Chahar, PuneetMohanty, Vikrant RYB, Aswini2020-01-022020-01-022018-10Chahar Puneet, Mohanty Vikrant R, YB Aswini. Designing and validation of text messages for m-Health intervention for tobacco cessation and management. Indian Journal of Cancer. 2018 Oct; 55(4): 390-3930019-509Xhttp://imsear.searo.who.int/handle/123456789/190396Objective: The objective of this study was to evaluate effectiveness of two psychological intervention techniques (reading – writing therapy vs. games – narrative therapy) using motivational intervention alone as a control among tobacco addicts. Materials and Method: This randomized control trial was conducted over a period of 6 months from April to September 2013 at a de-addiction center in Madhya Pradesh, India. Patients with moderate-to-high levels of dependence as determined by Fagerstrom Test for Nicotine Dependence (FTND) admitted for treatment in a de-addiction center were recruited. A cluster randomization technique was used for allocation of participants to three different groups. Group allocation was concealed from investigator and done by coordinator. Three interventions were group A – motivational intervention alone, group B – games and story therapy along with motivational intervention, and group C – reading and writing therapy along with motivational intervention. Interventions were applied for 1 month. Two postintervention follow-ups (one at the time of discharge and one after 1 month following discharge) were done to assess level of dependence using FTND besides undertaking urine cotinine analysis among three randomly selected participants in each group. Results: A total of 82 participants (28 in group A, 27 each in groups B and C) completed the study. Eighty-one (98.8%) participants had complete abstinence at the end of 1 month with no significant difference in the success rate between different categories (P = 0.357). At the end of 1 month following discharge from center, only 7 participants (8.5%) had complete abstinence and 51 participants (62.2%) had partial reduction and remaining 24 participants (29.3%) were considered failures with no difference between three groups (P = 0.768). Conclusion: Although overall abstinence was low (8.5%), all intervention techniques were equally effective in at least reducing level of dependence with no significant difference in their efficacy.Journal ArticleIndiaDepartment of Public Health Dentistry, Index Institute of Dental Sciences, Indore, Madhya Pradesh, IndiaDepartment of Public Health Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, JSS Medical Institutions Campus, SS Nagar, Mysore, Bangalore, Karnataka, IndiaDepartment of Orthodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, JSS Medical Institutions Campus, SS Nagar, Mysore, Bangalore, Karnataka, IndiaDepartment of Periodontics, Index Institute of Dental Sciences, Indore, Madhya Pradesh, IndiaDepartment of Public Health Dentistry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, IndiaDepartment of Public Health Dentistry, People's Dental Academy, Bhanpur, Bhopal, Madhya Pradesh, India