TY - JOUR AU - Sadasivam, Rajani Shankar AU - Kamberi, Ariana AU - delaam, Kathryn AU - Phillips, Barrett AU - Williams, Jessica H AU - Cutrona, Sarah L AU - Ray, Midge N AU - Gilbert, Gregg H AU - Houston, Thomas K PY - 2020 DA - 20/5/6 TI -吸烟者和烟草治疗专家之间的安全异步通信:JO - J Med Internet Res SP - e13289 VL - 22 IS - 5kw -远程咨询KW -戒烟KW -基于互联网的干预KW -戒烟AB -背景:在网络辅助的烟草干预中，我们为吸烟者提供了一个功能，可以与训练有素的烟草治疗专家(TTS)进行异步交流。以前的研究并没有试图分离非同步咨询对戒烟的影响。目的:本研究旨在对tts -吸烟者沟通进行半定量分析，并评价其与戒烟的关系。方法:在6个月的时间里，我们对训练有素的TTSs和吸烟者队列之间的安全异步通信数据进行了二次分析。吸烟者可以选择他们喜欢的TTS，并使用一个安全的基于网络的表单向他们发送信息。为了评估TTS是否使用循证实践，我们使用动机访谈自我评估清单和戒烟咨询(SCC)量表对信息进行编码。我们通过创建主题内容代码来评估吸烟者发起的信息内容。在6个月时，我们评估了戒烟和TTS使用量之间的关联，并根据基线时的人口统计学特征和吸烟特征建立了一个多变量模型。结果:在提供异步咨询支持的725名吸烟者中，33.8%(245/725)至少向TTS发送了一次信息。 A total of 1082 messages (TTSs: 565; smokers 517) were exchanged between the smokers and TTSs. The majority of motivational interviewing codes were those that supported client strengths (280/517, 54.1%) and promoted engagement (280/517, 54.1%). SCC code analysis showed that the TTS provided assistance to smokers if they were willing to quit (247/517, 47.8%) and helped smokers prepare to quit (206/517, 39.8%) and anticipate barriers (197/517, 38.1%). The majority of smokers’ messages discussed motivations to quit (234/565, 41.4%) and current and past treatments (talking about their previous use of nicotine replacement therapy and medications; 201/565, 35.6%). The majority of TTS messages used behavioral strategies (233/517, 45.1%), offered advice on treatments (189/517, 36.5%), and highlighted motivations to quit (171/517, 33.1%). There was no association between the amount of TTS use and cessation. In the multivariable model, after adjusting for gender, age, race, education, readiness at baseline, number of cigarettes smoked per day at baseline, and the selected TTS, smokers messaging the TTS one or two times had a smoking cessation odds ratio (OR) of 0.8 (95% CI 0.4-1.4), and those that messaged the TTS more than two times had a smoking cessation OR of 1.0 (95% CI 0.4-2.3). Conclusions: Our study demonstrated the feasibility of using asynchronous counseling to deliver evidence-based counseling. Low participant engagement or a lack of power could be potential explanations for the nonassociation with smoking cessation. Future trials should explore approaches to increase participant engagement and test asynchronous counseling in combination with other approaches for improving the rates of smoking cessation. SN - 1438-8871 UR - //www.mybigtv.com/2020/5/e13289 UR - https://doi.org/10.2196/13289 UR - http://www.ncbi.nlm.nih.gov/pubmed/32374266 DO - 10.2196/13289 ID - info:doi/10.2196/13289 ER -