![]() Motivational text messages: Participants received daily texts during the 3-week period and texts twice every week until the 6-month point.Smoking is the leading cause of preventable death in the U.S., according to the CDC, but most smoking interventions engage "only those with the highest motivation," the researchers noted. "TAB adopted gamification as a strategy to engage participants and was structured based on principles of designing gamified health behavior interventions." "Sustaining engagement in interventions (especially health) is challenging, particularly for groups not yet ready for health behavior change," the researchers said. At 90 days, 35% of those exposed to the intervention had a quit attempt versus 23% for the comparison group (HR 1.68, 95% CI 1.09-2.60, P=0.02), they stated in JAMA Internal Medicine.Īt 6 months follow-up, rates of carbon monoxide level-verified cessation between the two groups were 18% and 10%, respectively (OR 1.92, 95% CI 1.01-3.68, P=0.048). For the study's primary outcome of time to first quit attempt, the TAB group - who were sent motivational texts, quizzes, and gift cards - came out on top at all time points as well.
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