Factors associated with use of automated smoking cessation interventions: findings from the eQuit study

Factors associated with use of automated smoking cessation interventions: findings from the eQuit study
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DOI:
10.1093/her/cys104
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发表时间:
2013-04-01
影响因子:
2.4
通讯作者:
Howard, Steve
Howard, Steve
中科院分区:
医学4区
文献类型:
--
作者:
Balmford, James;Borland, Ron;Howard, Steve

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目的是更好地了解与采用自动定制戒烟干预措施相关的结构性因素。在一项前瞻性随机对照试验中,仅提供干预措施,而非强制干预措施,参与者根据以下方式随机分配:基于网络的专家系统(QuitCoach);短信程序(onQ);两者作为一个整体;选择:使用其中之一或两者的选择;或者一个静态网站的控制条件(这里不考虑)。参与者从两个来源招募了3530名吸烟者或新近戒烟者;一组是寻求戒烟信息的,主要是通过电话招募的,另一组是通过互联网小组招募的。更多的参与者(60.1%)最初接受了他们提供的干预,而不是使用它(42.5%)。每种干预措施的接受程度因招募来源和方式(电话或网络)而有很大差异。onQ总体上更受欢迎,尤其是在信息搜索者的样本中。在选择条件下,总体干预率最高。如果使用要约是通过网络提出的,基于网络的干预最具吸引力,而如果通过电话提出要约,基于电话的干预更有可能被使用。在多个平台上提供自动干预可以提供最大的选择,并最大限度地利用某种形式的帮助。
The aim was to better understand structural factors associated with uptake of automated tailored interventions for smoking cessation. In a prospective randomized controlled trial with interventions only offered, not mandated, participants were randomized based on the following: web-based expert system (QuitCoach); text messaging program (onQ); both as an integrated package; the choice of using either or both; or a control condition informed of a static website (not considered here). Participants were 3530 smokers or recent quitters recruited from two sources; those seeking smoking cessation information, mostly recruited over the phone, and a cold-contacted group recruited from an Internet panel. More participants (60.1%) initially accepted the intervention they had been offered than used it (42.5%). Uptake of each intervention differed substantially by both recruitment source and modality (phone or web). onQ was a little more popular overall, especially in the information seeker sample. Highest overall intervention uptake occurred in the choice condition. A web-based intervention is most attractive if the offer to use is made by web, whereas a phone-based intervention is more likely to be used if the offer is made over the phone. Providing automated interventions on multiple platforms allows for maximal choice and greatest overall use of some form of help.