期刊文章%@ 1438-8871 %I Gunther Eysenbach %V 10 %N 5 %P e40 %T比较两种基于web的戒烟程序:随机对照试验%A McKay,H Garth %A Danaher,Brian G %A Seeley,John R %A Lichtenstein,Edward %A Gau,Jeff M %+俄勒冈研究所，1715富兰克林大道，尤金，OR 97403，俄勒冈研究所，1715富兰克林大道，尤金，OR 97403， +1 541 484 2123，briand@ori.org %K烟草%K戒烟%K网络辅助烟草干预%K网络干预%K坚持%K参与%K体育活动%D 2008 %7 18.11.2008 %9原始论文%J J医学互联网Res %G英语%X背景:戒烟仍然是一个重要的公共卫生问题。利用互联网的创新干预措施已经开始出现，在接触大量参与者和鼓励广泛的行为改变方面提供了巨大的希望。迄今为止，基于网络的戒烟项目的对照试验相对较少，但随访间隔很短。目的:我们描述了一项随机对照试验的6个月随访结果，在该试验中，在线招募的参与者被随机分配到一个基于web的戒烟计划(戒烟网络;QSN)或基于网络的锻炼增强计划(积极生活)，在某种程度上鼓励戒烟。方法:该研究是一项双臂随机对照试验，比较了两种基于网络的戒烟方案:(1)QSN干预条件提供认知行为策略，(2)积极生活控制条件为参与者提供指导，以制定帮助他们戒烟的身体活动方案。QSN条件提供戒烟信息和行为改变策略，而积极生活条件为参与者提供体育活动建议和目标设置。QSN条件被设计得更吸引人(例如，它包括多媒体组件)，并呈现比通常在戒烟程序中发现的更多的内容。 Results: Contrary to our hypotheses, no between-condition differences in smoking abstinence were found at 3- and 6-month follow-up assessments. While participants in the QSN intervention condition spent more time than controls visiting the online program, the median number of 1.0 visit in each condition and the substantial attrition (60.8% at the 6-month follow-up) indicate that participants were not as engaged as we had expected. Conclusions: Contrary to our hypothesis, our test of two Web-based smoking cessation conditions, an intervention and an attention placebo control, failed to show differences at 3- and 6-month assessments. We explored possible reasons for this finding, including limited engagement of participants and simplifying program content and architecture. Future research needs to address methods to improve participant engagement in online smoking cessation programs. Possible approaches in this regard can include new informed consent procedures that better explain the roles and responsibilities of being a research participant, new program designs that add more vitality (changing content from visit to visit), and new types of reminders pushed out to participants to encourage return visits. Simplifying program content through a combination of enhanced tailoring and information architecture also merits further research attention. %M 19017582 %R 10.2196/jmir.993 %U //www.mybigtv.com/2008/5/e40/ %U https://doi.org/10.2196/jmir.993 %U http://www.ncbi.nlm.nih.gov/pubmed/19017582