杂志文章@ 1438- 8871% I JMIR Publicatio卡塔尔世界杯8强波胆分析ns Inc. V 17% N 12% P e291% T烟草状况项目的可行性和戒烟率:Facebook对年轻人的戒烟干预%A Ramo,Danielle E %A Thrul,Johannes %A Chavez,Kathryn %A Delucchi,Kevin L %A Prochaska,Judith J %+加州大学旧金山分校精神病学系，401 Parnassus Avenue, Box TRC 0984，旧金山，CA, 94143，美国，1 4154767695,danielle.ramo@ucsf.edu %K戒烟%K Facebook %K社交媒体%K年轻人%D 2015 %7 31.12.2015 %9原创论文%J J医学互联网Res %G英文%X背景:年轻成年吸烟者是参与戒烟干预的一个具有挑战性的群体。Facebook在用户中广泛覆盖和参与，为年轻人在社会支持社区中戒烟和保持禁欲提供了机会。目的:我们开发并测试了烟草状况项目的初始疗效、参与度和可接受性，这是一项在Facebook上为年轻人提供的戒烟干预措施。方法:干预是基于美国公共卫生服务临床实践指南和跨理论模型，并将参与者纳入研究运行3个月的秘密Facebook小组，他们的戒烟准备程度相匹配。研究人员通过Facebook招募了年龄在18-25岁、大部分时间使用Facebook的吸烟者(N=79)。所有参与者都接受了干预，并被随机分配到与参与度相关的三个金钱激励组之一(分组评论)。评估在基线、3个月、6个月和12个月随访时完成。分析检查了保留率、超过12个月的吸烟结果(7天点流行率禁欲、吸烟减少≥50%、戒烟尝试和使用的策略、戒烟准备)、参与和对干预的满意度。 Results: Retention was 82% (65/79) at 6 months and 72% (57/79) at 12 months. From baseline to 12-months follow-up, there was a significant increase in the proportion prepared to quit (10/79, 13%; 36/79, 46%, P<.001). Over a third (28/79, 35%) reduced their cigarette consumption by 50% or greater, and 66% (52/79) made at least one 24-hour quit attempt during the study. In an intent-to-treat analysis, 13% (10/79) self-reported 7-day abstinence (6/79, 8% verified biochemically) at 12-months follow-up. In their quit attempts, 11% (9/79) used a nicotine replacement therapy approved by the Food and Drug Administration, while 18% (14/79) used an electronic nicotine delivery system to quit (eg, electronic cigarette). A majority (48/79, 61%) commented on at least one Facebook post, with more commenting among those with biochemically verified abstinence at 3 months (P=.036) and those randomized to receive a personal monetary incentive (P=.015). Over a third of participants (28/79, 35%) reported reading most or all of the Facebook posts. Highest acceptability ratings of the intervention were for post ease (57/79, 72%) and thinking about what they read (52/79, 66%); 71% (56/79) recommended the program to others. Only 5 participants attended the optional cognitive-behavioral counseling sessions, though their attendance was high (6/7 sessions overall) and the sessions were rated as easy to understand, useful, and helpful (all 90-100% agreed). Conclusions: A Facebook quit smoking intervention is attractive and feasible to deliver, and early efficacy data are encouraging. However, the 1.5-fold greater use of electronic cigarettes over nicotine replacement products for quitting is concerning. %M 26721211 %R 10.2196/jmir.5209 %U //www.mybigtv.com/2015/12/e291/ %U https://doi.org/10.2196/jmir.5209 %U http://www.ncbi.nlm.nih.gov/pubmed/26721211