{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:29:46Z","timestamp":1793363386658,"version":"4.5.0"},"reference-count":35,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UKSH F\u00f6rderstiftung","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2026,4,26]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Smoking remains a major preventable cause of lung and cardiovascular disease. This randomised controlled trial evaluated EILA, a mobile application using artificial intelligence, for promoting smoking cessation among hospital workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A randomised controlled trial was conducted. Hospital workers (n=43) were recruited from a German university hospital from May 2022 to March 2023. Inclusion criteria comprised age \u226518, Fagerstr\u00f6m score \u22653\u2009or 10 cigarettes per day, ownership of a suitable smartphone, motivation to quit smoking and no addiction to other psychoactive substances. Participants were randomised by sealed envelopes to EILA intervention (n=25) or a wait-list control (n=18) receiving a primary care-style intervention, with crossover after 3 months. The primary outcome was the cessation rate. Secondary outcomes comprised nicotine dependence, mental health and cardiovascular risk, all measured using validated questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At the 6-month follow-up, the relative risk for continued smoking was reduced to 0.91 (n=51, 95%\u2009CI 0.7 to 1.2), and nicotine dependence, measured by the Fagerstr\u00f6m Test, decreased significantly from 4.41\u00b11.93\u2009to 3.32\u00b12.69 (n=19, p=0.014). PROCAM score for cardiovascular risk was reduced from 35.22\u00b112.47\u2009to 31.9\u00b113.24 (n=36, p=0.008).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The digital health application EILA was linked to increased smoking cessation rates, although without achieving statistical significance. Nevertheless, the results indicate reductions in nicotine dependence and cardiovascular risk, supporting EILA as a scalable and flexible intervention for promoting health in hospital workers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/oemed-2025-110157","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T17:20:23Z","timestamp":1780939223000},"page":"210-216","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of the EILA application on smoking cessation among hospital workers: a randomised controlled trial"],"prefix":"10.1136","volume":"83","author":[{"given":"Erik","family":"Schneider","sequence":"first","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiebke","family":"Wanner","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7830-4256","authenticated-orcid":false,"given":"Mareike","family":"L\u00fcthgen","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik Edward","family":"Pawlak","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrike Alexandra","family":"Faesser","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Cardiology (Department of Medicine II), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"},{"name":"Herzzentrum Kiel, Kiel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Dr\u00f6mann","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"},{"name":"German Center for Lung Research, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4811-9704","authenticated-orcid":false,"given":"Tobias","family":"Jagomast","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaas F","family":"Franzen","sequence":"additional","affiliation":[{"name":"Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, L\u00fcbeck, Germany"},{"name":"German Center for Lung Research, Giessen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"2026072205351190000_83.4.210.1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30752-2"},{"key":"2026072205351190000_83.4.210.2","unstructured":"Effertz T , Viarisio V . 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