Patten Christi A, Croghan Ivana T, Meis Tracy M, Decker Paul A, Pingree Suzanne, Colligan Robert C, Dornelas Ellen A, Offord Kenneth P, Boberg Eric W, Baumberger Rhonda K, Hurt Richard D, Gustafson David H
Mayo Clinic College of Medicine, Department of Psychiatry & Psychology, Rochester, MN 55905, USA.
Patient Educ Couns. 2006 Dec;64(1-3):249-58. doi: 10.1016/j.pec.2006.03.001. Epub 2006 Apr 17.
Evaluation of novel treatment delivery methods, such as the Internet are notably absent from the adolescent smoking treatment literature.
Adolescent smokers ages 11-18 years were randomized to a clinic-based, brief office intervention (BOI; N=69) consisting of four individual counseling sessions; or to Stomp Out Smokes (SOS), an Internet, home-based intervention (N=70). Adolescents in SOS had access to the SOS site for 24 weeks.
The 30-day, point-prevalence smoking abstinence rates for BOI and SOS were 12% versus 6% at week 24 and 13% versus 6% at week 36, with no significant treatment differences. Among participants who continued to smoke, SOS was associated with a significantly greater reduction in average number of days smoked than BOI (P=0.006). The BOI was found to be feasible with high session attendance rates. SOS participants accessed the site a mean+/-S.D. of 6.8+/-7.1 days. SOS use dropped to less than one-third of participants by week 3.
Additional research is needed to tap the potential capabilities of the Internet for adolescent smoking cessation using proactive, personalized, patient-education components.
Augmenting the SOS type of intervention with more structured, personal and proactive patient-education components delivered in-person or by telephone or electronic mail is recommended.
青少年吸烟治疗文献中明显缺乏对新型治疗交付方法的评估，如互联网治疗。
将11至18岁的青少年吸烟者随机分为两组，一组接受基于诊所的简短门诊干预（BOI；N = 69），包括四次个体咨询；另一组接受“戒烟行动”（SOS），这是一种基于互联网的家庭干预（N = 70）。SOS组的青少年可在24周内访问SOS网站。
在第24周时，BOI组和SOS组的30天点患病率戒烟率分别为12%和6%；在第36周时，分别为13%和6%，两组治疗效果无显著差异。在继续吸烟的参与者中，SOS组的平均吸烟天数减少幅度显著大于BOI组（P = 0.006）。研究发现BOI是可行的，就诊率很高。SOS组参与者访问网站的平均天数为6.8±7.1天。到第3周时，使用SOS的参与者降至不到三分之一。
需要进一步研究利用互联网的潜在功能，通过积极主动、个性化的患者教育内容来帮助青少年戒烟。
建议通过面对面、电话或电子邮件提供更结构化、个性化和积极主动的患者教育内容，增强SOS这种干预方式的效果。
