International Spanish/English Internet smoking cessation trial yields 20% abstinence rates at 1 year

International Spanish/English Internet smoking cessation trial yields 20% abstinence rates at 1 year
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DOI:
10.1093/ntr/ntp090
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发表时间:
2009-09-01
影响因子:
4.7
通讯作者:
Perez-Stable, Eliseo J.
Perez-Stable, Eliseo J.
中科院分区:
医学2区
文献类型:
--
作者:
Munoz, Ricardo F.;Barrera, Alinne Z.;Perez-Stable, Eliseo J.

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全世界有11亿烟民。传统的戒烟方法,如尼古丁替代疗法和戒烟组,在6个月内的戒烟率为14%至27%。基于证据的互联网干预与可比的戒烟率可能是一个强大的全球性工具,以减少烟草相关的发病率和mortals.We报告的随机对照试验中,500西班牙语和500英语为母语的成年互联网用户,吸烟至少5支/天,并打算在未来一个月内戒烟,从68个国家在线招募。完成基线测量、记录一周内3天吸烟情况并设定戒烟日期的同意参与者被随机分为四种情况。每个条件都增加了新的元素:条件1是“吉亚帕拉德哈尔德富马尔”,一个静态的国家癌症研究所循证戒烟指南;条件2包括条件1加上电子邮件提醒返回网站;条件3包括条件2加上情绪管理课程;条件4包括条件3加上一个“虚拟小组”(异步公告板)。主要的结果是在最初戒烟日期后的第1、3、6和12个月的7天点戒烟率,四种情况之间没有显著差异。当缺失数据的人被假定为吸烟者时,西班牙语使用者12个月7天的总体戒烟率为20.2%,英语使用者为21.0%。在全球范围内以其他语言提供的具有此类戒烟率的互联网戒烟干预措施可能会大大有助于烟草控制工作。
There are 1.1 billion smokers worldwide. Traditional smoking cessation methods, such as nicotine replacement therapy and smoking cessation groups, yield between 14% and 27% abstinence rates at 6 months. Evidence-based Internet interventions with comparable abstinence rates could be a powerful global tool to reduce tobacco-related morbidity and mortality.We report a randomized control trial in which 500 Spanish-speaking and 500 English-speaking adult Internet users, smoking at least 5 cigarettes/day and intending to quit in the next month, were recruited online from 68 countries. Consenting participants who completed baseline measures, logged cigarettes smoked on 3 days within a week, and set a quit date were randomized to four conditions. Each condition added new elements: Condition 1 was the "Guia Para Dejar de Fumar," a static National Cancer Institute evidence-based stop smoking guide; Condition 2 consisted of Condition 1 plus E-mail reminders to return to the site; Condition 3 consisted of Condition 2 plus mood management lessons; and Condition 4 consisted of Condition 3 plus a "virtual group" (an asynchronous bulletin board). Main outcome measures were 7-day point prevalence abstinence at 1, 3, 6, and 12 months after initial quit date.There were no significant differences among the four conditions. The overall 12-month 7-day abstinence rates were 20.2% for Spanish speakers and 21.0% for English speakers when those with missing data were assumed to be smoking.Internet smoking cessation interventions with such abstinence rates provided globally in additional languages could contribute substantially to tobacco control efforts.