关键词: RCT addict cancer cancer survivors cessation digital intervention eHealth engagement intervention oncology predictor quit randomized controlled trial smoker smoking smoking cessation

来  源:   DOI:10.2196/46303   PDF(Pubmed)

Abstract:
BACKGROUND: Recent studies have shown positive, though small, clinical effects of digital smoking cessation (SC) interventions for cancer survivors. However, research on associations among participant characteristics, intervention engagement, and outcomes is limited.
OBJECTIVE: This study aimed to explore the predictors and moderators of engagement and outcome of MyCourse-Quit Smoking (in Dutch: \"MijnKoers-Stoppen met Roken\"), a digital minimally guided intervention for cancer survivors.
METHODS: A secondary analysis of data from the randomized controlled trial was performed. The number of cigarettes smoked in the past 7 days at 6-month follow-up was the primary outcome measure. We analyzed interactions among participant characteristics (11 variables), intervention engagement (3 variables), and outcome using robust linear (mixed) modeling.
RESULTS: In total, 165 participants were included in this study. Female participants accessed the intervention less often than male participants (B=-11.12; P=.004). A higher Alcohol Use Disorders Identification Test score at baseline was associated with a significantly higher number of logins (B=1.10; P<.001) and diary registrations (B=1.29; P<.001). A higher Fagerström Test for Nicotine Dependence score at baseline in the intervention group was associated with a significantly larger reduction in tobacco use after 6 months (B=-9.86; P=.002). No other associations and no moderating effects were found.
CONCLUSIONS: Overall, a limited number of associations was found between participant characteristics, engagement, and outcome, except for gender, problematic alcohol use, and nicotine dependence. Future studies are needed to shed light on how this knowledge can be used to improve the effects of digital SC programs for cancer survivors.
BACKGROUND: Netherlands Trial register NTR6011/NL5434; https://onderzoekmetmensen.nl/nl/trial/22832.
摘要:
背景:最近的研究表明,虽然小,数字戒烟(SC)干预对癌症幸存者的临床效果。然而,参与者特征之间的关联研究,干预参与,结果是有限的。
目的:本研究旨在探索MyCourse戒烟的参与和结果的预测因素和调节因素(荷兰语:“MijnKoers-StoppenmetRoken”),针对癌症幸存者的数字最低指导干预。
方法:对来自随机对照试验的数据进行二次分析。在6个月的随访中,过去7天内吸烟的数量是主要结果指标。我们分析了参与者特征(11个变量)之间的相互作用,干预参与度(3个变量),和使用鲁棒线性(混合)建模的结果。
结果:总计,165名参与者参与了这项研究。女性参与者获得干预的频率低于男性参与者(B=-11.12;P=.004)。基线时,较高的酒精使用障碍识别测试得分与较高的登录数(B=1.10;P<.001)和日记注册数(B=1.29;P<.001)相关。干预组基线时较高的Fagerström尼古丁依赖评分与6个月后烟草使用量的减少有关(B=-9.86;P=0.002)。没有发现其他关联和调节作用。
结论:总体而言,参与者特征之间的关联数量有限,订婚,和结果,除了性别,有问题的酒精使用,尼古丁依赖。未来的研究需要阐明如何利用这些知识来改善数字SC计划对癌症幸存者的影响。
背景:荷兰试用注册NTR6011/NL5434;https://onderzoekmetmensen。nl/nl/试验/22832。
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