A pre-post pilot study of a brief, web-based intervention to engage disadvantaged smokers into cessation treatment

被引:18
|
作者
Brunette M.F. [1 ]
Gunn W. [1 ,2 ]
Alvarez H. [2 ]
Finn P.C. [2 ]
Geiger P. [1 ]
Ferron J.C. [1 ]
McHugo G.J. [1 ]
机构
[1] Geisel School of Medicine at Dartmouth, Department of Psychiatry, Psychiatric Research Center, 105 Pleasant St, Concord, 03301, NH
[2] Concord Hospital, Family Health Center, Concord
关键词
Disadvantaged populations; Motivation; Technology; Tobacco cessation;
D O I
10.1186/s13722-015-0026-5
中图分类号
学科分类号
摘要
Background: People with low education and/or income are more likely to smoke, less likely to quit, and experience disparately poor health outcomes compared to those with education and income advantage. Cost-effective strategies are needed to inform and engage this group into effective cessation treatments. We developed a novel, web-based, motivational, decision-support system that was designed to engage disadvantaged smokers into tobacco cessation treatment. We piloted the system among smokers in a primary care safety net clinic. Methods: Thirty-nine eligible subjects were assessed at baseline and used the decision-support system; 38 were assessed 2 months later. Chi-square or Fisher's exact tests were used to assess whether participants who used the program were more likely to use cessation treatment than a randomly selected group of 60 clinic patients. Results: Thirty-nine percent of smokers initiated cessation treatment after using the decision-support system, compared to 3 percent of the comparison group (Fisher's exact = 21.2; p = 0.000). Over 10 percent achieved continuous abstinence over the 2-month follow-up. Users were satisfied with the program - 100 percent stated they would recommend it to a friend. Conclusions: Our data indicate that this web-based, motivational, decision-support system is feasible, satisfactory, and promising in its ability to engage smokers into cessation treatment in a primary care safety net clinic. Further evaluation research is warranted. © 2015 Brunette et al.; licensee BioMed Central.
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