期刊文章%@ 1438-8871 I JMIR出版物%V 24 %N 卡塔尔世界杯8强波胆分析9 %P临床决策支持系统对解决戒烟治疗期间的身体活动和健康饮食的影响:混合I型随机对照试验%A Minian,Nadia %A Lingam,Mathangee %A Moineddin,Rahim %A Thorpe,Kevin E %A Veldhuizen,Scott %A Dragonetti,Rosa %A Zawertailo,Laurie %A Taylor,Valerie H %A Hahn,Margaret %A deRuiter,Wayne K %A Melamed,Osnat C %A Selby,Peter %+尼古丁依赖服务中心，多伦多皇后街西1025号，加拿大安大略省，M6J 1H1, 1 416 535 8501 ext 36859，peter.selby@camh.ca %K戒烟%K身体活动%K健康饮食%K临床决策支持系统%K加拿大%K饮食%K干预%K吸烟%K初级保健%K方案%K治疗%K临床决策支持%K健康行为%D 2022 %7 30.9.2022 %9原始论文%J J医学互联网Res %G英语%X背景:吸烟的人有其他慢性疾病的风险因素，如身体活动水平低和饮食不良。临床决策支持系统(cdss)可以帮助卫生保健从业人员将饮食和体育活动干预纳入戒烟计划，但可能会恶化戒烟率。目的:本研究的目的是评估体育活动和饮食添加CDSS对戒烟结果的影响，并评估研究的实施。方法:从2019年11月至2021年5月，我们在加拿大安大略省的232个以团队为基础的初级保健实践中开展了一项务实的混合I型有效性实施试验。我们采用了一项两臂随机对照试验，比较了CDSS处理身体活动和饮食与正常治疗之间的关系，并使用了达到、有效性、采用、实施和维持框架来衡量实施结果。主要结果是6个月时自我报告7天戒烟。结果:我们在研究中招募了5331名参与者。其中2732例(51.2%)随机分到干预组，2599例(48.8%)随机分到对照组。 At the 6-month follow-up, 29.7% (634/2137) of respondents in the intervention arm and 27.3% (552/2020) in the control arm reported abstinence from tobacco. After multiple imputation, the absolute group difference was 2.1% (95% CI −0.5 to 4.6; F1,1000.42=2.43; P=.12). Mean exercise minutes changed from 32 (SD 44.7) to 110 (SD 196.1) in the intervention arm and from 32 (SD 45.1) to 113 (SD 195.1) in the control arm (group effect: B=−3.7 minutes; 95% CI −17.8 to 10.4; P=.61). Servings of fruit and vegetables changed from 2.64 servings to 2.42 servings in the intervention group and from 2.52 servings to 2.45 servings in the control group (incidence rate ratio for intervention group=0.98; 95% CI 0.93-1.02; P=.35). Conclusions: A CDSS for physical activity and diet may be added to a smoking cessation program without affecting the outcomes. Further research is needed to improve the impact of integrated health promotion interventions in primary care smoking cessation programs. Trial Registration: ClinicalTrials.gov NCT04223336 https://www.clinicaltrials.gov/ct2/show/NCT04223336 International Registered Report Identifier (IRRID): RR2-10.2196/19157 %M 36178716 %R 10.2196/37900 %U //www.mybigtv.com/2022/9/e37900 %U https://doi.org/10.2196/37900 %U http://www.ncbi.nlm.nih.gov/pubmed/36178716