Effectiveness of a WhatsApp-based program for nicotine and tobacco cessation among young people

ISRCTN ISRCTN16197153
DOI https://doi.org/10.1186/ISRCTN16197153
Sponsor Swiss Research Institute for Public Health and Addiction
Funder Swiss Tobacco Prevention Fund
Submission date
08/12/2025
Registration date
09/12/2025
Last edited
09/12/2025
Recruitment status
Not yet recruiting
Overall study status
Ongoing
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Nicotine and tobacco products are widely used by adolescents and young adults in Switzerland. At the same time, WhatsApp is one of the most frequently used digital communication platforms by this age group. Delivering individually tailored, evidence-based coaching messages via WhatsApp is a promising way to support young people in quitting nicotine use. This study aims to test the efficacy of a semi-automated, WhatsApp-based intervention program to support nicotine cessation and reduction in adolescents and young adults.

Who can participate?
Regular (at least weekly) nicotine users aged 16–30 years, including those who use tobacco cigarettes, vapes, snus or multiple nicotine products. Additionally the participants should own a mobile phone.

What does the study involve?
Participants will be assessed at the beginning of the study and at follow-ups after 3 and 6 months. For 12 weeks, participants in the intervention group will receive individually tailored messages designed to motivate them to stop or reduce their nicotine use. These messages will provide advice on dealing with cravings and stressful situations, as well as tips on quitting or reducing nicotine use. They will also have the opportunity to ask a counsellor individual questions via a separate WhatsApp channel. Participants in the control group will not initially have the opportunity to take part in the program, but will be invited to do so after completing the 6-month survey.

What are the possible benefits and risks of participating?
The possible benefit to participants is that the intervention program will help them to stop or reduce their nicotine use. There are no known risks to participants taking part in this study.

Where is the study run from?
Swiss Research Institute for Public Health and Addiction (Switzerland)

When is the study starting and how long is it expected to run for?
September 2025 to January 2028

Who is funding the study?
Swiss Tobacco Prevention Fund (Switzerland)

Who is the main contact?
Dr Severin Haug, severin.haug@isgf.uzh.ch

Contact information

Dr Severin Haug
Principal investigator, Public, Scientific

Konradstrasse 32
Zurich
8005
Switzerland

ORCiD logoORCID ID 0000-0002-6539-5045
Phone +41 (0)444481174
Email severin.haug@isgf.uzh.ch

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlPlacebo
AssignmentParallel
PurposePrevention
Scientific titleEfficacy of a WhatsApp-based intervention program for nicotine and tobacco cessation among young people: a randomized controlled trial
Study acronymNicotineFreeCoach
Study objectivesTo test the efficacy of a semi-automated, WhatsApp-based intervention program to support nicotine cessation and reduction in adolescents and young adults.
Ethics approval(s)

Approved 07/12/2025, Ethics Committee of the Faculty of Arts and Sciences at the University of Zurich (Andreasstrasse 15, PO Box 12, Zurich, 8050, Switzerland; +41 (0)44 635 71 81; chair.ethics. committee@phil.uzh.ch), ref: 25.12.25

Health condition(s) or problem(s) studiedNicotine and tobacco use
InterventionParticipants will be assessed at the beginning of the study and at follow-ups after 3 and 6 months. The researchers will use simple randomization (1:1 ratio) using computer generated random numbers. For 12 weeks, participants in the intervention group will receive individually tailored messages designed to motivate them to stop or reduce their nicotine use. These messages will provide advice on dealing with cravings and stressful situations, as well as tips on quitting or reducing nicotine use. They will also have the opportunity to ask a counsellor individual questions via a separate WhatsApp channel. Participants in the control group will not initially have the opportunity to take part in the program, but will be invited to do so after completing the 6-month survey.
Intervention typeBehavioural
Primary outcome measure(s)
  1. 7-day point prevalence of nicotine abstinence measured using self-report at 6 months follow up
Key secondary outcome measure(s)
  1. 7-day point prevalence of nicotine abstinence measured using self-report at 3 months follow up
  2. 30-day point prevalence of nicotine abstinence measured using self-report at 3 and 6 months follow up
  3. Number of days in the previous 30 days on which tobacco or nicotine products were consumed measured using self-report at 3 and 6 months follow up
  4. Average amount of nicotine products (tobacco cigarettes/e-cigarettes/smokeless nicotine products) consumed per day measured using self-report at 3 and 6 months follow up
  5. Intention to stop nicotine use measured using self-report at 3 and 6 months follow up
  6. Self-efficacy to stop nicotine use measured using self-report at 3 and 6 months follow up
  7. Quality of life using the WHO-5 Well-Being Index measured using self-report at 3 and 6 months follow up
  8. Alcohol use using the Consumption Items of the Alcohol Use Disorders Identification Test (AUDIT-C) measured using self-report at 3 and 6 months follow up
Completion date31/01/2028

Eligibility

Participant type(s)
Age groupMixed
Lower age limit16 Years
Upper age limit30 Years
SexAll
Target sample size at registration870
Key inclusion criteria1. Aged 16-30 years
2. Possession of a mobile phone
3. At least weekly use of tobacco or nicotine products in the previous month
Key exclusion criteriaDoes not meet the inclusion criteria
Date of first enrolment01/04/2026
Date of final enrolment30/06/2027

Locations

Countries of recruitment

  • Switzerland

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

08/12/2025: Study's existence confirmed by the Swiss Tobacco Prevention Fund.