杂志文章@ 14388871 %I JMIR出版公司使用和有效性的一卡塔尔世界杯8强波胆分析个全自动，开放获取，基于西班牙语的戒烟计划:随机对照试验%A Mañanes,Guillermo %A Vallejo,Miguel %+心理学系，临床心理，国家远程教育大学(UNED)， Juan del Rosal 10，马德里，28040，西班牙，34 913987936,mvallejo@psi.uned.es %K戒烟%K互联网%K干预研究%D 2014 %7 23.04.2014 %9原始论文%J J医学互联网Res %G英文%X背景:互联网是提供大量烟草治疗的最佳设置。为了在现实环境中评估基于网络的开放戒烟计划，依从性和保留率数据应该与戒断率一样被考虑在内。目的:通过比较交互式和非交互式版本，分析全自动、开放获取、基于web的戒烟程序的使用和有效性。方法:参与者被随机分配到互动或非互动版本的程序，两者都有相同的内容，分为4个相互依赖的模块。在基线时，我们收集了在国立大学Educación a Distancia网络项目中自我注册的吸烟者的人口统计学、心理和吸烟特征。UNED)在西班牙马德里。进行了以下问卷调查:焦虑和抑郁分量表来自症状检查表-90-修订版，4项感知压力量表，以及吸烟严重指数。在3个月时，我们分析了退出率、模块完成率、用户满意度、随访回复率和自我评估的戒烟情况。结果:共登记了23,213名吸烟者，其中50.06%(11,620/23,213)为女性，49.94%(11,593/23,213)为男性，平均年龄39.5岁(SD 10.3)。 Of these, 46.10% (10,701/23,213) were married and 34.43% (7992/23,213) were single, 46.03% (10,686/23,213) had university education, and 78.73% (18,275/23,213) were employed. Participants smoked an average of 19.4 cigarettes per day (SD 10.3). Of the 11,861 smokers randomly assigned to the interactive version, 2720 (22.93%) completed the first module, 1052 (8.87%) the second, 624 (5.26%) the third, and 355 (2.99%) the fourth. Completion data was not available for the noninteractive version (no way to record it automatically). The 3-month follow-up questionnaire was completed by 1085 of 23,213 enrolled smokers (4.67%). Among them, 406 (37.42%) self-reported not smoking. No difference between groups was found. Assuming missing respondents continued to smoke, the abstinence rate was 1.74% (406/23,213), in which 22,678 were missing respondents. Among follow-up respondents, completing the 4 modules of the intervention increased the chances of smoking cessation (OR 1.95, 95% CI 1.27-2.97, P<.001), as did smoking 30 minutes (OR 1.58, 95% CI 1.04-2.39, P=.003) or 1 hour after waking (OR 1.93, 95% CI 1.27-2.93, P<.001) compared to smoking within the first 5 minutes after waking. Conclusions: The findings suggest that the UNED Web-based smoking cessation program was very accessible, but a high level of attrition was confirmed. This could be related to the ease of enrollment, its free character, and the absence of direct contact with professionals. It is concluded that, in practice, the greater the accessibility to the program, the lower the adherence and retention. Professional support from health services and the payment of a reimbursable fee could prevent high rates of attrition. %M 24760951 %R 10.2196/jmir.3091 %U //www.mybigtv.com/2014/4/e111/ %U https://doi.org/10.2196/jmir.3091 %U http://www.ncbi.nlm.nih.gov/pubmed/24760951