Design and participant characteristics of a randomized-controlled trial of telemedicine for smoking cessation among rural smokers.
Design and participant characteristics of a randomized-controlled trial of telemedicine for smoking cessation among rural smokers.
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DOI：
10.1016/j.cct.2014.04.008
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发表时间：
2014-07
影响因子：
2.2
通讯作者：
Richter KP
中科院分区：
文献类型：
--
作者：
Mussulman L;Ellerbeck EF;Cupertino AP;Preacher KJ;Spaulding R;Catley D;Cox LS;Lambart L;Hunt JJ;Nazir N;Shireman T;Richter KP
在美国农村，吸烟很普遍，几乎没有戒烟服务，医疗保健提供者缺乏时间和资源来帮助吸烟者戒烟。本文描述了 Connect2Quit (C2Q) 的设计和参与者特征，这是一项随机对照试验 (RCT)，旨在测试通过安装在参与者医生办公室检查室 (ITM) 台式计算机上的双向网络摄像头提供的综合远程医疗咨询与通过参与者家中电话 (Phone) 提供的戒烟热线咨询帮助农村吸烟者戒烟的有效性和成本效益。 C2Q 在 20 个初级保健和安全网诊所实施。综合远程医疗包括在初级保健医生 (PCP) 办公室向患者提供实时视频咨询。电话咨询被送到患者家中。所有参与者都收到了选择戒烟药物的教育材料和指导。 566 名参与者主要是白人 (92%)； 9% 是拉丁裔。大多数人 (65%) 的收入低于联邦贫困线的 200%。三分之一的人没有家庭互联网接入，40% 的人不习惯使用电脑，只有 4% 的人过去通过远程医疗看过医生。高血压、慢性肺病和糖尿病非常普遍。参与者每天吸近一包烟，并且戒烟积极性很高。 C2Q 正在覆盖患有慢性病的农村低收入人群，这些人将从戒烟中受益匪浅。 ITM 是一种良好的交付模式，它通过在患者的 PCP 办公室举行咨询会议来整合护理，并使初级护理团队随时了解患者的进展情况。
In rural America cigarette smoking is prevalent, few cessation services are available, and healthcare providers lack the time and resources to help smokers quit. This paper describes the design and participant characteristics of Connect2Quit (C2Q), a randomized control trial (RCT) that tests the effectiveness and cost-effectiveness of integrated telemedicine counseling delivered by 2-way webcams mounted on desktop computers in participant's physician office examining rooms (ITM) versus quitline counseling delivered by telephone in participant's homes (Phone) for helping rural smokers quit. C2Q was implemented in twenty primary care and safety net clinics. Integrated Telemedicine consisted of real-time video counseling, delivered to patients in their primary care physician's (PCP) office. Phone counseling, was delivered to patients in their homes. All participants received educational materials and guidance in selecting cessation medications. The 566 participants were predominantly Caucasian (92%); 9% were Latino. Most (65%) earned < 200% of federal poverty level. One out of three lacked home internet access, 40% were not comfortable using computers, and only 4% had been seen by a doctor via telemedicine in the past. Hypertension, chronic lung disease, and diabetes were highly prevalent. Participants smoked nearly a pack a day and were highly motivated to quit. C2Q is reaching a rural low-income population, with comorbid chronic diseases, that would benefit greatly from quitting smoking. ITM is a good delivery model, which integrates care by holding counseling sessions in the patient's PCP office and keeps the primary care team updated on patients’ progress.
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影响因子：
120.7
作者：
Lasser, K;Boyd, JW;Bor, DH
通讯作者：
Bor, DH
影响因子：
5.1
作者：
OCKENE, JK
通讯作者：
OCKENE, JK
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE
影响因子：
16.4
作者：
Lichtenstein, Edward;Zhu, Shu-Hong;Tedeschi, Gary J.
通讯作者：
Tedeschi, Gary J.
影响因子：
--
作者：
Bush, K;Kivlahan, DR;Bradley, KA
通讯作者：
Bradley, KA