Happy Ending: a randomized controlled trial of a digital multi-media smoking cessation intervention
Happy Ending: a randomized controlled trial of a digital multi-media smoking cessation intervention
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DOI：
10.1111/j.1360-0443.2007.02119.x
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发表时间：
2008-03-01
期刊：
影响因子：
6
通讯作者：
Kraft, Pal
中科院分区：
文献类型：
--
作者：
Brendryen, Havar;Kraft, Pal
目的 评估全自动数字多媒体戒烟干预措施的长期疗效。设计两臂随机对照试验（RCT）。将万维网 (WWW) 研究设在挪威。参与者 受试者（n = 396）是通过互联网广告招募的，并随机分配给条件。纳入标准是愿意戒烟并且年龄在 18 岁或以上。发明 治疗组接受基于互联网和手机的快乐结局干预。该干预计划持续了 54 周，通过电子邮件、网页、交互式语音应答 (IVR) 和短信服务 (SMS) 技术与 400 多名联系人进行了联系。对照组收到一本自助手册。此外，两组都接受免费的尼古丁替代疗法（NRT）。测量 戒烟被定义为“过去 7 天内甚至不吸一口烟”，并通过互联网调查或电话采访的方式进行评估。主要结果是戒烟后 1、3、6 和 12 个月的重复点戒断。研究结果 治疗组参与者在临床和统计学上报告的重复点戒断率显着高于对照组参与者 [22.3% 对比 13.1%；比值比 (OR) = 1.91，95% 置信区间 (CI)：1.12-3.26，P = 0.02；意向治疗）。与对照组相比，治疗组对 NRT 的依从性有所改善，戒烟后的自我效能感也更高。结论 作为第一个记录这种干预措施的长期治疗效果的随机对照试验，这项研究增加了数字媒体支持行为改变的前景。
Aims To assess the long-term efficacy of a fully automated digital multi-media smoking cessation intervention. Design Two-arm randomized control trial (RCT). Setting World Wide Web (WWW) study based in Norway. Participants Subjects (n = 396) were recruited via internet advertisements and assigned randomly to conditions. Inclusion criteria were willingness to quit smoking and being aged 18 years or older. Invention The treatment group received the internet- and cell-phone-based Happy Ending intervention. The intervention programme lasted 54 weeks and consisted of more than 400 contacts by e-mail, web-pages, interactive voice response (IVR) and short message service (SMS) technology. The control group received a self-help booklet. Additionally, both groups were offered free nicotine replacement therapy (NRT). Measurements Abstinence was defined as 'not even a puff of smoke, for the last 7 days', and assessed by means of internet surveys or telephone interviews. The main outcome was repeated point abstinence at 1, 3, 6 and 12 months following cessation. Findings Participants in the treatment group reported clinically and statistically significantly higher repeated point abstinence rates than control participants [22.3% versus 13.1%; odds ratio (OR) = 1.91, 95% confidence interval (CI): 1.12-3.26, P = 0.02; intent-to-treat). Improved adherence to NRT and a higher level of post-cessation self-efficacy were observed in the treatment group compared with the control group. Conclusions As the first RCT documenting the long-term treatment effects of such an intervention, this study adds to the promise of digital media in supporting behaviour change.