Efficacy of the Ascure Smoking Cessation Program: Retrospective Study
Efficacy of the Ascure Smoking Cessation Program: Retrospective Study
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DOI：
10.2196/17270
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发表时间：
2020-05-14
影响因子：
5
通讯作者：
Nomura, Akihiro
中科院分区：
文献类型：
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作者：
Kato, Ayaka;Tanigawa, Tomoyuki;Nomura, Akihiro
背景：戒烟有助于延长健康寿命并减少医疗费用。然而，日本标准的12周戒烟计划有几个值得注意的问题。首先，只有30%的参与者完成了这一计划。第二，参与者可以选择不参与，除非他们有强烈的戒烟动机，例如健康问题。第三，该计划不提供足够的支持，在临床访问之间的期间和12 weeks.Objective：本研究探讨了24周ascure计划的有效性，以解决问题的可及性和持续的支持。该计划结合了在线指导，非处方药物治疗和智能手机应用程序。方法：采用回顾性研究设计，我们调查了2017年8月至2018年8月期间参加ascure戒烟计划的177名成年吸烟者的数据。主要结局是第9-12周和第21-24周期间的持续戒烟率（汽车）。为了确认吸烟状态，我们在第12周和第24周进行了唾液可替宁测试。我们还评估了计划的遵守率。最后，我们进行了探索性分析，以确定在21-24周连续禁欲的相关因素，以提供协助长期连续abstinence.Results的见解：所有参与者的汽车为第9-12周和第21-24周分别为48.6%（95%CI 41.2-56.0）和47.5%（95%CI 40.0-54.8），分别。在整个过程中，计划依从率相对较高（第12周为72%，第24周为60%）。在21-24周的CAR相关因素分析中，应用程序的数字日记中的条目数量和前12周观看的教育视频数量是显着因素。结论：ascure程序实现了有利的汽车，参与者表现出很高的依从性。积极使用智能手机应用程序可能有助于长期戒烟成功。
Background: Smoking cessation helps extend a healthy life span and reduces medical expenses. However, the standard 12-week smoking cessation program in Japan has several notable problems. First, only 30% of participants complete this program. Second, participants may choose not to participate unless they have a strong motivation to quit smoking, such as health problems. Third, the program does not provide enough support during the period between clinical visits and after 12 weeks.Objective: This study examined the efficacy of the 24-week ascure program to address the problems of accessibility and continuous support. The program combines online mentoring, over-the-counter pharmacotherapy, and a smartphone app.Methods: Using a retrospective study design, we investigated data for 177 adult smokers who were enrolled in the ascure smoking cessation program between August 2017 and August 2018. The primary outcomes were continuous abstinence rates (CARs) during weeks 9-12 and weeks 21-24. To confirm smoking status, we performed salivary cotinine testing at weeks 12 and 24. We also evaluated the program adherence rate. Finally, we performed exploratory analysis to determine the factors associated with continuous abstinence at weeks 21-24 to provide insights for assisting with long-term continuous abstinence.Results: The CARs of all participants for weeks 9-12 and weeks 21-24 were 48.6% (95% CI 41.2-56.0) and 47.5% (95% CI 40.0-54.8), respectively. Program adherence rates were relatively high throughout (72% at week 12 and 60% at week 24). In the analysis of the factors related to the CAR at weeks 21-24, the number of entries in the app's digital diary and number of educational videos watched during the first 12 weeks were significant factors.Conclusions: The ascure program achieved favorable CARs, and participants showed high adherence. Proactive usage of the smartphone app may help contribute to smoking cessation success in the long-term.