Smoking cessation via the Internet: A randomized clinical trial of an Internet intervention as adjuvant treatment in a smoking cessation intervention
Smoking cessation via the Internet: A randomized clinical trial of an Internet intervention as adjuvant treatment in a smoking cessation intervention
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DOI：
10.1080/14622200601047900
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发表时间：
2006-12-01
影响因子：
4.7
通讯作者：
Gustafson, David H.
中科院分区：
文献类型：
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作者：
Japuntich, Sandra J.;Zelmer, Mark E.;Gustafson, David H.
戒烟的互联网干预无处不在。然而，到目前为止，很少有随机临床试验来衡量它们的疗效。本研究是一项互联网戒烟干预的随机临床试验（N=284，治疗组n = 140，对照组n = 144）。吸烟者被随机分配接受安非他酮加单独的咨询，或安非他酮和咨询，除了12周的访问综合健康增强支持系统戒烟和复吸预防（CHESS SCRP;一个网站，提供有关戒烟的信息以及支持）。我们发现，在治疗期结束时（OR=1.13，95%CI 0.66-2.62）或戒烟后6个月（OR=1.48，95%CI 0.66 - 2.62），CHESS SCRP的使用与戒烟无显著相关性。然而，参与者每周使用CHESS SCRP的次数与治疗结束时（OR=1.79，95% CI 1.25-2.56）和6个月随访时（OR= 1.59，95% CI 1.06-2.38）的禁欲有关。在90天的访问期间，访问CHESS SCRP的参与者平均登录33.64次（SD=30.76）。CHESS SCRP的使用率在种族、教育水平或性别方面没有差异（所有p > 0.05）。总之，结果表明，参与者经常使用CHESS SCRP，CHESS SCRP的使用与成功有关，但总体效果并不产生组间效应。
Internet interventions for smoking cessation are ubiquitous. Yet, to date, there are few randomized clinical trials that gauge their efficacy. This study is a randomized clinical trial (N=284, n = 140 in the treatment group, n = 144 in the control group) of an Internet smoking cessation intervention. Smokers were randomly assigned to receive either bupropion plus counseling alone, or bupropion and counseling in addition to 12 weeks of access to the Comprehensive Health Enhancement Support System for Smoking Cessation and Relapse Prevention (CHESS SCRP; a Web site which provided information on smoking cessation as well as support). We found that access to CHESS SCRP was not significantly related to abstinence at the end of the treatment period (OR=1.13, 95% CI 0.66-2.62) or at 6 months postiquit (OR=1.48, 95% CI 0.66-2.62). However, the number of times participants used CHESS SCRP per week was related to abstinence at both end of treatment (OR=1.79, 95% CI 1.25-2.56) and at the 6-month follow-up (OR= 1.59, 95% CI 1.06-2.38). Participants with access to CHESS SCRP logged in an average of 33.64 times (SD=30.76) over the 90-day period of access. Rates of CHESS SCRP use did not differ by ethnicity, level of education or gender (all p >.05). In sum, results suggest that participants used CHESS SCRP frequently, CHESS SCRP use was related to success, but the effects in general did not yield intergroup effects.