Smoking cessation treatment on the Internet: Content, quality, and usability
Smoking cessation treatment on the Internet: Content, quality, and usability
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DOI：
10.1080/14622200410001676332
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发表时间：
2004-04-01
影响因子：
4.7
通讯作者：
Abrams, DB
中科院分区：
文献类型：
--
作者：
Bock, BC;Graham, AL;Abrams, DB
互联网接入的爆炸性增长表明，互联网可能是一个可行的渠道，我们可以通过它接触和治疗不太可能使用其他干预方式的大量吸烟者。我们应用美国公共卫生署的国家指南来评估互联网上提供的戒烟干预措施的质量。公共卫生服务指南被编入两个工具，以记录和评价干预内容的质量。美国国家癌症研究所制定的可用性指南被用来开发一种工具，以评估网站的可用性。在搜索中确定的202个网站中，77%没有通过互联网提供直接干预，因此被排除在分析之外。共有46个网站被纳入我们的审查。可用性评估结果喜忧参半。网站在视觉上组织得很好，并使用一致的图形设计;然而，阅读难度平均高于8年级水平。超过80%的网站没有提供指南中建议的一个或多个烟草治疗的关键组成部分。具有讽刺意味的是，覆盖率最低的领域恰恰是最适合互联网互动能力的领域，例如提供量身定制的个性化戒烟建议和安排后续联系。在互联网上寻求高质量烟草依赖治疗的吸烟者可能难以区分众多的网站。提供直接治疗的网站往往不能充分执行治疗指南，也没有充分利用互联网的互动和定制能力。
The explosive growth in access to the Internet suggests that the Internet may be a viable channel through which we can reach and treat the large population of smokers who are unlikely to use other modes of intervention. We applied national guidelines from the U.S. Public Health Service to assess the quality of interventions for smoking cessation that are available on the Internet. The Public Health Service guidelines were codified into two instruments to record and to rate quality of the intervention contents. Usability guidelines established by the National Cancer Institute were used to develop an instrument to assess Web site usability. Of the 202 Web sites identified in searches, 77% did not provide direct intervention over the Internet and were excluded from analyses. A total of 46 Web sites were included in our review. Usability assessments showed mixed results. Web sites were visually well organized and used consistent graphical design; however, reading difficulty averaged above the 8th-grade level. Over 80% of Web sites provided no coverage of one or more of the key components of tobacco treatment recommended in the guidelines. Ironically, areas receiving the least coverage were those most amenable to the interactive capabilities of the Internet, such as providing tailored, personalized advice to quit and arranging follow-up contact. Smokers seeking quality tobacco dependence treatment on the Internet may have difficulty distinguishing among the numerous Web sites available. Web sites that provide direct treatment often fail to fully implement treatment guidelines and do not take full advantage of the interactive and tailoring capabilities of the Internet.