Older adults who smoke: Do they engage with and benefit from web-based smoking cessation interventions?
Older adults who smoke: Do they engage with and benefit from web-based smoking cessation interventions?
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DOI：
10.1016/j.ypmed.2022.107118
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发表时间：
2022-08-01
影响因子：
5.1
通讯作者：
Bricker, Jonathan B.
中科院分区：
文献类型：
--
作者：
Kwon, Diana M.;Santiago-Torres, Margarita;Bricker, Jonathan B.
在任何年龄戒烟都能延长预期寿命，但老年人在接受戒烟服务方面面临障碍。尽管基于网络的戒烟干预措施有望帮助解决获取障碍，但参与戒烟计划的老年人是否以与年轻人相同的速度参与并受益于这些工具仍然未知。在这项二次分析中，我们比较了2014年3月至2015年8月期间参加WebQuit试验的美国老年人、中年人和年轻人对两种基于网络的戒烟干预措施的参与度和满意度以及戒烟率。参与者被分为年龄组：老年人（60岁及以上，n = 439/2637），中年人（40-59岁，n = 1308/2637）和年轻人（18-39岁，n = 890/2637）。比较了两组的治疗参与度和满意度以及12个月的戒烟率（自我报告的30天PPA完整病例和吸烟缺失）。通过多个干预参与指标（即，会议次数，独特的使用天数和在网站上花费的时间），老年人每次会议在网站上花费的时间比同龄人多。对网站的满意度很高（81%），并且群体之间没有差异。老年人和中年人的戒烟率与年轻人相似（分别为24%，24%，27%，p = 0.905）。参与网络戒烟干预的老年人和中年人比年轻人更积极地参与干预，并且他们以相似的速度戒烟，从而证明数字干预在帮助老年人戒烟方面的可接受性和潜力。
Quitting smoking at any age increases life expectancy, but older adults face barriers to receiving cessation services. Despite the promise of web-based smoking cessation interventions to help address access barriers, whether older adults who participate in smoking cessation programs engage with and benefit from these tools at the same rate as younger adults remains unknown. In this secondary analysis, we compared engagement and satisfaction with two web-based smoking cessation interventions and quit rates between older, middle-aged, and young adults in the United States enrolled in the WebQuit trial between March 2014 and August 2015. Participants were divided into age groups: older (60 years and older, n = 439/2637), middle-aged (40-59 years, n = 1308/2637), and young adults (18-39 years, n = 890/2637). Treatment engagement and satisfaction, and 12-month quit rates (self-reported complete-case 30-day PPA and missing-as-smoking) were compared between groups. Older adults engaged more with the websites than young adults through multiple indicators of intervention engagement (i.e., number of sessions, unique days of use, and time spent on the site), and older adults spent more time on the site per session than their counterparts. Satisfaction with websites was high (81%) and non-differential between groups. Older and middle-aged adults quit smoking at a similar rate as younger adults (24%, 24%, 27%, respectively, p = 0.905). Older and middle-aged adults who participated in a web-delivered smoking cessation intervention engaged more with the intervention than their younger counterparts and they quit smoking at a similar rate, thereby demonstrating high acceptability and potential of digital interventions to help older adults quit smoking.