Toward evidence-based Internet interventions:: A Spanish/English Web site for international smoking cessation trials
Toward evidence-based Internet interventions:: A Spanish/English Web site for international smoking cessation trials
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DOI：
10.1080/14622200500431940
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发表时间：
2006-02-01
影响因子：
4.7
通讯作者：
Pérez-Stable, EJ
中科院分区：
文献类型：
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作者：
Muñoz, RF;Lenert, LL;Pérez-Stable, EJ
互联网为管理和评估针对全球高度流行的公共卫生问题的循证干预措施提供了一种媒介。作者报告了一系列用英语和西班牙语进行的四项互联网戒烟研究。这些研究检查了结果(自我报告的7天禁欲)和与结果相关的机制(主要抑郁发作[MDES]对戒烟可能性的影响)。来自74个国家的4000多名吸烟者参与了这项研究。研究1和研究2评估了标准戒烟指南(“Guia”)。研究3和4是比较GUIA+项目(个别计时的教育信息)和GUIA+项目+情绪管理课程的随机试验。这些项目是邀请参与者在特定时间返回网站的电子邮件。研究1和研究2的在线跟踪评估结果显示，1个月的完成率为44%-54%，6个月的完成率为26%-30%。在研究4的1、3、6和12个月，激励措施和跟踪电话将这些完成率分别提高到70%、66%、65%和62%。在6个月时，使用缺失=吸烟数据自我报告的7天戒烟率在研究1和研究2中为6%，在研究3中为10%-14%，在研究4中为20%-26%。Guia+项目往往有更高的戒烟率，在研究3的12个月随访期和研究4的3个月随访期达到显著水平。既往(但不是现在)有MDES的吸烟者戒烟的可能性最大，而有当前MDES的吸烟者戒烟的可能性最小。这一趋势在研究1和研究4中达到了重要意义。
The Internet provides a medium to administer and evaluate evidence-based interventions for highly prevalent public health problems worldwide. The authors report a series of four Internet smoking cessation studies conducted in English and Spanish. These studies examined both outcome (self-reported 7-day abstinence) and mechanisms related to outcome (the impact of major depressive episodes [MDEs] on the likelihood of quitting). Over 4,000 smokers from 74 countries entered the studies. Studies 1 and 2 evaluated a standard smoking cessation guide (the "Guia''). Studies 3 and 4 were randomized trials comparing the Guia+ITEMs (individually timed educational messages) to the Guia+ITEMs+a mood management course. ITEMs were E-mails inviting participants back to the site at specific times. Online follow-up assessments resulted in completion rates of 44%-54% at 1 month and 26%-30% at 6 months in studies 1 and 2. Incentives and follow-up phone calls increased these rates to 70%,66%,65%, and 62% at 1, 3, 6, and 12 months in study 4. At 6 months, self-reported 7-day abstinence rates using missing=smoking data were 6% in studies 1 and 2, 10%-14% in study 3, and 20%-26% in study 4. The Guia+ITEMs condition tended to have higher quit rates, which reached significance at the 12-month follow-up in study 3 and at the 3-month follow-up in study 4. Smokers with past (but not current) MDEs tended to be the most likely to abstain and those with current MDEs the least likely. This trend reached significance in studies 1 and 4.