The Tobacco Status Project (TSP): Study protocol for a randomized controlled trial of a Facebook smoking cessation intervention for young adults.
The Tobacco Status Project (TSP): Study protocol for a randomized controlled trial of a Facebook smoking cessation intervention for young adults.
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DOI：
10.1186/s12889-015-2217-0
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发表时间：
2015-09-15
影响因子：
4.5
通讯作者：
Prochaska JJ
中科院分区：
文献类型：
--
作者：
Ramo DE;Thrul J;Delucchi KL;Ling PM;Hall SM;Prochaska JJ
烟草使用仍然是美国过早发病和死亡的主要原因。年轻人戒烟不太成功，使用戒烟治疗的频率低于其他年龄段的吸烟者，并且可能是一个挑战。社交媒体融入了许多年轻人的生活，是一种很有前途的策略，可以为大量不同的受众提供循证戒烟治疗。这项试验的目的是测试在Facebook上对18至25岁的年轻人进行基于阶段的戒烟干预对戒烟，减少吸烟和戒烟想法的有效性。这是一项随机对照试验。美国各地的年轻成年吸烟者在网上招募，并随机接受Facebook上为期3个月的烟草状况项目干预或推荐戒烟网站。干预包括分配到一个专门为准备戒烟而定制的秘密Facebook小组（预先考虑，考虑，准备），每天为准备戒烟而定制的Facebook联系人，每周现场咨询会议，以及对于那些准备的人，每周在Facebook上进行认知行为疗法咨询会议。主要结果指标是在治疗后（3个月）、6个月和12个月经生化验证的7天点戒烟率。次要结果指标是吸烟减少50%或更多，24小时戒烟尝试，并承诺在每个时间点戒烟。第二个目的是测试，在TSP条件下，在增加参与干预的货币激励的效果。这项随机对照试验正在测试一种新的Facebook干预措施，用于治疗年轻人的烟草使用。如果有效，社交媒体干预措施可以广泛传播和扩大，以应对更多的健康风险。ClinicalTrials.gov：NCT02207036，2014年5月13日。
Tobacco use remains the leading cause of premature morbidity and mortality in the United States. Young adults are less successful at quitting, use cessation treatment less often than smokers of other ages, and can be a challenge to retain in treatment. Social media, integrated into the lives of many young adults, represents a promising strategy to deliver evidence-based smoking cessation treatment to a large, diverse audience. The goal of this trial is to test the efficacy of a stage-based smoking cessation intervention on Facebook for young adults age 18 to 25 on smoking abstinence, reduction in cigarettes smoked, and thoughts about smoking abstinence. This is a randomized controlled trial. Young adult smokers throughout the United States are recruited online and randomized to either the 3 month Tobacco Status Project intervention on Facebook or a referral to a smoking cessation website. The intervention consists of assignment to a secret Facebook group tailored to readiness to quit smoking (precontemplation, contemplation, preparation), daily Facebook contacts tailored to readiness to quit smoking, weekly live counseling sessions, and for those in preparation, weekly Cognitive Behavioral Therapy counseling sessions on Facebook. Primary outcome measure is biochemically-verified 7-day point prevalence abstinence from smoking at posttreatment (3 months), 6, and 12 months. Secondary outcome measures are reduction of 50 % or more in cigarettes smoked, 24 h quit attempts, and commitment to abstinence at each time point. A secondary aim is to test, within the TSP condition, the effect of a monetary incentive at increasing engagement in the intervention. This randomized controlled trial is testing a novel Facebook intervention for treating young adults’ tobacco use. If efficacious, the social media intervention could be disseminated widely and expanded to address additional health risks. ClinicalTrials.gov: NCT02207036, May 13, 2014.