Interest in an online smoking cessation program and effective recruitment strategies: results from Project Quit.

Interest in an online smoking cessation program and effective recruitment strategies: results from Project Quit.
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DOI:
10.2196/jmir.8.3.e14
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发表时间:
2006-08-22
影响因子:
7.4
通讯作者:
Strecher V
Strecher V
中科院分区:
医学2区
文献类型:
--
作者:
McClure JB;Greene SM;Wiese C;Johnson KE;Alexander G;Strecher V

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互联网是提供戒烟治疗的一个有前途的场所,无论是作为独立的计划还是作为药物治疗的辅助手段。然而,几乎没有数据表明有多少百分比的吸烟者有兴趣接受在线戒烟服务或如何最好地招募吸烟者参加基于互联网的计划。这项研究使用明确的招募样本,旨在确定对“戒烟项目”感兴趣或参加的吸烟者的百分比,“戒烟项目”是一项量身定制的在线认知行为支持计划,提供辅助尼古丁替代治疗贴片。此外,我们还研究了几种个人层面与群体层面招募策略的有效性。来自美国两家大型医疗保健组织的成员受邀参加“戒烟项目”。招募工作包括向 34533 名可能吸烟者邮寄主动邀请函,以及针对所有健康计划成员(> 560000 名成年人,包括两个医疗保健组织中估计的 98000 名吸烟者)的反应性人群水平研究广告。 据估计,每个医疗保健组织中有 1.6% 和 2.5% 的成年吸烟者参加了戒烟项目。在收到主动研究邀请的可能吸烟者中,7% 访问了戒烟项目网站 (n = 2260),4% (n = 1273) 符合资格并注册。尽管使用不同的来源来收集邀请邮件列表,但各个站点的响应率相似。主动的个人招聘比其他形式的招聘更有效,占网站访问者的 69% 和注册者的 68%。 吸烟者有兴趣获得在线戒烟支持,尽管他们可以通过健康保险获得其他形式的治疗。该计划的接受率与建议吸烟者戒烟并转介接受其他形式的戒烟治疗时的接受率相当。在此示例中,主动邮件是招募吸烟者参与戒烟项目的最佳方法。
The Internet is a promising venue for delivering smoking cessation treatment, either as a stand-alone program or as an adjunct to pharmacotherapy. However, there is little data to indicate what percent of smokers are interested in receiving online smoking cessation services or how best to recruit smokers to Internet-based programs. Using a defined recruitment sample, this study aimed to identify the percentage of smokers who expressed interest in or enrolled in Project Quit, a tailored, online, cognitive-behavioral support program offered with adjunctive nicotine replacement therapy patches. In addition, we examined the effectiveness of several individual-level versus population-level recruitment strategies. Members from two large health care organizations in the United States were invited to participate in Project Quit. Recruitment efforts included proactive invitation letters mailed to 34533 likely smokers and reactive population-level study advertisements targeted to all health plan members (> 560000 adults, including an estimated 98000 smokers across both health care organizations). An estimated 1.6% and 2.5% of adult smokers from each health care organization enrolled in Project Quit. Among likely smokers who received proactive study invitations, 7% visited the Project Quit website (n = 2260) and 4% (n = 1273) were eligible and enrolled. Response rates were similar across sites, despite using different sources to assemble the invitation mailing list. Proactive individual-level recruitment was more effective than other forms of recruitment, accounting for 69% of website visitors and 68% of enrollees. Smokers were interested in receiving online smoking cessation support, even though they had access to other forms of treatment through their health insurance. Uptake rates for this program were comparable to those seen when smokers are advised to quit and are referred to other forms of smoking cessation treatment. In this sample, proactive mailings were the best method for recruiting smokers to Project Quit.
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DOI: 10.1197/jamia.m1464
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