Polosa Riccardo, Russo Cristina, Di Maria Annalisa, Arcidiacono Giuseppe, Morjaria Jaymin B, Piccillo Giovita A
Dipartimento di Medicina Interna e Specialistica, Centro Antifumo Universitario, Università di Catania, Via Passo Gravina 187, 95125 Catania, Italy.
Respir Care. 2009 Aug;54(8):1033-9.
The need for more effective smoking-cessation interventions is firmly established. However, access to these services can be problematic in real life. E-mail messages may be a convenient alternative to deliver smoking-cessation interventions. The aim of this pilot study was to assess the effectiveness of incorporating tailored e-mail consultation messages in a smoking-cessation program for smokers willing to quit.
This pilot study examined the feasibility of integrating e-mail consultation messages in a smoking-cessation program for smokers willing to quit and with Internet access. At baseline, demographic data, smoking history and expired carbon monoxide (CO) levels were collected at a clinic visit. The subjects were provided with the specialist's e-mail address and instructed to prepare e-mail messages containing simple and clear information about their quitting progress. The counselor offered e-mail counseling throughout the smoking-cessation program. A 6-month follow-up visit was arranged, at which abstinence was reviewed.
Of the 30 participants initially enrolled in the study, 21 (70%) attended the follow-up 6-month visit. E-mail counseling was more frequently offered (4-8 times) to the participants who completed the study, compared to those lost to follow-up (1-4 times). Comparisons with baseline exhaled CO values showed a significant within-group reduction at 6 months after smoking-cessation (P < .001) in the quitters, compared to smoking-cessation failures. Sustained smoking abstinence at 6 months was 37%.
The integration of e-mail consultation counseling in a smoking-cessation intervention is feasible and effective. E-mail counseling as part of a smoking-cessation program warrants further evaluation.
更有效的戒烟干预措施的需求已得到明确确立。然而，在现实生活中获得这些服务可能存在问题。电子邮件可能是提供戒烟干预措施的一种便捷替代方式。这项试点研究的目的是评估在戒烟计划中纳入量身定制的电子邮件咨询信息对愿意戒烟的吸烟者的有效性。
这项试点研究考察了将电子邮件咨询信息纳入针对愿意戒烟且能上网的吸烟者的戒烟计划的可行性。在基线时，在诊所就诊时收集人口统计学数据、吸烟史和呼出一氧化碳（CO）水平。为受试者提供专家的电子邮件地址，并指示他们准备包含关于其戒烟进展的简单明了信息的电子邮件。咨询师在整个戒烟计划中提供电子邮件咨询。安排了为期6个月的随访就诊，对戒烟情况进行复查。
最初纳入研究的30名参与者中，21名（70%）参加了6个月的随访。与失访者相比，完成研究的参与者接受电子邮件咨询的频率更高（4 - 8次）。与基线呼出CO值相比，戒烟者在戒烟6个月后组内有显著降低（P <.001），而戒烟失败者则不然。6个月时持续戒烟率为37%。
将电子邮件咨询纳入戒烟干预是可行且有效的。作为戒烟计划一部分的电子邮件咨询值得进一步评估。
