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ISO 9001 Registered Clinical Trials Research Unit Mobile phone health interventions Dr Robyn Whittaker.

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Presentation on theme: "ISO 9001 Registered Clinical Trials Research Unit Mobile phone health interventions Dr Robyn Whittaker."— Presentation transcript:

1 ISO 9001 Registered Clinical Trials Research Unit Mobile phone health interventions Dr Robyn Whittaker

2 Clinical Trials Research Unit Large scale and multinational clinical trials Population health interventions focused on major risks & burden of disease – Tobacco, Health Tech, CVD, Nutrition & Physical Activity Researchers, biostatisticians, data management, IT, project mgmt

3 Why is tobacco control a priority ? 1.1 billion smokers worldwide, 800 million in developing countries By 2030: 10 million deaths/year, and tobacco is likely to be the biggest cause of death worldwide Tobacco is very addictive, its hard to quit Source: Curbing the Epidemic, 1999

4 Annual deaths from smoking www.deathsfromsmoking.net All developed countries, year 2000 Smoking kills about 1.9 million people a year in all developed countries About 1 million die in middle age from smoking About 22 years of life are lost, on average, by those killed in middle age by smoking NZ estimated 5,000 deaths/year

5 Source: Peto and others, 1994. Predictions

6 mesolimbic dopamine pathway reduced craving & withdrawal Binds to nACh receptors Increase in dopamine nicotine

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8 Why mobile phones? >4m mobile phone accounts in NZ 89.4% of NZ 14-15 year olds Integrated into daily life Greater penetration than household computers/internet (NZHES) & greater increase in uptake in lower SES

9 Mobile phone health programmes Inexpensive, personalized, age- appropriate and not location- dependent Always on and with people – send messages at any time & on demand – time sensitive messages - deal with cravings - reminders, positive reinforcement, motivation - social support

10 STOMP: stop smoking study Regular personalised text messages providing smoking cessation advice, support & distraction Based on known effective brief intervention for cessation & theory of behaviour change Turned into 160 characters & txt lingo

11 Study flowchart Voice or web registration smoking history, triggers etc 0 weeks Quit Day free text messaging begins 1-3 weeks Daily text message countdown + action plan Quit calendar web page Personalised text message tips Introduction to CellPall (“quit buddy”) Text your friends “TXT crave” 4 personalised text message tips per day Quiz or poll eg “top 5 reasons to quit” Web page Quit Meter (eg $ saved), profiles Target Date Quit Relapse 6 weeks 26 weeks

12 STOMP Study RCT of 1705 participants across NZ 28% self-reported point prevalence quit rate after 6 weeks – double the control group 13%(RR2.20, 95% CI 1.79-2.70) Clear benefits among important groups e.g. Māori, low income, teenagers

13 Publications Rodgers A, Corbett T, Bramley D, Riddell T, Wills M, Lin R, Jones M. Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging. Tobacco Control 2005 Bramley D, Riddell T, Whittaker R et al. Smoking cessation using mobile phone text messaging is as effective in Māori as non- Māori. NZMJ 2005 Study supported by: Vodafone New Zealand Ltd; Alcatel; Cancer Society; National Heart Foundation of NZ

14 STOMP programme now… Licensed by Healthphone Solutions Ltd who are implementing internationally Implemented nationwide in NZ via Quitline, funded by Ministry of Health, free to participants Also being tested in large UK study

15 Capitalise on advances in mobile technology to include multimedia content & keep programme ‘new’ But what next?

16 STUB IT Video messages from role models Real life stories & quitting tips On demand help for cravings Anti-tobacco industry Animations Content submitted by participants

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19 STUB IT System CTRU IT team developed programme for message delivery Via SMS gateway to Vodafone customers Participants receive txt message with embedded URL for specific video Video message played from WAPsite (at any time)

20 STUB IT study One year of development – Experts, focus groups, pre-testing, finding role models & filming, IT system development & testing systems Currently testing in a 1300 participant randomised controlled trial Supported by Health Research Council; Ministry of Health, Digital Strategy, Vodafone NZ Ltd

21 Wanna quit smoking? www.stubit.co.nz 0800 STUBIT 5552

22 Want to work with us? b.gray@ctru.auckland.ac.nz Barry Gray, IT Manager

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