{
  "abstract": "Objectives 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.Methods 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 ≥18, Fagerström score ≥3 or 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.Results At the 6-month follow-up, the relative risk for continued smoking was reduced to 0.91 (n=51, 95% CI 0.7 to 1.2), and nicotine dependence, measured by the Fagerström Test, decreased significantly from 4.41±1.93 to 3.32±2.69 (n=19, p=0.014). PROCAM score for cardiovascular risk was reduced from 35.22±12.47 to 31.9±13.24 (n=36, p=0.008).Conclusion 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.",
  "authors": [
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany"
      ],
      "name": "Erik Schneider"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany"
      ],
      "name": "Wiebke Wanner"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany"
      ],
      "name": "Mareike Lüthgen"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany"
      ],
      "name": "Dominik Edward Pawlak"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany"
      ],
      "name": "Henrike Alexandra Faesser"
    },
    {
      "affiliations": [
        "Cardiology (Department of Medicine II), University Hospital Schleswig-Holstein, Lübeck, Germany",
        "Herzzentrum Kiel, Kiel, Germany"
      ],
      "name": "Kai Mortensen"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany",
        "German Center for Lung Research, Giessen, Germany"
      ],
      "name": "Daniel Drömann"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany"
      ],
      "name": "Tobias Jagomast"
    },
    {
      "affiliations": [
        "Pulmonology (Department of Medicine III), University Hospital Schleswig-Holstein, Lübeck, Germany",
        "German Center for Lung Research, Giessen, Germany"
      ],
      "name": "Klaas F Franzen"
    }
  ],
  "title": "Impact of the EILA application on smoking cessation among hospital workers: a randomised controlled trial",
  "uid": "93e20bc1-9977-5c9e-97fa-f2ddb9949678"
}