The development and evaluation of an internet-based smoking cessation intervention (ISCI)

需要为吸烟者提供有效的戒烟支持，特别是那些处于经济或其他不利地位，无法获得面对面会议或电话支持的吸烟者（95%的吸烟者）。还需要开发一种改进的行为改变技术。互联网可以同时满足这两种需求。该建议是制定一个基于互联网的交互式戒烟计划，并与提供非定制戒烟建议的简单系统进行比较，评估其有效性、吸引力和可用性。该建议包括两个阶段。第一阶段包括利用现有的最佳证据和与吸烟者进行密集磋商的过程，以设计和测试适用于全英国的量身定制的干预措施。第二阶段是一项随机对照试验，将这种干预与一个简单的非交互式网站进行比较。这项研究将评估香烟的有效性和吸烟者，特别是那些来自弱势背景的吸烟者，对香烟的吸引力和使用方便性的感觉。如果有效，这一干预措施可成为国民保健服务生命检查和国民保健服务健康培训师方案的一部分。这类研究的主要特点是：1)利用健康培训师招募弱势吸烟者；2)自我报告禁欲的生化验证；3)使用LifeGuide实现高成本效益的网站开发，并最终帮助建立一种改变行为的技术

There is a need for effective smoking cessation support that can reach smokers, especially those with economic or other disadvantage, and who do not access face-to-face sessions or telephone support (95% of smokers). There is also a need to develop an improving technology of behaviour change. The internet could meet both those needs. The proposal is to develop an interactive internet-based smoking cessation programme and evaluate its effectiveness, attractiveness and usability in comparison with a simple system that delivers untailored smoking cessation advice. The proposal consists of two phases. The first phase involves using best available evidence and an intensive process of consultation with smokers to design and test a tailored intervention that would be applicable across the UK. The second phase involves a randomised controlled trial comparing this intervention with a simple non-interactive website. The study will assess both effectiveness and the extent to which smokers, especially those from disadvantaged backgrounds, find it attractive and easy to use. If effective, this intervention could form part of the NHS LifeCheck and NHS Health Trainers Programmes. Key novel features for a study of this kind: 1) Use of Health Trainers to recruit disadvantaged smokers; 2) Biochemical verification of self-reported abstinence; 3) Use of LifeGuide to enable highly cost-effective website development and ultimtely help build a technology of behaviour change