Impact of a statewide Internet-based tobacco cessation intervention.
Impact of a statewide Internet-based tobacco cessation intervention.
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全州基于互联网的烟草戒烟干预的影响。
DOI：
10.2196/jmir.9.4.e28
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发表时间：
2007-09-30
影响因子：
7.4
通讯作者：
An LC
中科院分区：
文献类型：
--
作者：
Saul JE;Schillo BA;Evered S;Luxenberg MG;Kavanaugh A;Cobb N;An LC
越来越多的人可以上网，每年都有更多的人在网上寻求戒烟资源。尽管各种在线干预措施激增，而且显然得到了接受和普及，但很少有研究探讨它们在真实的世界中的影响。通常情况下，对基于互联网的后续调查的低答复率在报告结果时产生不具代表性的样本和较大的置信区间。 本研究的目的是实现高响应率的后续评估，以更好地确定基于互联网的戒烟干预措施提供给美国明尼苏达州的烟草使用者的影响。 参与者包括居住在明尼苏达州的607名18岁及以上的男性和女性，他们在2004年2月2日至4月13日期间注册基于互联网的戒烟计划时自我报告了当前的烟草使用情况。参与者可以访问一个交互式网站，其功能包括社会支持，专家系统，主动电子邮件，聊天会话和在线顾问。登记后6个月进行混合模式随访（在线调查和在线非受访者的电话调查）。 在研究参与者中，77.6%（471/607）对6个月的随访调查做出了回应（39.4%在线，38.2%通过电话）。在受访者中，17.0%（80/471，95%CI = 13.6%-20.4%）报告他们在过去7天内没有吸烟（观察率）。假设所有非受访者仍在吸烟（缺失=吸烟率），戒烟率为13.2%（80/607，95% CI = 10.5%-15.9%）。 这种在线戒烟计划的混合模式随访调查获得了很高的应答率，并提供了比以前报道的更准确的长期戒烟率估计。基于互联网的戒烟计划的戒烟率高于无辅助戒烟尝试的预期戒烟率，并且与其他基于证据的行为干预措施相当。戒烟率之间的相似性表明，基于互联网的戒烟计划可能具有与其他戒烟计划（如通过电话提供的戒烟计划）一样大的影响力，并且可以具有更广泛的覆盖面。超过100000人访问了该网站，超过23000人注册，6个月的自我报告戒烟率为13.2%，这表明quitplan.com计划帮助3000多名明尼苏达州人保持了至少6个月的无烟状态。这项研究的结果表明，基于互联网的戒烟计划是一个有用的工具，在国家的努力，为吸烟者提供全面的戒烟工具。
An increasing number of people have access to the Internet, and more people are seeking tobacco cessation resources online every year. Despite the proliferation of various online interventions and their evident acceptance and reach, little research has addressed their impact in the real world. Typically, low response rates to Internet-based follow-up surveys generate unrepresentative samples and large confidence intervals when reporting results. The aim of this study was to achieve a high response rate on follow-up evaluation in order to better determine the impact of an Internet-based tobacco cessation intervention provided to tobacco users in Minnesota, United States. Participants included 607 men and women aged 18 and over residing in Minnesota who self-reported current tobacco use when registering for an Internet-based tobacco cessation program between February 2 and April 13, 2004. Participants were given access to an interactive website with features including social support, expert systems, proactive email, chat sessions, and online counselors. Mixed-mode follow-up (online survey with telephone survey for online nonrespondents) occurred 6 months after registration. Of the study participants, 77.6% (471/607) responded to the 6-month follow-up survey (39.4% online and 38.2% by telephone). Among respondents, 17.0% (80/471, 95% CI = 13.6%-20.4%) reported that they had not smoked in the past 7 days (observed rate). Assuming all nonrespondents were still smoking (missing=smoking rate), the quit rate was 13.2% (80/607, 95% CI = 10.5%-15.9%). This mixed-mode follow-up survey of an online smoking cessation program achieved a high response rate and provides a more accurate estimate of long-term cessation rates than has been previously reported. Quit rates for the Internet-based tobacco cessation program were higher than those expected for unassisted quit attempts and are comparable to other evidence-based behavioral interventions. The similarities between quit rates demonstrates that an Internet-based cessation program may have as great an impact as, and can have wider reach than, other cessation programs such as those delivered by telephone. With over 100000 people having visited the website and over 23000 having registered, a 6-month self-reported quit rate of 13.2% suggests that the quitplan.com program helped over 3000 Minnesotans remain tobacco free for at least 6 months. Results of this study suggest that an Internet-based cessation program is a useful tool in states’ efforts to provide comprehensive cessation tools for smokers.
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影响因子：
4.7
作者：
Hyland, A;Li, Q;Cummings, KN
通讯作者：
Cummings, KN
影响因子：
5.2
作者：
Albertsen, K;Hannerz, H;Burr, H
通讯作者：
Burr, H
影响因子：
4.7
作者：
Cobb, NK;Graham, AL;Abrams, DB
通讯作者：
Abrams, DB
影响因子：
5
作者：
Brogger, J;Bakke, P;Gulsvik, A
通讯作者：
Gulsvik, A
影响因子：
13.6
作者：
Ekman, A;Dickman, PW;Litton, JE
通讯作者：
Litton, JE