将E-mail咨询纳入戒烟计划的可行性
2009/10/15
背景：目前迫切需要制定更为有效的戒烟干预措施。然而，这些措施在实际生活中实施起来却有一定困难。E-mail也许可作为发布戒烟干预信息的一个便捷途径。本研究的初步目的是在有戒烟意愿的吸烟者中，评价将特定的E-mail咨询信息结合戒烟计划对其戒烟效果的影响。
方法：本研究初步评估了在可用互联网的、有戒烟意愿的吸烟者中，将E-mail咨询信息结合戒烟计划的可行性。收集基线人口统计学数据、吸烟史及呼出气一氧化碳水平。提供专家的E-mail地址给受试者，并指导受试者准备一些与戒烟计划相关的简明、清晰的E-mail信息。咨询者则在整个戒烟计划中提供E-mail咨询信息。对受试者进行为期6个月的随访，评价受试者的戒烟情况。
结果：在初始注册的30名戒烟者中，21名（70%）完成了6个月的随访研究。完成全程随访的戒烟者中进行电子邮件咨询的次数为4～8次，多于随访丢失者（1～4次）。6个月后持续戒烟者呼出气中CO值较基线有明显下降，其下降幅度显著低于戒烟失败者（P < .001）。6个月时持续戒烟率为37%。
结论：将E-mail咨询结合戒烟干预措施是可行且有效的。但是否可将电子邮件咨询作为戒烟计划的一部分，有待于进一步评估。
（刘国梁 审校）
Polosa R, et al. Respir Care. 2009 Aug;54(8):1033-1039.
Feasibility of Using E-mail Counseling as Part of a Smoking-Cessation Program.
Polosa R, Russo C, Di Maria A, Arcidiacono G, Morjaria JB, Piccillo GA.
Dipartimento di Medicina Interna e Specialistica, Centro Antifumo Universitario, Università di Catania, Via Passo Gravina 187, 95125 Catania, Italy. polosa@unict.it.
BACKGROUND: The need for more effective smoking-cessation interventions is firmly established. However, access to these services can be problematic in real life. E-mail messages may be a convenient alternative to deliver smoking-cessation interventions. The aim of this pilot study was to assess the effectiveness of incorporating tailored e-mail consultation messages in a smoking-cessation program for smokers willing to quit.
METHODS: This pilot study examined the feasibility of integrating e-mail consultation messages in a smoking-cessation program for smokers willing to quit and with Internet access. At baseline, demographic data, smoking history and expired carbon monoxide (CO) levels were collected at a clinic visit. The subjects were provided with the specialist’s e-mail address and instructed to prepare e-mail messages containing simple and clear information about their quitting progress. The counselor offered e-mail counseling throughout the smoking-cessation program. A 6-month follow-up visit was arranged, at which abstinence was reviewed.
RESULTS: Of the 30 participants initially enrolled in the study, 21 (70%) attended the follow-up 6-month visit. E-mail counseling was more frequently offered (4-8 times) to the participants who completed the study, compared to those lost to follow-up (1-4 times). Comparisons with baseline exhaled CO values showed a significant within-group reduction at 6 months after smoking-cessation (P < .001) in the quitters, compared to smoking-cessation failures. Sustained smoking abstinence at 6 months was 37%.
CONCLUSIONS: The integration of e-mail consultation counseling in a smoking-cessation intervention is feasible and effective. E-mail counseling as part of a smoking-cessation program warrants further evaluation.
