通过初级保健提供可扩展的电子诊所预防性戒烟有效性实施试验的混合型1试验的理由,设计和协议:E-STOP试验
Margaret C Fahey1, Amy E Wahlquist2, Vanessa A Diaz3
1Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, MSC 955, 86 Jonathan Lucas Street, Charleston, SC, 29425, USA.
BMC primary care
|November 29, 2023
概括
这项研究测试了一种新的电子访问 (e-visit) 工具,以帮助成年吸烟者戒烟. 电子访问干预措施在增加戒烟治疗的使用和初级保健机构的有效性方面表现有希望.
科学领域:
- 公共卫生 公共卫生
- 临床信息学 临床信息学
- 行为科学 行为科学
背景情况:
- 在美国,吸烟是可预防死亡的主要原因之一.
- 初级保健机构是戒烟干预的理想场所.
- 实施基于证据的戒烟模式存在障碍,例如5A.
研究的目的:
- 评估主动电子访问 (e-visit) 干预措施在初级保健中戒烟的有效性.
- 评估电子访问干预措施在不同初级保健机构的实施潜力.
- 为了将e-visit干预与戒烟结果的通常治疗 (TAU) 进行比较.
主要方法:
- 一个混合型I有效性实施试验,使用临床随机临床试验设计.
- 18个初级保健诊所被随机分为2:1的电子访问或TAU.
- 电子访问干预包括自动基线评估,算法驱动的治疗建议,提供者审查和后续.
主要成果:
- 该研究假设电子访问组的戒烟结果比TAU更好.
- 主要结果包括戒烟治疗的使用,减少每天的香烟,以及点患病率禁欲.
- 二次结果侧重于患者,提供者和组织层面的实施潜力.
结论:
- 积极的e-visit干预有潜力显著提高基于证据的戒烟治疗的覆盖范围和有效性.
- 这种干预为患者,提供者和初级保健实践提供了好处.
- 对实施结果的进一步评估将为更广泛的采用提供信息.
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