Evidence map›Paper›PMID 41864914›Full record

Trial reportBMC medicine2026

Efficacy and long-term engagement of a WeChat-integrated modality versus a traditional quitline on smoking cessation in China: a randomised controlled trial.

Shuilian Chu, Di Zhang, Jiachen Li, Lin Feng, Zhaohui Tong, Lirong Liang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shuilian ChuDepartment of Research on Tobacco Dependence Therapies and Evidence-Based Medicine Centre, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, No.8 Gong-Ti-Nan-Lu, Chaoyang District, Beijing, 100020, China.
Di ZhangDepartment of Research on Tobacco Dependence Therapies and Evidence-Based Medicine Centre, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, No.8 Gong-Ti-Nan-Lu, Chaoyang District, Beijing, 100020, China.
Jiachen LiDepartment of Research on Tobacco Dependence Therapies and Evidence-Based Medicine Centre, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, No.8 Gong-Ti-Nan-Lu, Chaoyang District, Beijing, 100020, China.
Lin FengDepartment of Research on Tobacco Dependence Therapies and Evidence-Based Medicine Centre, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, No.8 Gong-Ti-Nan-Lu, Chaoyang District, Beijing, 100020, China.
Zhaohui TongDepartment of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Lirong LiangDepartment of Research on Tobacco Dependence Therapies and Evidence-Based Medicine Centre, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, No.8 Gong-Ti-Nan-Lu, Chaoyang District, Beijing, 100020, China. llr85231610@163.com.

Funding

Capital's Funds for Health Improvement and Research CFH 2024-1G-1062Financial Budgeting Project of Beijing Institute of Respiratory Medicine ysbz2022002
6 · The paper itself

Abstract

backgroundDigital health interventions offer a promising opportunity to innovate traditional cessation services. Multi-component digital approaches show potential for greater effectiveness than traditional methods, though optimal integration strategies and engagement dynamics are still unclear. This study evaluated 'Way to Quit' (WQ)-a theory-guided, integrated modality based on WeChat (a popular social media platform)-compared with a quitline, with particular attention to long-term engagement and its impact on abstinence.

methodsA two-arm, open-label, randomised controlled trial was conducted in Beijing, China, from December 1, 2022 to June 13, 2024. We recruited adult smokers intending to quit within one month via online advertisements. Participants were randomly assigned (1:1; using various block sizes) to either a multicomponent WeChat-based intervention (WQ)-integrating a mini-programme (application-like service), a chat group (peer support) and an official account (information channel)-or telephone counselling (Quitline), both lasting four weeks (one pre-quit week and three post-quit weeks). All participants received a four-week supply of nicotine gum by mail for on-demand use. Follow-up assessments were completed at one, three, six, and twelve months after the initiation of the intervention via telephone or online. The primary outcome was biochemically verified 7-day point prevalence abstinence (PPA) at one month. Analyses followed a modified intention-to-treat (mITT) approach.

resultsA total of 460 adult smokers were enrolled and randomised (WQ: n = 230; Quitline: n = 230), with 414 included in the mITT analysis (WQ: 195; Quitline: 219). At one month, biochemically verified 7-day PPA was 41.5% in the WQ group and 27.9% in the Quitline group (RR, 1.49; 95% CI, 1.14-1.95; P = 0.004). Mini-programme engagement peaked initially but declined after three months, from 99.0% in one month to 6.7% in eight months. Greater usage during the first three months was dose-dependently associated with higher long-term abstinence rates (3-, 6-, and 12-month 7-day PPA), with all P

conclusionsThe WQ modality showed superior short-term efficacy compared with the quitline, supporting its potential as an alternative or adjunct to traditional cessation services. Although long-term engagement remained challenging, early engagement intensity within the first three months strongly predicted twelve-month abstinence.

trial registrationThe trial was preregistered at Chinese Clinical Trial Registry Identifier ( https://www.chictr.org.cn/bin/project/edit?pid=179013 , ID: ChiCTR2200066427). Registration date: December 5, 2022.

Indexed as

HotlinesSmoking CessationSocial MediaAdultChinaCounselingFemaleHumansMaleMiddle AgedTreatment OutcomeDigital healthIntegrated modalityQuitlineRandomised controlled trialSmoking cessationWeChat

Identifiers

PMID41864914
PMCPMC13130533

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.