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针对高中生的移动健康戒烟干预措施(NEXit Junior):一项随机对照试验的研究方案

mHealth smoking cessation intervention among high-school pupils (NEXit Junior): study protocol for a randomized controlled trial.

作者信息

Thomas Kristin, Bendtsen Marcus, Linderoth Catharina, Müssener Ulrika

机构信息

Department of Medical and Health Sciences, Faculty of Medicine and Health, Linköping University, Linköping, Sweden.

出版信息

Trials. 2018 Nov 22;19(1):648. doi: 10.1186/s13063-018-3028-2.

DOI:10.1186/s13063-018-3028-2
PMID:30466484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6249762/
Abstract

BACKGROUND

Mobile health (mHealth) interventions, using text messages to support high-school pupils to quit smoking, could be a novel and cost-effective approach. However, more research is needed, specifically to investigate long-term effectiveness. The study aims to evaluate the effectiveness of a newly developed mHealth intervention targeting smoking cessation among high-school pupils.

METHODS

The study is a two-arm, randomized controlled trial with an intervention group (mHealth intervention) and a control group (treatment as usual: national smoking cessation help line). Outcome measures will be investigated at baseline and at 3, 6, and 12 months' follow-up. Primary outcome measures will be: prolonged abstinence and 4-week point prevalence of smoking abstinence. Secondary outcome measures will be: 7-day point prevalence of smoking abstinence; mean number of quit attempts since taking part in the study; number of uses of other smoking cessation services since first invitation to the study and number of cigarettes smoked weekly if still smoking.

DISCUSSION

High schools in Sweden are bound by law to offer a smoke-free environment. However, little effort has been made to offer support to pupils who wish to quit smoking; rather the emphasis is on prevention of uptake. The study will examine the effectiveness of a stand-alone mHealth intervention targeting smokers among high-school pupils.

TRIAL REGISTRATION

The trial was not retrospectively registered and has been registered at ISRCTN with the unique identification number ISRCTN15396225 . The trial was registered on 13 October 2017.

摘要

背景

移动健康(mHealth)干预措施,即通过短信支持高中生戒烟,可能是一种新颖且具成本效益的方法。然而,还需要更多研究,特别是要调查其长期有效性。本研究旨在评估一种新开发的针对高中生戒烟的移动健康干预措施的有效性。

方法

本研究为双臂随机对照试验,设有干预组(移动健康干预)和对照组(常规治疗:国家戒烟帮助热线)。将在基线以及随访3个月、6个月和12个月时对结果指标进行调查。主要结果指标将包括:延长戒烟期以及戒烟4周的时点患病率。次要结果指标将包括:戒烟7天的时点患病率;自参与研究以来的平均戒烟尝试次数;自首次受邀参加研究以来使用其他戒烟服务的次数,以及如果仍在吸烟则每周吸烟的数量。

讨论

瑞典的高中受法律约束必须提供无烟环境。然而,在为希望戒烟的学生提供支持方面做得很少;相反,重点在于预防吸烟。本研究将考察一种针对高中生吸烟者的独立移动健康干预措施的有效性。

试验注册

该试验未进行回顾性注册,已在国际标准随机对照试验编号注册库(ISRCTN)注册,唯一识别号为ISRCTN15396225。该试验于2017年10月13日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9933/6249762/b7c52432d2eb/13063_2018_3028_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9933/6249762/0d721e677bab/13063_2018_3028_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9933/6249762/b7c52432d2eb/13063_2018_3028_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9933/6249762/0d721e677bab/13063_2018_3028_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9933/6249762/b7c52432d2eb/13063_2018_3028_Fig2_HTML.jpg

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本文引用的文献

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Text Messaging-Based Interventions for Smoking Cessation: A Systematic Review and Meta-Analysis.基于短信的戒烟干预措施:系统评价和荟萃分析。
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Mobile phone-based interventions for smoking cessation.基于手机的戒烟干预措施。
Cochrane Database Syst Rev. 2016 Apr 10;4(4):CD006611. doi: 10.1002/14651858.CD006611.pub4.
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Effectiveness of Short Message Service Text-Based Smoking Cessation Intervention Among University Students: A Randomized Clinical Trial.
瑞典在线求助者和初级卫生保健就诊者中短信戒烟干预的效果:采用贝叶斯组序设计的随机对照试验方案
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The P Value Line Dance: When Does the Music Stop?P 值排舞:音乐何时停止?
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