Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study
Objectives Japan is one of the largest markets for heated tobacco products (HTPs), and the number of HTP users, including dual users, is growing. However, it is not yet clear whether a telemedicine smoking cessation programme is effective for nicotine-dependent HTP users to quit smoking. We assessed...
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BMJ Publishing Group
2022-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/12/e063489.full |
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| author | Takahiro Tabuchi Akihiro Nomura Takaaki Ikeda Toshiki Fujimoto Yusaku Morita Chie Taniguchi Tetsuro Ishizawa |
| author_facet | Takahiro Tabuchi Akihiro Nomura Takaaki Ikeda Toshiki Fujimoto Yusaku Morita Chie Taniguchi Tetsuro Ishizawa |
| author_sort | Takahiro Tabuchi |
| collection | DOAJ |
| description | Objectives Japan is one of the largest markets for heated tobacco products (HTPs), and the number of HTP users, including dual users, is growing. However, it is not yet clear whether a telemedicine smoking cessation programme is effective for nicotine-dependent HTP users to quit smoking. We assessed the outcomes of a telemedicine smoking cessation programme in terms of continuous smoking cessation among smokers who had used HTPs compared with those who used exclusively cigarettes.Design A retrospective cohort study to assess the outcomes of the telemedicine smoking cessation programme provided by Linkage, Japan, comparing the success rates of smoking cessation between exclusively cigarette group (as reference) and HTP user groups (exclusively HTPs or dual use of both cigarettes and HTPs).Setting Linkage telemedicine smoking cessation programme database, covering programme participants in Japan.Participants Programme participants from between August 2018 and October 2020.Outcome measures Continuous abstinence rates (CARs) from 9 to 24 weeks (CAR9–24) and 9 to 52 weeks (CAR9–52). Adjusted ORs (aORs) with 95% CIs for CAR were calculated to compare the exclusively cigarette group with exclusively HTP and dual use groups.Results We analysed 733 telemedicine smoking cessation programme participants. Exclusively HTP users had higher CARs than the exclusively cigarette group for CAR9–24 (aOR 1.12, 95% CI 1.02 to 1.23; p=0.02) and CAR9–52 (1.09, 0.99 to 1.19; p=0.08). Conversely, dual users had lower CARs than the exclusively cigarette group for CAR9–24 (0.85, 0.76 to 0.95; p=0.004) and CAR9–52 (0.88, 0.79 to 0.97; p=0.01).Conclusions Exclusive HTP users achieved higher CARs, whereas dual users had lower CARs than exclusively cigarette users over short-term and long-term periods. A telemedicine smoking cessation programme may be a reasonable option for exclusive HTP users. |
| format | Article |
| id | doaj-art-ffd2c14e126f4a5dbf6e15249c0bc5b0 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-ffd2c14e126f4a5dbf6e15249c0bc5b02025-08-20T02:14:00ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-063489Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort studyTakahiro Tabuchi0Akihiro Nomura1Takaaki Ikeda2Toshiki Fujimoto3Yusaku Morita4Chie Taniguchi5Tetsuro Ishizawa65 Division of Epidemiology, School of Public Health, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Cardiovascular Medicine, Kanazawa University Graduate School of Medical Sciences, Kanazawa, JapanDepartment of Health Policy Science, Yamagata University, Yamagata, JapanDepartment of Health Development, University of Occupational and Environmental Health, Kitakyushu, Fukuoka, JapanResearch Center for Overwork-Related Disorders, National Institute of Occupational Safety and Health, Kawasaki, JapanCollege of Nursing, Aichi Medical University, Nagakute, Aichi, JapanDepartment of Stress Science and Psychosomatic Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, JapanObjectives Japan is one of the largest markets for heated tobacco products (HTPs), and the number of HTP users, including dual users, is growing. However, it is not yet clear whether a telemedicine smoking cessation programme is effective for nicotine-dependent HTP users to quit smoking. We assessed the outcomes of a telemedicine smoking cessation programme in terms of continuous smoking cessation among smokers who had used HTPs compared with those who used exclusively cigarettes.Design A retrospective cohort study to assess the outcomes of the telemedicine smoking cessation programme provided by Linkage, Japan, comparing the success rates of smoking cessation between exclusively cigarette group (as reference) and HTP user groups (exclusively HTPs or dual use of both cigarettes and HTPs).Setting Linkage telemedicine smoking cessation programme database, covering programme participants in Japan.Participants Programme participants from between August 2018 and October 2020.Outcome measures Continuous abstinence rates (CARs) from 9 to 24 weeks (CAR9–24) and 9 to 52 weeks (CAR9–52). Adjusted ORs (aORs) with 95% CIs for CAR were calculated to compare the exclusively cigarette group with exclusively HTP and dual use groups.Results We analysed 733 telemedicine smoking cessation programme participants. Exclusively HTP users had higher CARs than the exclusively cigarette group for CAR9–24 (aOR 1.12, 95% CI 1.02 to 1.23; p=0.02) and CAR9–52 (1.09, 0.99 to 1.19; p=0.08). Conversely, dual users had lower CARs than the exclusively cigarette group for CAR9–24 (0.85, 0.76 to 0.95; p=0.004) and CAR9–52 (0.88, 0.79 to 0.97; p=0.01).Conclusions Exclusive HTP users achieved higher CARs, whereas dual users had lower CARs than exclusively cigarette users over short-term and long-term periods. A telemedicine smoking cessation programme may be a reasonable option for exclusive HTP users.https://bmjopen.bmj.com/content/12/12/e063489.full |
| spellingShingle | Takahiro Tabuchi Akihiro Nomura Takaaki Ikeda Toshiki Fujimoto Yusaku Morita Chie Taniguchi Tetsuro Ishizawa Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study BMJ Open |
| title | Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study |
| title_full | Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study |
| title_fullStr | Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study |
| title_full_unstemmed | Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study |
| title_short | Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study |
| title_sort | outcomes of a telemedicine smoking cessation programme for heated tobacco product users in japan a retrospective cohort study |
| url | https://bmjopen.bmj.com/content/12/12/e063489.full |
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