{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T14:50:55Z","timestamp":1785855055053,"version":"3.56.0"},"reference-count":41,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tobacco use remains a major cause of preventable deaths and evidence suggests that smoking cessation offers considerable benefits for patients with and survivors of cancer. In the Lao People\u2019s Democratic Republic (Lao PDR), approximately 60% of male patients and 15% of female patients with cancer smoke cigarettes. Nevertheless, there is no tobacco treatment program for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This pilot randomized controlled trial (RCT) aims to evaluate the feasibility and preliminary efficacy of our mobile health\u2013based automated treatment (AT) program to help Lao cancer survivors and caregivers quit smoking cigarettes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used an intervention mixed methods research design, which included a pilot 2-group interventional RCT and an embedded qualitative component to explain RCT outcomes. In the pilot RCT, cancer survivors or caregivers (n=80, no dyads) who smoked were recruited from national hospitals in Vientiane. Recruited participants were randomized to 1 of 2 treatment groups: standard care (SC) or AT. SC consisted of brief advice to quit smoking delivered by research staff, self-help written materials, and a 2-week supply of nicotine replacement therapy (transdermal patches). AT consisted of all SC components plus our fully automated, interactive, smartphone-based behavioral treatment program personalized and tailored to cancer survivors or caregivers and delivered by our Insight app. Feasibility outcomes of interest include the percentages of intervention messages delivered and viewed, and participant retention at the 3-month follow-up. The preliminary efficacy outcome is biochemically confirmed self-reported 7-day point prevalence abstinence at 3 months post study enrollment. During the interventional RCT and after the 3-month follow-up assessment, we used additional open-ended questions to explore why and how the participants did or did not successfully quit smoking and stay abstinent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data collection occurred from April 2022 to May 2023. Outcome analyses are ongoing, and results are expected to be published in 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our course of research will address the critical need of having a scalable and sustainable tobacco cessation treatment program for patients with cancer and their caregivers in Lao PDR. The preliminary data from this pilot project will lay a foundation for a subsequent fully powered RCT to evaluate the actual efficacy of our mobile health\u2013based AT program. Ultimately, our course of research will contribute to reducing tobacco-related complications in cancer treatments, comorbidities, tobacco-related cancer recurrence, and mortality rates in Lao PDR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov NCT05253573; https:\/\/clinicaltrials.gov\/study\/NCT05253573<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>International Registered Report Identifier (IRRID)<\/jats:title>\n                    <jats:p>DERR1-10.2196\/66517<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/66517","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T04:45:06Z","timestamp":1749444306000},"page":"e66517","source":"Crossref","is-referenced-by-count":1,"title":["Mobile Health Technology for Personalized Tobacco Cessation Support Among Cancer Survivors and Caregivers in Laos (Project SurvLaos): Protocol for a Pilot Randomized Controlled Trial"],"prefix":"10.2196","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0398-0400","authenticated-orcid":false,"given":"Phayvanh","family":"Keopaseuth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2230-2432","authenticated-orcid":false,"given":"Phonepadith","family":"Xangsayarath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8424-6387","authenticated-orcid":false,"given":"Shweta","family":"Kulkarni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2136-3327","authenticated-orcid":false,"given":"Khatthanaphone","family":"Phandouangsy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3399-6016","authenticated-orcid":false,"given":"Chanthavy","family":"Soulaphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7942-4183","authenticated-orcid":false,"given":"Phetsamone","family":"Alounlungsy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2741-9356","authenticated-orcid":false,"given":"Vangnakhone","family":"Dittaphong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1587-6052","authenticated-orcid":false,"given":"Dalouny","family":"Xayavong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5962-1675","authenticated-orcid":false,"given":"Champadeng","family":"Vongdala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2233-977X","authenticated-orcid":false,"given":"Latsamy","family":"Siengsounthone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9038-2238","authenticated-orcid":false,"given":"Michael","family":"Businelle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0779-4926","authenticated-orcid":false,"given":"Summer G","family":"Frank-Pearce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8711-796X","authenticated-orcid":false,"given":"Damon J","family":"Vidrine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9997-4459","authenticated-orcid":false,"given":"Jennifer I","family":"Vidrine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5794-5345","authenticated-orcid":false,"given":"Thanh Cong","family":"Bui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"ref1","author":"Acharya, A","year":"2016","journal-title":"NCI Tobacco Control Monograph Series, 21"},{"key":"ref2","unstructured":"Tobacco fact sheetWorld Health Organization20182025-06-23https:\/\/www.who.int\/docs\/default-source\/campaigns-and-initiatives\/world-no-tobacco-day-2020\/wntd-tobacco-fact-sheet.pdf"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2017"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(25)00017-8"},{"key":"ref5","unstructured":"ChuVSouthammavongTSackdaPSombandithXThongsnaSSisamouthBVidhamalySTobacco-related socioeconomic cost of stroke, lung cancer, and COPD in LaosThe Collaborative Funding Program for Southeast Asia Tobacco Control Research20092025-06-23https:\/\/seatca.org\/dmdocuments\/9_tobacco-related_socio-economic_cost_of_stroke_lung_cancer_and_copd_in_laos.pdf"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1200\/OP.23.00708"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2020.02.002"},{"key":"ref8","unstructured":"ITU and WHO launch mHealth initiative to combat noncommunicable diseasesWorld Health Organization20122017-02-01https:\/\/www.who.int\/news\/item\/17-10-2012-itu-and-who-launch-mhealth-initiative-to-combat-noncommunicable-diseases"},{"key":"ref9","unstructured":"Statistical Information Service By Theme - Technology and CommunicationLaos Statistical Information Service2025-06-23https:\/\/laosis.lsb.gov.la\/tblInfo\/TblInfoList.do?rootId=2101000&menuId=2101101&lang=en&keyword=&searchType=undefined"},{"key":"ref10","unstructured":"Measuring digital development : facts and figures 2023International Telecommunication Union20232025-06-23https:\/\/digitallibrary.un.org\/record\/4074376?ln=en&v=pdf#files"},{"key":"ref11","unstructured":"Safe delivery mobile app to help midwives save even more lives in Lao PDRAsia and the Pacific20172025-06-23https:\/\/asiapacific.unfpa.org\/en\/news\/safe-delivery-mobile-app-help-midwives-save-even-more-lives-lao-pdr"},{"key":"ref12","unstructured":"TooleDReal time digital monitoring of cold chain and vaccines in Laos [Archived version]UNICEF Stories of Innovation20142025-06-26https:\/\/web.archive.org\/web\/20140313154611\/http:\/\/unicefstories.org\/2014\/03\/13\/real-time-digital-monitoring-of-cold-chain-and-vaccines-in-laos\/"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2016.09.056"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006611.pub4"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(11)60701-0"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/add.12998"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(15)00950-2"},{"key":"ref18","unstructured":"Mobile Health for Tobacco Cessation (mTobaccoCessation)World Health Organization20172025-06-23https:\/\/www.who.int\/publications\/i\/item\/978924154981-3"},{"key":"ref19","unstructured":"Smokefree AppsSmokefree Web site20192024-06-03https:\/\/smokefree.gov\/"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2021.1887443"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/add.13154"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-010-9252-y"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00213-011-2250-3"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.11.025"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.11.027"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1111\/add.13162"},{"key":"ref27","unstructured":"Report of Current Cancer Situation in Lao PDRCancer Center Laos2025-06-26https:\/\/acrobat.adobe.com\/id\/urn:aaid:sc:VA6C2:9179ed4d-a05a-457b-b628-a356b5d9bdae"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3180616c1b"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"ref31","unstructured":"A guide for tobacco users to quitWorld Health Organization20142025-06-23https:\/\/www.who.int\/publications\/i\/item\/9241506939"},{"key":"ref32","unstructured":"Tobacco Smoking Cessation in Adults, Including Pregnant Persons: InterventionsU.S. Preventive Services Task Force20212025-02-22https:\/\/www.uspreventiveservicestaskforce.org\/Page\/Document\/RecommendationStatementFinal\/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions1"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-010-9422-x"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1037\/a0027085"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1016\/s0895-4356(98)00082-1"},{"key":"ref36","unstructured":"Process of translation and adaptation of instrumentsWorld Health Organization20182018-04-04http:\/\/www.who.int\/substance_abuse\/research_tools\/translation\/en\/"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.18332\/tpc\/112248"},{"key":"ref38","unstructured":"What is RQDA and what are its features?What is RQDA and what are its features?2018-03-07http:\/\/rqda.r-forge.r-project.org\/"},{"key":"ref39","author":"Fetters, MD","year":"2020","journal-title":"The Mixed Methods Research Workbook: Activities for Designing, Implementing, and Publishing Projects"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1865"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1158\/1538-7755.ASGCR23-Abstract-63"}],"container-title":["JMIR Research Protocols"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.researchprotocols.org\/2025\/1\/e66517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:59:30Z","timestamp":1785851970000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchprotocols.org\/2025\/1\/e66517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,30]]},"references-count":41,"URL":"https:\/\/doi.org\/10.2196\/66517","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.66517","asserted-by":"object"}]},"ISSN":["1929-0748"],"issn-type":[{"value":"1929-0748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,30]]}}}