Gillaspy Stephen R, Leffingwell Thad, Mignogna Melissa, Mignogna Joseph, Bright Brianna, Fedele David
Section of General and Community Pediatrics, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
J Prim Care Community Health. 2013 Jan;4(1):2-7. doi: 10.1177/2150131912442898. Epub 2012 Apr 18.
To test the efficacy of a self-administered web-based computer intervention designed to facilitate readiness to alter tobacco use or secondhand smoke exposure among parents of children visiting a pediatric primary care clinic. The computer program included an assessment of the participant's smoking behavior and personalized feedback.
Self-identified smoking parents of children presenting to a general pediatric outpatient clinic completed measures of motivation and readiness to cease smoking. Participants were then randomly assigned to complete the computer program or receive treatment as usual. One month after completing the intervention, participants were contacted either in person or by phone to complete measures of motivational readiness to engage in smoking cessation.
Compared to treatment-as-usual parents, intervention parents reported increased readiness to change their smoking at follow-up. This effect appeared to strengthen, favoring the intervention condition, when analyses included only those participants who identified at baseline that they were contemplating quitting smoking in the next 6 months.
Results of this small study supported the integration of a brief computerized tobacco intervention in the pediatric primary care setting and provided some evidence for efficacy. Brief, self-administered, and computer-based interventions such as this can be disseminated and deployed at relatively little cost or burden to existing practices, which makes small effects more meaningful and justifiable. Future investigations should investigate this intervention with larger samples and with expanded measures of parent smoking behavior.
测试一种基于网络的自我管理计算机干预措施的效果，该措施旨在促进到儿科初级保健诊所就诊儿童的家长改变吸烟习惯或减少二手烟暴露。该计算机程序包括对参与者吸烟行为的评估和个性化反馈。
到普通儿科门诊就诊的儿童的家长中自我认定为吸烟者完成了戒烟动机和意愿的测量。然后将参与者随机分配以完成计算机程序或接受常规治疗。完成干预一个月后，通过面对面或电话联系参与者，以完成参与戒烟的动机意愿测量。
与接受常规治疗的家长相比，接受干预的家长在随访时报告称改变吸烟习惯的意愿增强。当分析仅包括那些在基线时确定他们在未来6个月内考虑戒烟的参与者时，这种效果似乎得到加强，更有利于干预组。
这项小型研究的结果支持在儿科初级保健环境中整合简短的计算机化烟草干预措施，并提供了一些有效性证据。像这样简短、自我管理且基于计算机的干预措施可以以相对较低的成本或对现有实践的负担进行传播和部署，这使得微小的效果更有意义且合理。未来的研究应该用更大的样本并扩大对家长吸烟行为的测量来研究这种干预措施。
