Effect of a mobile phone intervention on quitting smoking in a young adult population of smokers: randomized controlled trial study protocol.
Effect of a mobile phone intervention on quitting smoking in a young adult population of smokers: randomized controlled trial study protocol.
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DOI：
10.2196/resprot.3823
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发表时间：
2015-01-19
影响因子：
1.7
通讯作者：
Brown KS
中科院分区：
文献类型：
--
作者：
Baskerville NB;Struik LL;Hammond D;Guindon GE;Norman CD;Whittaker R;Burns CM;Grindrod KA;Brown KS
烟草使用仍然是全世界发达国家可预防的慢性疾病和死亡的头号原因。在北美，年轻人的吸烟率最高。尽管大多数年轻成年吸烟者表示想戒烟，但这一年龄段的吸烟率尚未下降。帮助年轻人戒烟仍然是公共卫生的优先事项。数字移动技术是向这一人群提供戒烟干预措施的有希望的媒介，特别是因为年轻人是这项技术的最大使用者。本试验的主要目的是确定一款基于证据的手机戒烟应用程序“粉碎渴望”（Crush The Crave）在降低年轻成年吸烟者吸烟率方面的有效性。一项平行随机对照试验（RCT）将在加拿大进行，以评估粉碎渴望。总共有1354名年轻成年吸烟者（19至29岁）将被随机分配，接受为期6个月的循证手机应用程序“粉碎渴望”或循证自助指南“戒烟之路”（对照）。主要结果测量是在6个月的随访中，30天的禁欲流行率。次要结果包括7天的戒烟流行率、戒烟尝试次数、香烟消费量减少、自我效能感、满意度、应用程序利用率指标和戒烟服务的使用。包括成本效益分析。该试验目前正在公开招募。该研究预计完成日期为2016年4月。这项随机对照试验将提供证据，推动将基于技术的移动电话干预作为卫生保健提供者现有戒烟努力的一部分的决策。该试验的证据还将为未来应用程序的开发提供信息，让人们更深入地了解使用应用程序改变吸烟行为的因素，并改进戒烟应用程序的设计。这项试验是首批评估一款全面且有证据支持的移动健康戒烟应用程序对大量年轻成年吸烟者的影响的试验之一。该试验的优势包括高质量的研究设计和对干预措施实施的深入评估。如果有效，该试验有可能证明，将移动健康技术作为一种基于人群的干预策略，可以经济有效地覆盖更大比例的人口，并帮助年轻成年吸烟者戒烟。ClinicalTrials.gov NCT01983150;http://clinicaltrials.gov/ct2/show/NCT01983150（由WebCite在http://www.webcitation.org/6VGyc0W0i存档）。
Tobacco use remains the number one cause of preventable chronic disease and death in developed countries worldwide. In North America, smoking rates are highest among young adults. Despite that the majority of young adult smokers indicate wanting to quit, smoking rates among this age demographic have yet to decline. Helping young adults quit smoking continues to be a public health priority. Digital mobile technology presents a promising medium for reaching this population with smoking cessation interventions, especially because young adults are the heaviest users of this technology. The primary aim of this trial is to determine the effectiveness of an evidence-informed mobile phone app for smoking cessation, Crush the Crave, on reducing smoking prevalence among young adult smokers. A parallel randomized controlled trial (RCT) with two arms will be conducted in Canada to evaluate Crush the Crave. In total, 1354 young adult smokers (19 to 29 years old) will be randomized to receive the evidence-informed mobile phone app, Crush the Crave, or an evidence-based self-help guide known as “On the Road to Quitting” (control) for a period of 6 months. The primary outcome measure is a 30-day point prevalence of abstinence at the 6-month follow-up. Secondary outcomes include a 7-day point prevalence of abstinence, number of quit attempts, reduction in consumption of cigarettes, self-efficacy, satisfaction, app utilization metrics, and use of smoking cessation services. A cost-effectiveness analysis is included. This trial is currently open for recruitment. The anticipated completion date for the study is April 2016. This randomized controlled trial will provide the evidence to move forward on decision making regarding the inclusion of technology-based mobile phone interventions as part of existing smoking cessation efforts made by health care providers. Evidence from the trial will also inform the development of future apps, provide a deeper understanding of the factors that drive change in smoking behavior using an app, and improve the design of cessation apps. This trial is among the first to assess the effect of a comprehensive and evidence-informed mHealth smoking cessation app on a large sample of young adult smokers. Strengths of the trial include the high-quality research design and in-depth assessment of the implementation of the intervention. If effective, the trial has the potential to demonstrate that including mHealth technology as a population-based intervention strategy can cost-effectively reach a greater proportion of the population and help young adult smokers to quit. ClinicalTrials.gov NCT01983150; http://clinicaltrials.gov/ct2/show/NCT01983150 (Archived by WebCite at http://www.webcitation.org/6VGyc0W0i).