Randomized controlled trial of a web-based computer-tailored smoking cessation program as a supplement to nicotine patch therapy.

AIM: To assess the efficacy of World Wide Web-based tailored behavioral smoking cessation materials among nicotine patch users. DESIGN: Two-group randomized controlled trial. SETTING: World Wide Web in England and Republic of Ireland. PARTICIPANTS: A total of 3971 subjects who purchased a particular...

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Publicado en:Addiction Vol. 100; no. 5; pp. 682 - 689
Autores principales: Strecher VJ, Shiffman S, West R
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell May2005
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Randomized controlled trial of a web-based computer-tailored smoking cessation program as a supplement to nicotine patch therapy.
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          Strecher VJ
          Shiffman S
          West R
        affil: University of Michigan Comprehensive Cancer Center, 300 N. Ingalls, Room 5D-04 (0471), Ann Arbor, MI 48109-0471; strecher@umich.edu
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          Nicotine Patch
          Smoking Cessation
          World Wide Web
          Adult
          Chi Square Test
          Randomized Controlled Trials
          Confidence Intervals
          England
          Female
          Funding Source
          Ireland
          Logistic Regression
          Male
          Middle Age
          Multivariate Analysis
          Odds Ratio
          Patient Satisfaction
          Questionnaires
          Random Assignment
          Treatment Outcomes
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: AIM: To assess the efficacy of World Wide Web-based tailored behavioral smoking cessation materials among nicotine patch users. DESIGN: Two-group randomized controlled trial. SETTING: World Wide Web in England and Republic of Ireland. PARTICIPANTS: A total of 3971 subjects who purchased a particular brand of nicotine patch and logged-on to use a free web-based behavioral support program. INTERVENTION: Web-based tailored behavioral smoking cessation materials or web-based non-tailored materials. MEASUREMENTS: Twenty-eight-day continuous abstinence rates were assessed by internet-based survey at 6-week follow-up and 10-week continuous rates at 12-week follow-up. FINDINGS: Using three approaches to the analyses of 6- and 12-week outcomes, participants in the tailored condition reported clinically and statistically significantly higher continuous abstinence rates than participants in the non-tailored condition. In our primary analyses using as a denominator all subjects who logged-on to the treatment site at least once, continuous abstinence rates at 6 weeks were 29.0% in the tailored condition versus 23.9% in the non-tailored condition (OR = 1.30; P = 0.0006); at 12 weeks continuous abstinence rates were 22.8% versus 18.1%, respectively (OR = 1.34; P = 0.0006). Moreover, satisfaction with the program was significantly higher in the tailored than in the non-tailored condition. CONCLUSIONS: The results of this study demonstrate a benefit of the web-based tailored behavioral support materials used in conjunction with nicotine replacement therapy. A web-based program that collects relevant information from users and tailors the intervention to their specific needs had significant advantages over a web-based non-tailored cessation program.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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