Efficacy of an Experiential, Dissonance-Based Smoking Intervention for College Students Delivered via the Internet
Efficacy of an Experiential, Dissonance-Based Smoking Intervention for College Students Delivered via the Internet
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DOI：
10.1037/a0032952
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发表时间：
2013-10-01
影响因子：
5.9
通讯作者：
Brandon, Thomas H.
中科院分区：
文献类型：
--
作者：
Simmons, Vani Nath;Heckman, Bryan W.;Brandon, Thomas H.
目标：大学是接触到相当数量的吸烟者的机会之窗，这些吸烟者很容易受到终身吸烟的影响。典型的戒烟计划未得到充分利用，这表明需要采取新的、更具吸引力的方法来接触大学吸烟者。本研究的目的是测试增强不和谐的、基于网络的体验式干预在增加戒烟动机和行为方面的有效性。方法：我们使用四臂随机设计来检验基于网络的体验式吸烟干预(网络吸烟)的有效性。控制条件包括指导性吸烟干预(说教)、基于小组的体验式干预(组)和基于网络的营养体验式干预(Web-Nutrition)。我们招募了341名大学生吸烟者。主要结果是干预后立即评估的戒烟动机，以及干预后1个月和6个月的戒烟情况。结果：根据假设，网络吸烟干预组在提高戒烟动机方面比对照组更有效。在6个月的随访中，网络吸烟干预组的戒烟率高于网络营养控制干预组。每天吸烟缓解了干预结果。在日常吸烟者中，网络吸烟干预比网络营养和说教控制条件产生的戒烟率更高。结论：研究结果表明，通过互联网提供的基于理论的干预措施在提高大学吸烟者的戒烟动机和戒烟率方面是有效的。这项干预措施有可能转化为大学年龄吸烟者的二级预防策略并加以实施。
Objective: College represents a window of opportunity to reach the sizeable number of cigarette smokers who are vulnerable to lifelong smoking. The underutilization of typical cessation programs suggests the need for novel and more engaging approaches for reaching college smokers. The aim of the present study was to test the efficacy of a dissonance-enhancing, Web-based experiential intervention for increasing smoking cessation motivation and behavior. Method: We used a 4-arm, randomized design to examine the efficacy of a Web-based, experiential smoking intervention (Web-Smoke). The control conditions included a didactic smoking intervention (Didactic), a group-based experiential intervention (Group), and a Web-based nutrition experiential intervention (Web-Nutrition). We recruited 341 college smokers. Primary outcomes were motivation to quit, assessed immediately postintervention, and smoking abstinence at 1 and 6 months following the intervention. Results: As hypothesized, the Web-Smoke intervention was more effective than control groups in increasing motivation to quit. At 6-month follow-up, the Web-Smoke intervention produced higher rates of smoking cessation than the Web-Nutrition control intervention. Daily smoking moderated intervention outcomes. Among daily smokers, the Web-Smoke intervention produced greater abstinence rates than both the Web-Nutrition and Didactic control conditions. Conclusion: Findings demonstrate the efficacy of a theory-based intervention delivered over the Internet for increasing motivation to quit and smoking abstinence among college smokers. The intervention has potential for translation and implementation as a secondary prevention strategy for college-aged smokers.