Roswell Park Comprehensive Cancer Center, Department of Health Behavior, Elm & Carlton, Buffalo, NY 14263, United States of America.
Prev Med. 2022 Dec;165(Pt B):107319. doi: 10.1016/j.ypmed.2022.107319. Epub 2022 Oct 22.
The largest tobacco treatment network in North America, Tobacco Quitlines are an effective population-based approach to increase tobacco cessation; however, overall reach has decreased significantly in the past decade. A new generation of innovations responsive to evolving shifts in communication preferences, supported by research, and focused on increasing the impact of services have the potential to reinvigorate this network. The goal of this narrative review was to identify opportunities for innovation in Quitline service delivery, synthesize evidence for these opportunities, and identify gaps in the research. Innovation was defined as significant shift in current practice by utilizing novel theoretical concepts, approaches, methodologies, or interventions. The Experimental Medicine Approach informed the identification of gaps in the research. The specific domains were selected by reviewing previous reviews, commentaries, calls for action, and a recent report on promising practices. Evidence was garnered primarily from systematic reviews. Opportunities included automated and interactive digital therapeutics, novel health communications for stigma-free media campaigns, methods to increase access to nicotine replacement therapies, novel treatment options and combinations, and methods to promote engagement with digital therapeutics. Research topics that cross multiple domains include the consideration of theoretical frameworks, the identification of therapeutic targets and mechanisms of action, and the development of adapted approaches to address specific challenges and cultural responsivity. Finally, an examination is needed to understand how to improve the speed with which innovations are developed and implemented in this network.
北美最大的烟草治疗网络——烟草戒烟热线是一种有效的基于人群的方法，可提高烟草戒断率；然而，在过去十年中，总体覆盖范围已大幅下降。新一代创新技术能够响应沟通偏好的不断变化，得到研究的支持，并专注于提高服务的影响力，从而有可能重振这一网络。本叙述性综述的目的是确定戒烟热线服务提供方面的创新机会，综合这些机会的证据，并确定研究中的差距。创新被定义为通过利用新颖的理论概念、方法、方法或干预措施来改变当前的实践。实验医学方法为研究中的差距提供了信息。具体领域是通过回顾以前的综述、评论、行动呼吁以及最近关于有希望的实践的报告来选择的。证据主要来自系统评价。机会包括自动化和互动式数字治疗、用于无污名媒体宣传活动的新型健康传播、增加尼古丁替代疗法获取途径的方法、新型治疗选择和组合，以及促进与数字治疗互动的方法。跨多个领域的研究主题包括考虑理论框架、确定治疗靶点和作用机制，以及开发适应特定挑战和文化敏感性的方法。最后，需要研究如何提高网络中创新的开发和实施速度。
