手机和基于网络的戒烟治疗:11000名烟草使用者的真实世界使用模式和结果%A Zbikowski,Susan M %A Hapgood,Jenny %A Smucker Barnwell,Sara %A McAfee,Tim %+ Free & Clear, Inc .， 999 Third Avenue, Suite 2100, Seattle, WA 98104, USA， +1 206 876 2100, susan.zbikowski@freeclear.com %K戒烟%K互联网%K电话%K吸烟%D 2008 %7 14.11.2008 %9原文%J J Med Internet Res %G英语%X背景:基于手机的戒烟计划已被证明是有效的，并被广泛采用。存在基于web的解决方案;然而，证据基础尚未很好地建立起来。许多戒烟治疗方法都是市售的，但很少有将电话和网络结合起来提供的，也没有发表过关于综合方案的研究。目的:本文描述了一个全面的综合电话/网络戒烟计划，以及从现实世界评估中参加该计划的吸烟者的特征、经验和结果。方法:在2006年5月至2007年10月期间，我们跟踪了11143名参加“免费戒烟终身计划”的参与者的计划使用情况(电话完成情况、网络登录情况)、戒烟状态、满意度和人口统计数据。所有参与者都接受了多达五次与戒烟教练的主动电话咨询会议，无限制地访问一个互动网站，多达20封量身定制的电子邮件，打印的戒烟指南和戒烟药物信息。该计划旨在鼓励使用所有计划组件，而不是要求参与者在戒烟时选择他们想要使用的组件。 Results: We found that participants tended to use phone services more than Web services. On average, participants completed 2-2.5 counseling calls and logged in to the online program 1-2 times. Women were more adherent to the overall program; women utilized Web and phone services significantly (P = .003) more than men. Older smokers (> 26 years) and moderate smokers (15-20 cigarettes/day) utilized services more (P < .001) than younger (< 26 years) and light or heavy smokers. Satisfaction with services was high (92% to 95%) and varied somewhat with Web utilization. Thirty-day quit rates at the 6-month follow-up were 41% using responder analysis and 21% using intent-to-treat analysis. Web utilization was significantly associated with increased call completion and tobacco abstinence rates at the 6-month follow-up evaluation. Conclusions: This paper expands our understanding of a real-world treatment program combining two mediums, phone and Web. Greater adherence to the program, as defined by using both the phone and Web components, is associated with higher quit rates. This study has implications for reaching and treating tobacco users with an integrated phone/Web program and offers evidence regarding the effectiveness of integrated cessation programs. %M 19017583 %R 10.2196/jmir.999 %U //www.mybigtv.com/2008/5/e41/ %U https://doi.org/10.2196/jmir.999 %U http://www.ncbi.nlm.nih.gov/pubmed/19017583