Gilbert Hazel, Nazareth Irwin, Sutton Stephen, Morris Richard, Godfrey Christine
Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, UK.
Trials. 2008 Apr 29;9:23. doi: 10.1186/1745-6215-9-23.
Smoking remains a major public health problem; developing effective interventions to encourage more quit attempts, and to improve the success rate of self-quit attempts, is essential to reduce the numbers of people who smoke. Interventions for smoking cessation can be characterised in two extremes: the intensive face-to face therapy of the clinical approach, and large-scale, public health interventions and policy initiatives. Computer-based systems offer a method for generating highly tailored behavioural feedback letters, and can bridge the gap between these two extremes. Proactive mailing and recruitment can also serve as a prompt to motivate smokers to make quit attempts or to seek more intensive help. The aim of this study is to evaluate the effect of personally tailored feedback reports, sent to smokers identified from general practitioners lists on quit rates and quitting activity. The trial uses a modified version of a computer-based system developed by two of the authors to generate individually tailored feedback reports.
A random sample of cigarette smokers, aged between 18 and 65, identified from GP records at a representative selection of practices registered with the GPRF are sent a questionnaire. Smokers returning the questionnaire are randomly allocated to a control group to receive usual care and standard information, or to an intervention group to receive usual care and standard information plus tailored feedback reports. Smoking status and cognitive change will be assessed by postal questionnaire at 6-months.
Computer tailored personal feedback, adapted to reading levels and motivation to quit, is a simple and inexpensive intervention which could be widely replicated and delivered cost effectively to a large proportion of the smoking population. Given its recruitment potential, a modest success rate could have a large effect on public health. The intervention also fits into the broader scope of tobacco control, by prompting more quit attempts, and increasing referrals to specialised services. The provision of this option to smokers in primary care can complement existing services, and work synergistically with other measures to produce more quitters and reduce the prevalence of smoking in the UK.
Current Controlled Trials ISRCTN05385712.
吸烟仍然是一个主要的公共卫生问题；制定有效的干预措施以鼓励更多人尝试戒烟，并提高自我戒烟尝试的成功率，对于减少吸烟人数至关重要。戒烟干预措施可分为两个极端：临床方法中的强化面对面治疗，以及大规模的公共卫生干预措施和政策倡议。基于计算机的系统提供了一种生成高度个性化行为反馈信件的方法，并且可以弥合这两个极端之间的差距。主动邮寄和招募也可以作为一种促使吸烟者尝试戒烟或寻求更强化帮助的提示。本研究的目的是评估发送给从全科医生名单中识别出的吸烟者的个性化反馈报告对戒烟率和戒烟活动的影响。该试验使用了两位作者开发的基于计算机系统的修改版本来生成个性化的反馈报告。
从在GPRF注册的具有代表性的医疗机构的全科医生记录中识别出年龄在18至65岁之间的吸烟者随机样本，并向其发送问卷。返回问卷的吸烟者被随机分配到对照组接受常规护理和标准信息，或分配到干预组接受常规护理、标准信息以及个性化反馈报告。6个月时通过邮寄问卷评估吸烟状况和认知变化。
根据阅读水平和戒烟动机进行调整的计算机定制个人反馈是一种简单且低成本的干预措施，可以广泛推广并以具有成本效益的方式提供给很大一部分吸烟人群。鉴于其招募潜力，适度的成功率可能对公共卫生产生重大影响。该干预措施还通过促使更多人尝试戒烟并增加转介到专业服务机构，符合更广泛的烟草控制范围。在初级保健中向吸烟者提供此选项可以补充现有服务，并与其他措施协同工作，以产生更多戒烟者并降低英国的吸烟率。
当前受控试验ISRCTN05385712 。
