Using the Web and IVR to Manage Smoking Relapse in Primary Care

描述（由申请人提供）：摘要：初级保健提供者提供戒烟援助，他们的烟草使用患者，但很多时候未能提供适当的后续服务。本项目的目的是开发和测试交互式语音应答药物提醒系统（IVR）的可行性，以管理戒烟和复吸的烟草使用者试图戒烟的初级保健设置。IVR系统将由2个组件组成：（1）IVR电话系统，在患者尝试戒烟期间主动致电患者，以监测进展并提供预防复发信息;以及（2）基于Web的界面，供卫生专业人员设置适当的复发管理系统（例如，管理程序的频率和持续时间），并获得有关患者进展或困难的反馈。我们项目第一阶段的具体目标包括：1。开发一个交互式语音识别电话干预原型软件程序，目标是在初级医疗保健环境中试图戒烟的烟草使用者。2.）开发一个基于网络的界面，供卫生专业人员使用，以建立后续评估类型、药物依从性/副作用监测和量身定制的复发预防信息。3.）第三章执行迭代程序测试和原型程序的调试。4.）在一小组医生中评估原型的可行性。5.）在小型可行性试验中评估原型的可行性。6.）为项目的第二阶段版本制定一套拟议的修改。该系统的进一步开发将在第二阶段进行，我们希望在第二阶段增加进一步的评估和定制信息。烟草使用仍然是美国可预防死亡的主要原因。需要更多的研究和产品来确定那些希望戒烟的烟草使用者并为他们提供帮助。本申请中描述的交互式语音识别软件和web工具可以支持这种努力。

DESCRIPTION (provided by applicant): Abstract: Primary care providers provide cessation assistance to their tobacco-using patients, but many times fail to provide appropriate follow-up services. The purpose of this project is to develop and test the feasibility of an interactive voice response medication reminder system (IVR) to manage quitting and relapse in tobacco users attempting to quit in primary care settings. The IVR system will consist of 2 components: (1) an IVR telephone system that makes proactive calls to patients throughout their cessation attempt to monitor progress and provide relapse prevention messages; and (2) a web-based interface for health professionals to set up the appropriate relapse management system (e.g., frequency and duration of management program) and obtain feedback on patient progress or difficulties. Specific aims for Phase I of our project include: 1.) Develop an interactive voice- recognition telephone interventions prototype software program targeting tobacco users trying to quit in primary medical care settings. 2.) Develop a web-based interface to be used by health professionals to set up the type of follow-up assessment, medication adherence/side effect monitoring, and tailored relapse prevention messages. 3.) Perform iterative program testing and debugging of the prototype program. 4.) Assess the feasibility of the prototype in a small group of physicians. 5.) Assess the feasibility of the prototype in a small feasibility trial. 6.) Develop a set of proposed modifications for a Phase II version of the program. Further development of the system will occur in Phase II, where we hope to add further assessment and tailoring messages. Narrative: Tobacco use continues to be the leading cause of preventable death in the United States. More research and products are needed to identify and provide assistance to those tobacco users who wish to quit. The interactive voice recognition software and web tool described in this application can support such efforts.