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

Addiction Science & Clinical Practice

Mary F Brunette¹  William Gunn²  Hilary Alvarez²  Patricia C Finn²  Pamela Geiger¹  Joelle C Ferron¹  Gregory J McHugo¹ 

[1] Geisel School of Medicine at Dartmouth, Department of Psychiatry, Psychiatric Research Center, 105 Pleasant St, Concord 03301, NH, USA

[2] Concord Hospital Family Health Center, Concord, USA

关键词: Motivation;    Technology;    Disadvantaged populations;    Tobacco cessation;   

Others  :  1128592
DOI  :  10.1186/s13722-015-0026-5

 received in 2014-01-09, accepted in 2015-01-13,  发布年份 2015

【 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.

【 授权许可】

   
2015 Brunette et al.; licensee BioMed Central.

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