专家对将NHS在怀孕期间停止吸烟的支持转化为全面的数字干预的意见
Lisa McDaid1, Pippa Belderson1, Joanne Emery1
1School of Health Sciences, University of East Anglia, Norwich, United Kingdom.
PLOS digital health
|March 27, 2024
概括
专家认为,英国针对孕妇吸烟者的标准治疗计划 (STP) 可以适应数字格式,增强戒烟支持. 挑战包括复制人类问责制,但数字工具和个性化的支持显示出改善戒烟率的希望.
科学领域:
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
- 行为科学 行为科学
背景情况:
- 孕妇吸烟者需要有效的戒烟支持;英国的标准治疗计划 (STP) 提供行为咨询和尼古丁替代疗法 (NRT).
- STP的使用率很低,这表明需要替代性或辅助性干预措施.
- 对于孕妇而言,现有的数字戒烟选择是有限的,缺乏有效性的强有力的证据.
研究的目的:
- 调查专家对将STP转化为针对孕妇吸烟者的全面数字干预的可行性意见.
- 确定在怀孕期间戒烟支持的数字化适应的潜在挑战和促进者.
主要方法:
- 与37名戒烟和孕产妇健康专家进行了虚拟小组和个人访谈.
- 实时投票活动被纳入焦点小组,以刺激讨论.
- 框架分析用于分析定性数据并确定关键主题.
主要成果:
- 专家们普遍支持STP的数字翻译,认为大多数行为内容是可转移的.
- 发现的挑战包括复制人类的问责制,同情心和灵活性;潜在的解决方案包括人工智能,个性化和同行支持.
- 关于整合一氧化碳监测的观点各不相同,而电子NRT的提供普遍受到青,但引发了遵守和治理方面的担忧.
结论:
- 该STP在很大程度上可以转移到数字格式,为增加孕妇戒烟支持提供了一个有希望的途径.
- 基于STP的数字干预措施的进一步开发和评估是有必要的.
- 解决人类互动的细微差别和确保适当的NRT交付是成功数字化适应的关键考虑因素.
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