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基于电子转介系统的定制化数字行为改变干预措施以提高国民保健服务戒烟服务就诊率(MyWay 项目):一项随机对照可行性试验的研究方案。

Tailored digital behaviour change intervention with e-referral system to increase attendance at NHS stop smoking services (the MyWay project): study protocol for a randomised controlled feasibility trial.

机构信息

Centre for Advances in Behavioural Science, Coventry University, Coventry, UK.

Health Economics Unit, University of Birmingham, Birmingham, UK.

出版信息

BMJ Open. 2019 Apr 8;9(4):e028721. doi: 10.1136/bmjopen-2018-028721.

Abstract

INTRODUCTION

In the UK, smokers who use stop smoking services (SSSs) are four times more likely to stop smoking than smokers who do not. Attendance has declined, warranting the development of interventions to address this. StopApp is a novel, brief online behaviour change intervention designed to address common barriers to SSS attendance. It links to widely commissioned service management software that enables instant appointment booking at a user's location and time of choice.

METHODS AND ANALYSIS

A two-arm parallel group, individual participant feasibility randomised controlled trial of StopApp (intervention) compared with the standard promotion of and referral to SSSs (control). The study includes a nested qualitative process evaluation to assess the acceptability of the research processes, with a subsample of participants. Smokers aged over 16 years will be recruited via three routes: General Practice (GP), community settings and online. After consenting and the collection of baseline data, participants will be randomised to control or intervention groups. Participants in the intervention group receive a link to StopApp and those in the control group receive standard web-based information about the SSSs. All participants are told they can book a SSS appointment but are under no obligation to do so. Online follow-up 2 months post randomisation includes data on SSS use and carbon monoxide verified 4-week quit rates. The study aims to recruit 162 smokers.

ETHICS AND DISSEMINATION

Ethics approval has been granted by the West Midlands-Edgbaston NHS Research Ethics Committee. The findings will be reported in conferences and peer-reviewed publications; and will be used to design the parameters necessary for a definitive trial to ascertain the effectiveness of StopApp at increasing booking and attendance at SSSs compared with existing methods for encouraging uptake.

摘要

简介

在英国,使用戒烟服务(SSS)的吸烟者戒烟的可能性是不使用 SSS 的吸烟者的四倍。由于参与人数下降,需要开发干预措施来解决这个问题。StopApp 是一种新颖的、简短的在线行为改变干预措施,旨在解决参加 SSS 的常见障碍。它与广泛委托的服务管理软件链接,使用户能够在自己选择的位置和时间即时预约。

方法和分析

一项两臂平行组、个体参与者可行性随机对照试验,比较了 StopApp(干预组)与 SSS 推荐和转诊的标准(对照组)。该研究包括一个嵌套的定性过程评估,以评估研究过程的可接受性,参与者的一个子样本。年龄在 16 岁以上的吸烟者将通过三种途径招募:全科医生(GP)、社区环境和在线。在同意并收集基线数据后,参与者将被随机分配到对照组或干预组。干预组的参与者收到 StopApp 的链接,对照组的参与者收到关于 SSS 的标准网络信息。所有参与者都被告知他们可以预约 SSS 预约,但没有义务这样做。随机分组后 2 个月的在线随访包括关于 SSS 使用的数据和经碳 monoxide 验证的 4 周戒烟率。该研究旨在招募 162 名吸烟者。

伦理和传播

西英格兰-埃德巴斯顿 NHS 研究伦理委员会已批准该研究的伦理。研究结果将在会议和同行评议出版物中报告;并将用于设计必要的参数,以进行一项确定的试验,以确定与鼓励参与的现有方法相比,StopApp 增加 SSS 预约和参与的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1294/6500333/9092abda4aaa/bmjopen-2018-028721f01.jpg

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