A review of web-assisted tobacco interventions (WATIs).
A review of web-assisted tobacco interventions (WATIs).
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DOI：
10.2196/jmir.989
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发表时间：
2008-11-06
影响因子：
7.4
通讯作者：
Stoddard JL
中科院分区：
文献类型：
--
作者：
Bock BC;Graham AL;Whiteley JA;Stoddard JL
互联网有很大的潜力为数百万寻求戒烟帮助的吸烟者提供帮助。 本研究的目的是评估戒烟治疗的内容和质量最有可能遇到的吸烟者寻求治疗在互联网上，并检查当前的网站和2004年审查的质量之间的差异。 戒烟的互联网搜索旨在模仿大多数互联网用户的搜索模式。戒烟治疗领域的博士级专家使用标准化程序审查每个网站的内容，评估每个网站覆盖美国国家指南中描述的循证治疗关键组成部分的程度，确定所提供信息的准确性，并评估网站互动的使用。将当前研究的结果与先前审查中获得的结果进行比较。 检索到的大多数网站符合排除标准，未纳入当前（74%，65/88）和既往研究（77%，156/202）的最终分析。在这两项研究中，大多数网站被排除在外，因为它们出售与切割相关的产品，但不提供公共卫生服务指南推荐的治疗。在本研究中纳入的23个网站中，26%（n = 6）只提供了烟草治疗关键组成部分的最小覆盖范围（简短提及）。然而，与早期的研究相比，本研究中包含的网站在四个方面的质量评分显着更高：提供戒烟建议（P =.05），实用咨询（P =.02），通过个人相关性（P =.05）和风险（P <.001）增强戒烟动机。大多数网络辅助烟草干预（WATI）网站（69%，16/23）不包含不准确的信息。观察发现，不准确主要发生在与药物治疗相关的内容中。提供至少一个互动功能的网站的百分比从2004年的39%（18/46）增加到本研究的56%（13/23）。尽管取得了这一进展，但因特网在个性化治疗、将用户与虚拟支助系统联系起来以及提供后续治疗联系方面的互动能力显然没有得到充分利用。 虽然自我们2004年的上次审查以来，WATIs提供的治疗质量有所改善，但仍有很大的进一步改进空间，以确保为吸烟者提供高质量的循证治疗。目前还不清楚什么程度的信息细节和互动是最佳的基于网络的戒烟治疗。需要进一步研究，以了解如何最大限度地发挥互联网的互动能力，以产生和维持基于人口的健康行为变化。
The Internet has great potential to provide assistance to millions of smokers who seek help with quitting smoking. The goals of this study were to assess the content and the quality of smoking cessation treatments most likely to be encountered by smokers seeking treatment on the Internet and to examine differences in quality between current websites and those reviewed in 2004. Internet searches for smoking cessation were designed to mimic the search patterns of most Internet users. PhD-level specialists in tobacco cessation treatments used standardized procedures to review the content of each website, assess the degree to which each site covered key components of evidence-based treatment as described in US national guidelines, determine the accuracy of information presented, and evaluate the use of website interactivity. Results of the current study were compared to results obtained in a prior review. Most websites retrieved in the search met exclusion criteria and were not included in the final analyses in both the current (74%, 65/88) and the prior study (77%, 156/202). In both studies, the majority of websites were excluded because they sold cessation-related products but did not provide treatment recommended by the Public Health Service guidelines. Of the 23 websites included in the current study, 26% (n = 6) provided only minimal coverage (brief mention) of key components of tobacco treatment. However, compared to the earlier study, websites included in the present study scored significantly higher in quality ratings in four areas: providing advice to quit (P = .05), practical counseling (P = .02), and enhancing motivation to quit smoking through personal relevance (P = .05) and risks (P < .001). Most Web-assisted tobacco intervention (WATI) sites (69%, 16/23) contained no inaccurate information. When observed, inaccuracies primarily occurred in content related to pharmacotherapy. The percentage of sites offering at least one interactive feature increased from 39% (18/46) in 2004 to 56% (13/23) in the present study. Despite this improvement, there was a notable underutilization of the interactive capabilities of the Internet to personalize treatment, to connect users with a virtual support system, and to provide follow-up treatment contacts. While the quality of treatment offered in WATIs has improved since our previous review in 2004, there is substantial room for further improvement to ensure that smokers are offered high-quality, evidence-based treatments. It is not clear what degree of informational detail and interactivity is optimal for Web-based smoking cessation treatments. Additional research is needed to understand how to maximize the interactive capabilities of the Internet to produce and sustain population-based health behavior change.
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影响因子：
4.7
作者：
Japuntich, Sandra J.;Zelmer, Mark E.;Gustafson, David H.
通讯作者：
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