Wang Yunfei, Peng Pu, Wu Zhenzhen, Liu Yuhang, Wang Chudong, Tang Jinsong, Liao Yanhui
Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Nicotine Tob Res. 2024 Dec 23;27(1):61-72. doi: 10.1093/ntr/ntae166.
In China, standard smoking cessation practices are rarely used by health care service providers (HSPs). WeChat, a popular social media app, has been widely used in China.
In this single-blind, randomized trial, undertaken in China with 8-week interventions and follow-up to 34 weeks, 1887 HSPs were randomly selected to the intervention (n = 942) or control group (n = 945) from October 2020 to October 2021. The intervention group received regular smoking cessation training program messages from the professional team for 8 weeks and followed for 34 weeks. The control group received thanks messages for 8 weeks, and follow-up to 34 weeks. Both groups received a hard copy of the manual after randomization. The primary outcome measure was the utilization rate of behavioral and pharmacotherapy interventions for smoking patients from 9 to 34 weeks. This trial is registered at ClinicalTrials.gov (number NCT03556774).
HSPs in the intervention group demonstrated a better overall utilization rate of smoking cessation at 20-week follow-up compared to the control group (35.54% vs. 31.41%, p = .036). Additionally, both groups showed a significant increase in the adoption of various components of the 5A's model-including "Assess," "Assist: set a quit date," "Assist: recommend cessation program," "Assist: provide information," "Assist: recommend medication," and "Arrange"-at the 9-week follow-up relative to baseline. Notably, at the 20-week follow-up, the intervention group reported significantly enhanced utilization rates for all these components, except "Assist: set a quit date."
The "WeChat WeQuit" training program effectively enhanced smoking cessation intervention adoption among Chinese HSPs.
"WeChat WeQuit" training program was effective in increasing the provision of effective tobacco cessation interventions by Chinese-speaking HSPs to patients with cigarette smoking, which could provide valuable insights into bridging the gap between need and services for smoking cessation in China.
在中国，医疗服务提供者（HSPs）很少采用标准的戒烟措施。微信是一款广受欢迎的社交媒体应用程序，在中国已被广泛使用。
在这项单盲随机试验中，于2020年10月至2021年10月在中国进行了为期8周的干预并随访至34周，从1887名HSPs中随机选择干预组（n = 942）或对照组（n = 945）。干预组在8周内接受来自专业团队的定期戒烟培训计划信息，并随访34周。对照组在8周内收到感谢信息，并随访34周。两组在随机分组后均收到手册的纸质版。主要结局指标是9至34周吸烟患者行为和药物治疗干预的利用率。该试验已在ClinicalTrials.gov注册（编号NCT03556774）。
与对照组相比，干预组的HSPs在20周随访时戒烟的总体利用率更高（35.54%对31.41%，p = 0.036）。此外，两组在9周随访时相对于基线，5A模型的各个组成部分——包括“评估”、“协助：设定戒烟日期”、“协助：推荐戒烟计划”、“协助：提供信息”、“协助：推荐药物”和“安排”——的采用率均有显著提高。值得注意的是，在20周随访时，干预组报告除“协助：设定戒烟日期”外，所有这些组成部分的利用率均显著提高。
“微信戒烟”培训计划有效提高了中国HSPs对戒烟干预措施的采用率。
“微信戒烟”培训计划有效地增加了说中文的HSPs向吸烟患者提供有效戒烟干预措施的比例，这可为弥合中国戒烟需求与服务之间的差距提供有价值的见解。
