Automated e-mail messaging as a tool for improving quit rates in an Internet smoking cessation intervention
Automated e-mail messaging as a tool for improving quit rates in an Internet smoking cessation intervention
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DOI：
10.1197/jamia.m1464
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发表时间：
2004-07-01
影响因子：
6.4
通讯作者：
Bansod, A
中科院分区：
文献类型：
--
作者：
Lenert, L;Muñoz, RF;Bansod, A
目的：本研究的目的是确定是否自动电子邮件信息系统，发送单独定时的教育信息（ITEMS）增加了互联网戒烟intervention.Design的有效性：使用两个连续系列的参与者，作者比较了两个基于Web的自助式戒烟干预措施：一个是单点时间的教育干预，另一个是根据参与者的戒烟努力来发送ITEM的增强干预。结果进行了比较，在199名参与者接受一次性的干预和286接收ITEM. Measures：人口因素，吸烟，尼古丁成瘾，抑郁症状，并在能力戒烟的信心，在进入测量。24小时戒烟尝试和7天的点戒烟率（nonresponses假设吸烟）进行测量后30天，每个主题的自选quit data.Results：一次性和ITEMS组不同的一些人口统计学和一些复发的风险因素，但不是在与30天戒烟率的因素。ITEMS似乎增加了个人设定戒烟日期的比率（97%对91%，p = 0.005），并且在随访问卷的受访者（n = 145）中，报告的24小时戒烟努力的比率（83%对54%，p = 0.001）。ITEMS组的30天意向治疗戒烟率更高：7.5% vs. 13.6%，p = 0.035。在控制组间差异的多变量分析中，接受ITEMS与戒烟的比值比增加2.6（95%置信区间= 1.3-5.3）相关。结论：相对于单点网络干预，在吸烟者戒烟努力的战略日发送ITEMS增强了戒烟的早期成功。这种影响似乎是由ITEMS引起的，它使吸烟者更频繁地计划和进行戒烟努力。
Objective: The aim of this study was to determine whether an automated e-mail messaging system that sent individually timed educational messages (ITEMs) increased the effectiveness of an Internet smoking cessation intervention.Design: Using two consecutive series of participants, the authors compared two Web-based self-help style smoking cessation interventions: a single-point-in-time educational intervention and an enhanced intervention that also sent ITEMs timed to participants' quit efforts. Outcomes were compared in 199 participants receiving the one-time intervention and 286 receiving ITEMs.Measurements: Demographic factors, number of cigarettes smoked, nicotine addiction, depressive symptoms, and confidence in ability to quit were measured at entry. Twenty-four-hour quit attempts and seven-day point-prevalence of abstinence (nonrespondents assumed to smoke) were measured 30 days after each subject's self-selected quit date.Results: The one-time and ITEMs groups differed in some demographics and some relapse risk factors but not in factors associated with 30-day quit rates. ITEMs appeared to increase the rate at which individuals set quit dates (97% vs. 91%, p = 0.005) and, among the respondents to follow-up questionnaires (n = 145), the rate of reported 24-hour quit efforts (83% vs. 54%, p = 0.001). The 30-day intent-to-treat quit rates were higher in the ITEMs group: 7.5% vs. 13.6%, p = 0.035. In multivariate analyses controlling for differences between groups, receiving ITEMs was associated with an increase in the odds ratio for quitting of 2.6 (95% confidence interval = 1.3-5.3).Conclusion: ITEMs sent on strategic days in smokers' quit efforts enhanced early success with smoking cessation relative to a single-point-in-time Web intervention. The effect appears to be mediated by ITEMs' causing smokers to plan and undertake quit efforts more frequently.