1. Page 1 Do you smoke after text? Results of a randomized trial of smoking cessation using mobile phone text messaging Presented by Sarath Chandra Renukuntla Presented to Prof. Dr. Eduard Heindl

2. Page 2 Agenda Introduction Why do you Smoke? Key Facts-SMOKING CASE STUDY – SMOKE AFTER TEXT What's a cigarette got in it? Health Hazards Second Hand Smoke Cessation Tips Future of Smoking Conclusion

3. Page 3 The great PHILOSOPHY from a passionate smoker: “I always think of leaving cigarette” But for thinking I need a cigarette http://www.idealflickr.com/smoking-sms/

4. Page 4 Why do you Smoke? There are variety of Reasons  1 out of 8 boys will say that smoking is COOL  2 out of 8 girls will say that smoking will keep them SLIM  Others start because their friends smoke and influence them to smoke.  Most of them smoke because it relieves stress.  Social and family factors seem to be particularly important in smoking initiation.  Starting smoking may be due to peer group pressure  Feeling left out while friends smoke and trying to fit in with the crowd.  Parental and sibling example

5. Page 5 Key Facts WHO estimates that today's smoker will die 15-20 years younger Tobacco's toll 6 million people die from tobacco use and exposure to tobacco smoke (one death every six seconds) Prevalence of smoking 22%of the world's population aged 15+ are smokers. 78% do not smoke http://www.who.int/gho/tobacco/en /

6. Page 6 http://en.wikipedia.org/wiki/Smoking_cessation (WHO) selects "tobacco industry interference" as the theme of the next World No Tobacco Day, which took place on Thursday, 31 May 2012

7. Page 7 CASE STUDY – Smoke After Text Smoking cessation using mobile phone text messaging Participants Below are the participant’s criteria: 1. Aged 16 years or more who wish to quit smoking. 2. Able to send and receive text messages in a Vodafone mobile network. 3. Able to speak English and willing to participate in the study. 4. No restrictions on data collection through mobile phone or by personal visits for salivary cotinine assessment. 5. Participants are chosen from popular website’s Adds, media articles, email and text message mailing lists, and posters at education institutions. Source: Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone textmessaging.

8. Page 8  Symptoms to expect on quitting.  Tips to avoid weight gain and improve nutrition.  Tips to cope with craving.  Advice on avoiding smoking triggers.  Instructions on breathing exercises to perform instead of smoking.  Motivational support (for example success stories, feedback on amount of money and life years saved) and distraction (for example, general interest, sports, fashion, trivia, travel). A multidisciplinary team of young adults, Health researchers, and experts in adolescent health, nutrition, cognitive behavioural therapy, and smoking cessation has developed these messages Source: Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone textmessaging.

9. Page 9 Source: Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone textmessaging.

10. Page 10 What's a cigarette got in it?

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12. Page 12 Second Hand Smoke Second hand smoke also known as ETS its a mixture of gases and particles The number of people protected from second-hand smoke more than doubled to 739 million in 2010 from 354 million in 2008. SHS contains at least 250 chemicals known to toxic including more than 50 that can cause cancer http://www.who.int/mediacentre/factsheets/fs339/en/index.html

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15. Page 15 Cessation Tips Switch brands to one you find distasteful Smoke only half of each cigarette Smoke without inhaling Buy cigarettes by the pack, not the carton Set a daily quota and reduce the number of cigarettes you smoke each day Postpone your cigarette until you can go all day without one Smoke only in uncomfortable places Spend time where smoking is prohibited

16. Page 16 Future of Smoking Health care workers have become extremely active in publicizing the negative effects of smoking. In fact, health care workers have been instrumental in passing various legislation to limit smoking in public; as a result, the proportion of people in the US who smoke has dropped from 40.4% in 1965 to around 19% in 2010 (data from the US Department of Health) According to the American Cancer Society, the majority of cigarette use begins before a person reaches 18 years of age. Those who do not begin smoking by age 18 generally do not start to smoke later in life. Various celebrities and activist groups actively promote campaigns aimed at a teen audience that educate about the consequences of smoking and offer advice on smoking cessation and prevention. National Health Interview Survey, 2010. National Center for Health Statistics. Vital Health Stat 10(252). 2012.

17. Page 17 current cigarette smokers - 19% of adults aged 18 years and over 21% were former smokers, and 60% had never smoked at least 100 cigarettes in their lifetime. Twenty-one percent of men were current smokers compared with 18% of women Conclusion Will technological innovations in telephony or web based applications increase programme effectiveness? Future research should test improvements in this programme, including the opportunity for integration with existing programmes (especially Quitlines and nicotine replacement therapy provision) and use of newer multimedia phones, which offer further opportunities for provision of quit information and distraction activities. Anderson CM, Zhu SH. Tobacco quitlines: looking back and looking ahead. Tob Control. 2007

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