 [95% CI 1.06–2.15], 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 [95% CI 0.49, 0.90], I2 = 0.0%; end-point weight was pooled MD -0.99Kg [95% CI -3.63, 1.64] I2 = 29.4%; % change in weight was pooled MD -3.1 [95%CI -4.86- -1.3] I2 0.3%; and on triglyceride levels was pooled MD -0.19 mmol/L [95% CI -0.29, -0.08], 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.
Language eng
DOI 10.1371/journal.pone.0189801
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, Palmer et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30145549

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.