Objective
The objective of this project was to test the short term (90 days) efficacy of an automated behavioural intervention for smoking cessation, the “1‐2‐3 Smokefree” programme, delivered via an internet website.Design
Randomised control trial. Subjects surveyed at baseline, immediately post‐intervention, and 90 days later.Settings
The study and the intervention occurred entirely via the internet site. Subjects were recruited primarily via worksites, which referred potential subjects to the website.Subjects
The 351 qualifying subjects were notified of the study via their worksite and required to have internet access. Additionally, subjects were required to be over 18 years of age, smoke cigarettes, and be interested in quitting smoking in the next 30 days. Eligible subjects were randomly assigned individually to treatment or control condition by computer algorithm.Intervention
The intervention consisted of a video based internet site that presented current strategies for smoking cessation and motivational materials tailored to the user''s race/ethnicity, sex, and age. Control subjects received nothing for 90 days and were then allowed access to the programme.Main outcome measures
The primary outcome measure was abstinence from smoking at 90 day follow up.Results
At follow up, the cessation rate at 90 days was 24.1% (n = 21) for the treatment group and 8.2% (n = 9) for the control group (p = 0.002). Using an intent‐to‐treat model, 12.3% (n = 21) of the treatment group were abstinent, compared to 5.0% (n = 9) in the control group (p = 0.015).Conclusions
These evaluation results suggest that a smoking cessation programme, with at least short term efficacy, can be successfully delivered via the internet. 相似文献Design: Search of published curricula from all UK medical schools; questionnaire surveys of all UK medical school deans and UK qualified pre-registration house officers (PRHOs).
Participants: Deans or nominated representatives from all 24 UK medical schools with current undergraduates, and all UK qualified PRHOs.
Main outcome measures: Inclusion and organisation in curriculum of 15 predefined core topics related to smoking (deans); perceived readiness to deliver smoking cessation interventions (PRHOs).
Results: There was no mention of smoking or smoking cessation in the published curriculum material of 10 (42%) medical schools. Deans reported compulsory teaching on a mean (SD) of 9.5 (2.8) core topics, while PRHOs recalled compulsory teaching in only 6.6 (3.2). Training in clinical aspects of smoking cessation was particularly neglected, with 60% of PRHOs reporting that they graduated unable to deliver smoking cessation interventions in accordance with national guidelines. Only 17% of PRHOs felt well prepared to deliver advice on using nicotine replacement therapy, and 5% on bupropion.
Conclusions: Teaching on smoking cessation in UK medical schools is inadequate.
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