Interactive Internet Interventions for smoking

交互式互联网吸烟干预措施

• 批准号: 6620931
• 负责人: JOHN W NOELL
• 金额: $ 64.43万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-10 至 2005-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6620931
• 关键词: Internet; cognitive behavior therapy; combination therapy; computer human interaction; computer program /software; computer system design /evaluation; coping; human subject; human therapy evaluation; nicotine replacement; patient oriented research; smoking; smoking cessation; social support network; tobacco abuse

DESCRIPTION (provided by investigator): There is an important need for validated, low-cost smoking cessation interventions that can reach large populations of smokers. Internet-based cessation programs can reach an increasingly large number of smokers. Approximately one third of all persons are Internet users; an estimated 8 million of them are cigarette smokers. Internet-based smoking cessation programs can be interactive, personalize information based on participant characteristics and interests, provide a high degree of choice and flexibility, and provide social support from both peers and professionals. While initial start-up costs can be high, interactive Internet interventions cost little to maintain, and provide 24-hour/7-day access to smoking cessation assistance. We will develop a comprehensive Internet smoking cessation program with three major components: (a) support for the use of efficacious pharmacological therapies (e.g., nicotine replacement therapy and Zyban), (b) a cognitive-behavioral skills development, and (c) social support (primarily via on-line forums and chat rooms), and evaluate it in a randomized control trial designed to assess the impact of the program. The control condition will be an exercise and nutrition program of proven efficacy (PACE+) designed for Internet use. This program serves as a credible attention-placebo control. Approximately 2000 persons will be enrolled from large worksites that provide intranet links (and high-bandwidth connections) to our website. All assessment will be accomplished via the Internet and much of the process data--use of various intervention elements and transcripts of discussion groups--is recorded and stored automatically. Seven-day point prevalence cessation at three- and six-month follow-ups will serve as the primary outcomes, augmented by other prevalence and sustained quit outcomes. A variety of subject characteristics and process measures will be examined as predictors or mediators. After outcomes are assessed at six months, participants will be given access to the contrasting condition and encouraged to enroll. Secondary analyses will examine the effectiveness of the PACE+ program. The proposed design will provide important practical information about effectiveness of a low-cost Internet intervention to assist smokers in stopping smoking.

描述（由研究者提供）： 非常需要 经验证的、低成本的戒烟干预措施可以惠及大量人群 吸烟者群体。基于互联网的戒烟计划可以达到 吸烟者数量越来越多。大约三分之一的人 是互联网用户；据估计，其中有 800 万人是吸烟者。 基于互联网的戒烟计划可以是互动的、个性化的 基于参与者特征和兴趣的信息，提供高 选择程度和灵活性，并提供来自同伴的社会支持 和专业人士。虽然初始启动成本可能很高，但互动 互联网干预的维护成本很低，并且提供 7 天 24 小时服务 获得戒烟援助。 我们将与三个机构一起制定全面的互联网戒烟计划 主要组成部分： (a) 支持使用有效的药物疗法（例如， 尼古丁替代疗法和 Zyban），(b) 认知行为技能 发展，以及（c）社会支持（主要通过在线论坛和聊天 房间），并在随机对照试验中对其进行评估，旨在评估 该计划的影响。控制条件是运动和营养 专为互联网使用而设计的经过验证的功效计划 (PACE+)。这个节目 作为可靠的注意力安慰剂对照。 大约 2000 人将从大型工作场所招募，提供 到我们网站的内联网链接（和高带宽连接）。全部评估 将通过互联网和大部分过程数据来完成——使用 记录各种干预内容和讨论小组的文字记录 并自动存储。 7 天点流行率在 3 和 3 时停止 六个月的随访将作为主要结果，并辅之以其他结果 流行率和持续戒烟结果。多种学科特点 过程测量将作为预测因素或中介因素进行检查。后 结果在六个月后进行评估，参与者将有权访问 对比条件并鼓励注册。二次分析将检查 PACE+ 计划的有效性。拟议的设计将提供 有关低成本互联网有效性的重要实用信息 帮助吸烟者戒烟的干预措施。