Patten Christi A, Rock Emily, Meis Tracy M, Decker Paul A, Colligan Robert C, Pingree Suzanne, Dornelas Ellen A, Offord Kenneth P, Boberg Eric W, Gustafson David H
Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
J Adolesc Health. 2007 Nov;41(5):437-43. doi: 10.1016/j.jadohealth.2007.05.016. Epub 2007 Aug 29.
The Internet offers a potential medium for delivering smoking cessation treatment to adolescents. However, few Internet-based cessation programs for adolescents have been evaluated. We describe adolescent use of a home-based Internet intervention to stop smoking (Stomp Out Smokes [SOS]) and explore baseline characteristics associated with SOS use.
Participants were 70 adolescent smokers aged 12-18 years (50% female, 90% Caucasian) randomized to receive the SOS intervention for 24 weeks as part of a larger clinical trial. SOS comprised 40 components, of which eight were primarily interactive (e.g., discussion support group, ask an expert, quit plan) and 32 were primarily informational (e.g., managing withdrawal, medications to stop smoking). SOS use data were captured electronically, including total logins to the site, and type of SOS components used defined by page hits on the interactive and information components.
A total of 7,708 SOS website pages (6825 interactive and 883 informational) were accessed over the 24 weeks. The highest proportion of page hits was for the discussion support group (35%) and quit plan (30%). Interactive pages were significantly more likely to be used than informational pages (median 65 vs. 6, p < .001). Males accessed fewer interactive pages compared with females (p = .04). No other baseline characteristics were univariately associated with total logins or use of informational or interactive pages.
Adolescent smokers most often used a discussion support group and other interactive Internet-based cessation components. Future studies designed to increase adolescent use, and efficacy of, Internet-based cessation programs are warranted.
互联网为向青少年提供戒烟治疗提供了一种潜在媒介。然而，针对青少年的基于互联网的戒烟项目很少得到评估。我们描述了青少年对一种基于家庭的互联网戒烟干预措施（“戒烟行动”[SOS]）的使用情况，并探讨与SOS使用相关的基线特征。
参与者为70名年龄在12 - 18岁的青少年吸烟者（50%为女性，90%为白种人），他们被随机分配接受为期24周的SOS干预，这是一项更大规模临床试验的一部分。SOS包括40个组成部分，其中8个主要是互动性的（例如，讨论支持小组、向专家咨询、戒烟计划），32个主要是信息性的（例如，应对戒断反应、戒烟药物）。SOS的使用数据通过电子方式记录，包括网站的总登录次数，以及根据互动和信息组件的页面点击量定义的所使用的SOS组件类型。
在24周内，共访问了7708个SOS网站页面（6825个互动页面和883个信息页面）。页面点击量最高的是讨论支持小组（35%）和戒烟计划（30%）。互动页面的使用可能性显著高于信息页面（中位数分别为65次和6次，p <.001）。与女性相比，男性访问的互动页面较少（p =.04）。没有其他基线特征与总登录次数或信息页面或互动页面的使用存在单变量关联。
青少年吸烟者最常使用讨论支持小组和其他基于互联网的互动戒烟组件。有必要开展未来的研究以增加青少年对基于互联网的戒烟项目的使用及其疗效。
