Choi Seung Hee, Waltje Andrea H, Ronis David L, Noonan Devon, Hong OiSaeng, Richardson Caroline R, Meeker John D, Duffy Sonia A
Michigan State University, College of Nursing, East Lansing, MI, United States.
J Med Internet Res. 2014 Nov 20;16(11):e255. doi: 10.2196/jmir.3375.
Novel interventions tailored to blue collar workers are needed to reduce the disparities in smoking rates among occupational groups.
The main objective of this study was to evaluate the efficacy and usage of the Web-enhanced "Tobacco Tactics" intervention targeting operating engineers (heavy equipment operators) compared to the "1-800-QUIT-NOW" telephone line.
Operating engineers (N=145) attending one of 25 safety training sessions from 2010 through 2012 were randomized to either the Tobacco Tactics website with nurse counseling by phone and access to nicotine replacement therapy (NRT) or to the 1-800-QUIT-NOW telephone line, which provided an equal number of phone calls and NRT. The primary outcome was self-reported 7-day abstinence at 30-day and 6-month follow-up. The outcomes were compared using chi-square tests, t tests, generalized mixed models, and logistic regression models.
The average age was 42 years and most were male (115/145, 79.3%) and white (125/145, 86.2%). Using an intent-to-treat analysis, the Tobacco Tactics website group showed significantly higher quit rates (18/67, 27%) than the 1-800-QUIT NOW group (6/78, 8%) at 30-day follow-up (P=.003), but this difference was no longer significant at 6-month follow-up. There were significantly more positive changes in harm reduction measures (quit attempts, number of cigarettes smoked per day, and nicotine dependence) at both 30-day and 6-month follow-up in the Tobacco Tactics group compared to the 1-800-QUIT-NOW group. Compared to participants in the 1-800-QUIT NOW group, significantly more of those in the Tobacco Tactics website group participated in the interventions, received phone calls and NRT, and found the intervention helpful.
The Web-enhanced Tobacco Tactics website with telephone support showed higher efficacy and reach than the 1-800-QUIT-NOW intervention. Longer counseling sessions may be needed to improve 6-month cessation rates.
Clinicaltrials.gov NCT01124110; http://clinicaltrials.gov/ct2/show/NCT01124110 (Archived by WebCite at http://www.webcitation.org/6TfKN5iNL).
需要针对蓝领工人量身定制新的干预措施，以减少职业群体间吸烟率的差异。
本研究的主要目的是评估针对操作工程师（重型设备操作员）的网络增强版“烟草策略”干预措施与“1-800-戒烟热线”相比的效果和使用率。
2010年至2012年期间参加25次安全培训课程之一的操作工程师（N = 145）被随机分为两组，一组使用烟草策略网站，并通过电话接受护士咨询以及获得尼古丁替代疗法（NRT），另一组使用1-800-戒烟热线，该热线提供相同次数的电话咨询和NRT。主要结局是在30天和6个月随访时自我报告的7天戒烟情况。使用卡方检验、t检验、广义混合模型和逻辑回归模型对结局进行比较。
平均年龄为42岁，大多数为男性（115/145，79.3%）且为白人（125/145，86.2%）。采用意向性分析，在30天随访时，烟草策略网站组的戒烟率（18/67，27%）显著高于1-800-戒烟热线组（6/78，8%）（P = 0.003），但在6个月随访时这种差异不再显著。与1-800-戒烟热线组相比，烟草策略组在30天和6个月随访时在减少危害措施（戒烟尝试、每日吸烟量和尼古丁依赖）方面有更多积极变化。与1-800-戒烟热线组的参与者相比，烟草策略网站组中有更多人参与了干预措施、接受了电话咨询和NRT，并认为干预措施有帮助。
有电话支持的网络增强版烟草策略网站比1-800-戒烟热线干预措施显示出更高的效果和覆盖面。可能需要更长时间的咨询来提高6个月的戒烟率。
Clinicaltrials.gov NCT01124110；http://clinicaltrials.gov/ct2/show/NCT01124110（由WebCite存档于http://www.webcitation.org/6TfKN5iNL）
