, TY -非盟的奥腾朵夫说:玛丽亚盟——霍文Ciska AU - Van Weert,茱莉亚厘米盟,Smit Eline苏珊娜PY - 2020 DA - 2020/4/3 TI -消息Frame-Tailoring基于web的戒烟计划的有效性:随机对照试验乔- J地中海互联网Res SP - e17251六世- 22 - 4 KW -在线电脑裁剪KW -戒烟KW -消息框架裁剪KW -内容剪裁KW -需要自治KW -随机对照试验AB -背景:在线计算机定制干预的内容通常是根据个人的特征、信念和行为因素来确定的。这些针对内容的干预措施可以更好地处理信息，并更有可能改变行为，如戒烟。然而，一项针对在线计算机定制干预措施的元分析显示，尽管效果是积极的，但仍然很小，这表明还有改进的空间。提高在线计算机定制干预效果的一个有前途的策略是，除了内容定制外，还根据用户的首选沟通风格定制消息框架(即消息是如何传播的)。决定个人沟通风格偏好的一个因素是自主性的需要;有些人更喜欢自主支持的沟通方式(提供选择和使用暗示性语言)，而另一些人可能更喜欢指导性的沟通方式，这种方式充满了命令，不提供选择。定制消息的呈现方式(例如，基于自治的需要)称为消息框架定制。目的:本研究的目的是测试基于自主性需求的信息框架剪裁的有效性，在在线计算机定制戒烟干预的背景下，孤立地和与内容剪裁相结合。主要结果测量是7天点戒烟流行率。 Secondary outcomes were perceived message relevance, self-determined motivation to quit smoking, and sociocognitive beliefs. Methods: A randomized controlled trial with a 2 (message frame-tailoring vs no message frame-tailoring) by 2 (content-tailoring vs no content-tailoring) design was conducted among adult smokers intending to quit smoking (N=273). Results: Structural equation modeling revealed that the content-tailored condition increased smoking abstinence rates 1 month after the start of the intervention (beta=.57, P=.02). However, neither message frame-tailoring nor its interaction with content-tailoring significantly predicted smoking abstinence. In our model, message frame-tailoring, content-tailoring, as well as their interaction significantly predicted perceived relevance of the smoking cessation messages, which consequently predicted self-determined motivation. In turn, self-determined motivation positively affected attitudes and self-efficacy for smoking cessation, but only self-efficacy consequently predicted smoking abstinence. Participants in the control condition perceived the highest level of message relevance (mean 4.78, SD 1.27). However, messages that were frame-tailored for individuals with a high need for autonomy in combination with content-tailored messages led to significantly higher levels of perceived message relevance (mean 4.83, SD 1.03) compared to those receiving content-tailored messages only (mean 4.24, SD 1.05, P=.003). Conclusions: Message frame-tailoring based on the need for autonomy seems to be an effective addition to conventional content-tailoring techniques in online smoking cessation interventions for people with a high need for autonomy; however, this is not effective in its current form for people with a low need for autonomy. Trial Registration: Dutch Trial Register (NL6512/NRT-6700); https://www.trialregister.nl/trial/6512 SN - 1438-8871 UR - //www.mybigtv.com/2020/4/e17251 UR - https://doi.org/10.2196/17251 UR - http://www.ncbi.nlm.nih.gov/pubmed/32242826 DO - 10.2196/17251 ID - info:doi/10.2196/17251 ER -