Older Adults who Smoke: Do they Engage with and Benefit from Web-based Smoking Cessation Interventio
Friday, July 15, 2022
Posted by: Natalia Gromov
Kwon
DM, Santiago-Torres M, Mull KE, Sullivan BM, Bricker JB.
Older Adults who Smoke: Do
they Engage with and Benefit from Web-based Smoking Cessation Interventions?
[published online ahead of print, 2022 Jun 17]. Prev Med. 2022;161:107118.
doi:10.1016/j.ypmed.2022.107118
Quitting smoking at any age increases life expectancy, but older adults face
barriers to receiving cessation services. Despite the promise of web-based
smoking cessation interventions to help address access barriers, whether older
adults who participate in smoking cessation programs engage with and benefit
from these tools at the same rate as younger adults remains unknown. In this
secondary analysis, we compared engagement and satisfaction with two web-based
smoking cessation interventions and quit rates between older, middle-aged, and
young adults in the United States enrolled in the WebQuit trial between March
2014 and August 2015. Participants were divided into age groups: older (60
years and older, n = 439/2637), middle-aged (40-59 years, n = 1308/2637), and
young adults (18-39 years, n = 890/2637). Treatment engagement and
satisfaction, and 12-month quit rates (self-reported complete-case 30-day PPA
and missing-as-smoking) were compared between groups. Older adults engaged more
with the websites than young adults through multiple indicators of intervention
engagement (i.e., number of sessions, unique days of use, and time spent on the
site), and older adults spent more time on the site per session than their
counterparts. Satisfaction with websites was high (81%) and non-differential
between groups. Older and middle-aged adults quit smoking at a similar rate as
younger adults (24%, 24%, 27%, respectively, p = 0.905). Older and middle-aged
adults who participated in a web-delivered smoking cessation intervention
engaged more with the intervention than their younger counterparts and they
quit smoking at a similar rate, thereby demonstrating high acceptability and
potential of digital interventions to help older adults quit smoking. Trial
registration:ClinicalTrials.gov Identifier: NCT1166334.
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