Randomized trials on consider this, a tailored, Internet-delivered smoking prevention program for adolescents
Randomized trials on consider this, a tailored, Internet-delivered smoking prevention program for adolescents
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DOI：
10.1177/1090198106288982
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发表时间：
2008-04-01
影响因子：
4.2
通讯作者：
Saba, Laura
中科院分区：
文献类型：
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作者：
Buller, David B.;Borland, Ron;Saba, Laura
互联网可能是向儿童提供预防吸烟的有效媒介。假设“考虑这个”是一个基于互联网的计划，可以减少对吸烟和吸烟流行率的期望。在澳大利亚 (n = 2,077) 和美国 (n = 1,234) 6 至 9 年级的学校中进行了分组随机前测-后测对照试验。澳大利亚儿童报告称，使用“Consider This”的 30 天吸烟率有所降低。这种减少是由主观规范的减少所介导的。许多班级的项目暴露量较低，但项目的使用显示出与吸烟率降低的剂量反应关系。美国儿童仅表示对未来吸烟的期望较低。干预预防吸烟是一项挑战，这些数据表明基于互联网的计划带来的好处很小，除非通过改进实施来增加这些好处，否则不太可能具有实际意义。对于健康教育工作者和研究人员来说，实施仍然是通过互联网提供干预措施的主要挑战。
The Internet may be an effective medium for delivering smoking prevention to children. Consider This, an Internet-based program, was hypothesized to reduce expectations concerning smoking and smoking prevalence. Group-randomized pretest-posttest controlled trials were conducted in Australia (n = 2,077) and the United States (n = 1,234) in schools containing Grades 6 through 9. Australian children using Consider This reported reduced 30-day smoking prevalence. This reduction was mediated by decreased subjective norms. The amount of program exposure was low in many classes, but program use displayed a dose-response relationship with reduced smoking prevalence. American children only reported lower expectations for smoking in the future. Intervening to prevent smoking is a challenge, and this data suggest small benefits from an Internet-based program that are unlikely to be of practical significance unless increased by improved implementation. Implementation remains the major challenge to delivering interventions via the Internet, both for health educators and researchers.