实时视频咨询对农村和偏远地区居民戒烟的短期效果：一项随机试验的中期分析。

The short-term effectiveness of real-time video counselling on smoking cessation among residents in rural and remote areas: An interim analysis of a randomised trial.

作者信息

Byaruhanga Judith, Paul Christine L, Wiggers John, Byrnes Emma, Mitchell Aimee, Lecathelinais Christophe, Bowman Jennifer, Campbell Elizabeth, Gillham Karen, Tzelepis Flora

机构信息

School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia; Hunter New England Population Health, Hunter New England Local Health District, Locked Mail Bag 10, Wallsend, New South Wales 2287, Australia.

School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia; Hunter Medical Research Institute, Locked bag 1000, New Lambton Heights, New South Wales 2305, Australia.

出版信息

J Subst Abuse Treat. 2021 Dec;131:108448. doi: 10.1016/j.jsat.2021.108448. Epub 2021 Apr 29.

DOI:10.1016/j.jsat.2021.108448

PMID:34098302

Abstract

BACKGROUND

Real-time video counselling for smoking cessation uses readily accessible software (e.g. Skype). This study aimed to assess the short-term effectiveness of real-time video counselling compared to telephone counselling or written materials (minimal intervention control) on smoking cessation and quit attempts among rural and remote residents.

METHODS

An interim analysis of a three-arm, parallel group randomised trial with participants (n = 655) randomly allocated to; 1) real-time video counselling; 2) telephone counselling; or 3) written materials only (minimal intervention control). Participants were daily tobacco users aged 18 years or older residing in rural or remote areas of New South Wales, Australia. Video and telephone counselling conditions offered up to six counselling sessions while those in the minimal intervention control condition were mailed written materials. The study measured seven-day point prevalence abstinence, prolonged abstinence and quit attempts at 4-months post-baseline.

RESULTS

Video counselling participants were significantly more likely than the minimal intervention control group to achieve 7-day point prevalence abstinence at 4-months (18.9% vs 8.9%, OR = 2.39 (1.34-4.26), p = 0.003), but the video (18.9%) and telephone (12.7%) counselling conditions did not differ significantly for 7-day point prevalence abstinence. The video counselling and minimal intervention control groups or video counselling and telephone counselling groups did not differ significantly for three-month prolonged abstinence or quit attempts.

CONCLUSION

Given video counselling may increase cessation rates at 4 months post-baseline, quitlines and other smoking cessation services may consider integrating video counselling into their routine practices as a further mode of cessation care delivery.

TRIAL REGISTRATION

www.anzctr.org.au ACTRN12617000514303.

摘要

背景

用于戒烟的实时视频咨询使用易于获取的软件（如Skype）。本研究旨在评估与电话咨询或书面材料（最小干预对照组）相比，实时视频咨询对农村和偏远地区居民戒烟及戒烟尝试的短期效果。

方法

对一项三臂平行组随机试验进行中期分析，参与者（n = 655）被随机分配至：1）实时视频咨询；2）电话咨询；或3）仅书面材料（最小干预对照组）。参与者为居住在澳大利亚新南威尔士州农村或偏远地区、年龄在18岁及以上的每日烟草使用者。视频和电话咨询组提供多达六次咨询服务，而最小干预对照组的参与者会收到邮寄的书面材料。该研究在基线后4个月测量了7天点患病率戒断、延长戒断和戒烟尝试情况。

结果

视频咨询组参与者在4个月时实现7天点患病率戒断的可能性显著高于最小干预对照组（18.9%对8.9%，OR = 2.39（1.34 - 4.26），p = 0.003），但视频咨询组（18.9%）和电话咨询组（12.7%）在7天点患病率戒断方面无显著差异。视频咨询组与最小干预对照组或视频咨询组与电话咨询组在3个月延长戒断或戒烟尝试方面无显著差异。