Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 5 Issue 9

Appearance Related Intervention for Smoking Cessation among University Students-Randomized Controlled Trial

Visha Shailesh Pandya1*, Naganandini Sampath2, Amit Vasant Mahuli3, Roma Yadav4, Jahanvi Kapadiya1, Satyendra Singh1 and Pankaj Chaudhary5

1Post Graduate, Department of Public Health Dentistry, NIMS Dental College and Hospital, Jaipur, Rajasthan, India
2Professor and Head, Department of Public Health Dentistry, NIMS Dental College and Hospital, Jaipur, Rajasthan, India
3Associate Professor, Department of Public Health Dentistry, RIMS Dental Institute, Ranchi, Jharkhand, India
4MDS (Public Health Dentistry), Private Practitioner, Gurgaon, India
5Reader, Department of Public Health Dentistry, NIMS Dental College and Hospital, Jaipur, Rajasthan, India

*Corresponding Author: Visha Shailesh Pandya, Department of Public Health Dentistry, NIMS Dental College and Hospital, NIMS University, Shobha Nagar, Delhi Jaipur Highway, Jaipur, Rajasthan, India.

Received: July 15, 2021; Published: August 07, 2021


Aim: To assess the efficacy of appearance related smoking intervention as a motivational trigger for smoking cessation among university students.

Objectives: To sensitize the student smokers to quit smoking using the photoaging intervention app and to assess the efficacy of smoking cessation intervention by comparing successful quitting (assessed by Fagerström score) between the intervention and control groups.

Methods: The present study is a randomized controlled trial that was carried out among a sample of 156 students having the habit of smoking, who were randomly allocated into intervention and control group. The study was conducted over a period of one year in the Tobacco Cessation Centre (TCC) of a private Dental College and Hospital, Jaipur from October 2018 to September 2019. Both the groups were given behavioral counseling, along with this Smokerface application was used in the intervention group. The groups were assessed at the 3rd and 6th month’s intervals. Objective validation was done using the Cotinine test. Data was analyzed using SPSS (19) software.

Results: The highest reduction was seen in the intervention group. 84.61% of participants of the intervention group and 67.94% of participants of the Control group had quit smoking upon objective validation by Cotinine analysis. These findings were found to be statistically significant.

Conclusion: The effective usage of the smartphone application along with the usage of behavioral counseling techniques has great potential in contributing as a useful tool for smoking cessation efforts among young adults.

Keywords: Tobacco; Smoking; Tobacco Cessation; Smartphone Apps; Behavior Change Techniques


  1. Burford O., et al. “Internet-based photoaging within Australian pharmacies to promote smoking cessation: randomized controlled trial”. Journal of Medical Internet Research3 (2013): 64.
  2. Jha P., et al. “A nationally representative case–control study of smoking and death in India”. New England Journal of Medicine (2008).
  3. Singh A and Ladusingh L. “Prevalence and determinants of tobacco use in India: Evidence from recent global adult tobacco survey data”. PloS one12 (2014): e114073.
  4. Gajalakshmi V and Kanimozhi CV. “A survey of 24,000 students aged 13–15 years in India: Global Youth Tobacco Survey 2006 and 2009”. Tobacco Use Insights 3 (2010): 1179173X1000300001.
  5. Weiss C., et al. “Aging images as a motivational trigger for smoking cessation in young women”. International Journal of Environmental Research and Public Health9 (2010): 3499-3512.
  6. Baskerville NB., et al. “Effect of a mobile phone intervention on quitting smoking in a young adult population of smokers: randomized controlled trial study protocol”. JMIR Research Protocols1 (2015): e10.
  7. Marzo RR., et al. “Educating school students and gauging their perception about the harmful effects of smoking using a “Facial-Ageing App (mobile application):” An experience from Malaysia”. Journal of Education and Health Promotion (2019): 8.
  8. Ubhi HK., et al. “A mobile app to aid smoking cessation: preliminary evaluation of SmokeFree28”. Journal of Medical Internet Research1 (2015): e17.
  9. BinDhim NF., et al. “Who uses smoking cessation apps? A feasibility study across three countries via smartphones”. JMIR mHealth and uHealth1 (2014): e4.
  10. Regmi K., et al. “Effectiveness of mobile apps for smoking cessation: a review”. TobPrev Cessation4 (2017): 1-1.
  11. Hysert PE., et al. “At Face Value”: age progression software provides personalised demonstration of the effects of smoking on appearance”. Tobacco Control2 (2003): 238.
  12. Grogan S., et al. “Women smokers’ experiences of an age‐appearance anti‐smoking intervention: A qualitative study”. British Journal of Health Psychology4 (2011): 675-689.
  13. Grogan S., et al. “A randomized controlled trial of an appearance-related smoking intervention”. Health Psychology6 (2011): 805.
  14. Brinker TJ., et al. “A skin cancer prevention facial-aging mobile app for secondary schools in Brazil: appearance-focused interventional study”. JMIR mHealth and uHealth3 (2018): e60.
  15. Marzo RR., et al. “The Awareness on Smoking Health Warning and Its Impact AmongMuar Community”. South American Journal of Public Health 4 (2016): 12-16.
  16. Jnaneswar A., et al. “Software intervention in smoking cessation among engineering students in Bhubaneswar city: A randomized controlled trial”. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive and Social Medicine4 (2020): 534.
  17. True random number generator (2019).
  18. Smokerface application (2019).
  19. Insert P. “One Step Cotinine Test Device Package Insert.
  20. Valdivieso-López E., et al. “Efficacy of a mobile application for smoking cessation in young people: study protocol for a clustered, randomized trial”. BMC Public Health1 (2013): 704.
  21. Uribe-Madrigal RD., et al. “Secondary school students’ perceptions of a mobile application design for smoking prevention”. Tobacco Prevention and Cessation (2021): 7.
  22. Brinker TJ., et al. “Photoaging smartphone app promoting poster campaign to reduce smoking prevalence in secondary schools: the Smokerface Randomized Trial: design and baseline characteristics”. BMJ open11 (2016): e014288.
  23. Bernardes-Souza B., et al. “Facial-aging mobile apps for smoking prevention in secondary schools in Brazil: appearance-focused interventional study”. JMIR Public Health and Surveillance3 (2018): e10234.
  24. Brinker TJ and Seeger W. “Photoaging mobile apps: a novel opportunity for smoking cessation”. Journal of Medical Internet Research7 (2015): e186.
  25. Kim S. “Using Intervention Mapping to Develop a Media Literacy-Based Smoking Prevention Program for Female Adolescents”. International Journal of Environmental Research and Public Health12 (2021): 6305.
  26. Heatherton TF., et al. “The Fagerström test for nicotine dependence: a revision of the Fagerstrom Tolerance Questionnaire”. British Journal of Addiction9 (1991): 1119-1127.


Citation: Visha Shailesh Pandya., et al. “Appearance Related Intervention for Smoking Cessation among University Students-Randomized Controlled Trial”. Acta Scientific Dental Sciences 5.9 (2021): 39-45.


Copyright: © 2021 Visha Shailesh Pandya., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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