TY -的盟Elfeddali伊玛尼盟——Bolman凯瑟琳盟——Candel数学J.J.M AU -威尔斯,来自W非盟-德弗里斯恩PY - 2012 DA - 2012/08/20 TI -防止吸烟复发通过基于web的Computer-Tailored反馈:随机对照试验乔- J地中海互联网Res SP - e109六世- 14 - 4 KW -复发预防吸烟KW -电脑裁剪KW -多个剪裁KW -规划策略AB -背景:基于网络的计算机定制方法有可能成功地支持戒烟。然而，这些方法对预防复发的潜在影响以及纳入行动规划策略以有效预防吸烟复发的价值尚未得到充分探讨。“为你戒烟”(SQ4U)研究比较了两个基于网络的计算机定制的吸烟复发预防项目，它们采用不同类型的计划策略，与对照组进行了比较。目的:评估两个基于网络的计算机定制程序在预防吸烟复发方面的效果，并与对照组进行比较。行动计划(AP)项目在基线提供量身定制的反馈，并邀请受访者做6个准备和应对计划任务(前3个任务在戒烟日期之前，最后3个任务在戒烟日期之后)。行动计划+ (AP+)程序是AP程序的扩展版本，它还在尝试戒烟后的11个时间点提供量身定制的反馈。对照组的受访者只填写了调查问卷。该研究还评估了禁欲和坚持项目之间可能的剂量反应关系。方法:本研究为随机对照试验，分为对照组、AP方案、AP+方案三个条件。 Respondents were daily smokers (N = 2031), aged 18 to 65 years, who were motivated and willing to quit smoking within 1 month. The primary outcome was self-reported continued abstinence 12 months after baseline. Logistic regression analyses were conducted using three samples: (1) all respondents as randomly assigned, (2) a modified sample that excluded respondents who did not make a quit attempt in conformance with the program protocol, and (3) a minimum dose sample that also excluded respondents who did not adhere to at least one of the intervention elements. Observed case analyses and conservative analyses were conducted. Results: In the observed case analysis of the randomized sample, abstinence rates were 22% (45/202) in the control group versus 33% (63/190) in the AP program and 31% (53/174) in the AP+ program. The AP program (odds ratio 1.95, P = .005) and the AP+ program (odds ratio 1.61, P = .049) were significantly more effective than the control condition. Abstinence rates and effects differed per sample. Finally, the results suggest a dose–response relationship between abstinence and the number of program elements completed by the respondents. Conclusion: Despite the differences in results caused by the variation in our analysis approaches, we can conclude that Web-based computer-tailored programs combined with planning strategy assignments and feedback after the quit attempt can be effective in preventing relapse 12 months after baseline. However, adherence to the intervention seems critical for effectiveness. Finally, our results also suggest that more research is needed to assess the optimum intervention dose. Trial Registration: Dutch Trial Register: NTR1892; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1892 (Archived by WebCite at http://www.webcitation.org/693S6uuPM) SN - 1438-8871 UR - //www.mybigtv.com/2012/4/e109/ UR - https://doi.org/10.2196/jmir.2057 UR - http://www.ncbi.nlm.nih.gov/pubmed/22903145 DO - 10.2196/jmir.2057 ID - info:doi/10.2196/jmir.2057 ER -