The aim was to better understand structural factors associated with uptake of automated tailored interventions for smoking cessation. In a prospective randomized controlled trial with interventions only offered, not mandated, participants were randomized based on the following: web-based expert system (QuitCoach); text messaging program (onQ); both as an integrated package; the choice of using either or both; or a control condition informed of a static website (not considered here). Participants were 3530 smokers or recent quitters recruited from two sources; those seeking smoking cessation information, mostly recruited over the phone, and a cold-contacted group recruited from an Internet panel. More participants (60.1%) initially accepted the intervention they had been offered than used it (42.5%). Uptake of each intervention differed substantially by both recruitment source and modality (phone or web). onQ was a little more popular overall, especially in the information seeker sample. Highest overall intervention uptake occurred in the choice condition. A web-based intervention is most attractive if the offer to use is made by web, whereas a phone-based intervention is more likely to be used if the offer is made over the phone. Providing automated interventions on multiple platforms allows for maximal choice and greatest overall use of some form of help.

译文

目的是更好地了解与接受自动定制戒烟干预措施相关的结构因素。在一项前瞻性随机对照试验中,仅提供干预措施,而不是强制要求,参与者根据以下内容进行随机分配: 基于网络的专家系统 (QuitCoach); 文本消息程序 (onQ); 两者都作为一个集成包; 选择使用其中之一或两者; 或通知静态网站的控制条件 (此处不考虑)。参与者是从两个来源招募的3530名吸烟者或最近的戒烟者; 那些寻求戒烟信息的人,主要是通过电话招募的,以及一个从互联网小组招募的冷接触小组。最初接受干预的参与者 (60.1%) 多于使用干预 (42.5%)。每种干预措施的采用在招聘来源和方式 (电话或网络) 上都有很大差异。onQ总体上更受欢迎,尤其是在信息寻求者样本中。在选择条件下,总体干预吸收率最高。如果要约是通过web进行的,则基于web的干预最有吸引力,而如果要约是通过电话进行的,则更有可能使用基于电话的干预。在多个平台上提供自动干预可以最大程度地选择和最大程度地使用某种形式的帮助。

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