将戒烟治疗整合到常见精神疾病患者的基于网络的常规心理护理中:可行性随机对照试验 (ESCAPE Digital)
Gemma Taylor1,2, Pamela Jacobsen1, Anna Blackwell1
1Department of Psychology, University of Bath, Bath, United Kingdom.
JMIR mental health
|December 5, 2025
概括
这项研究探讨了将数字戒烟支持与基于互联网的认知行为疗法 (iCBT) 整合起来. 虽然招生是可行的,但高参与者学率阻碍了未来研究的整体试验进展.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 公共卫生研究 公共卫生研究
- 心理健康服务 心理健康服务
背景情况:
- 戒烟可以改善心理健康,相当于抗抑郁药.
- 基于互联网的认知行为疗法 (iCBT) 治疗抑郁和焦虑.
- 英国的服务中缺乏联合的数字戒烟和心理健康支持.
研究的目的:
- 评估与iCBT一起进行数字戒烟干预的可行性.
- 评估未来研究的可接受性和试验程序.
- 测试自动招生和随机化过程.
主要方法:
- 实用,双臂,可行性随机对照试验.
- 成年吸烟者被转介到NHS谈话疗法进行ICBT.
- 基于网络的平台用于查,同意和随机化.
- 在3个月和6个月后通过基于网络的问卷进行后续调查.
主要成果:
- 21%的符合条件的客户注册 (符合标准);62%的招聘目标实现 (低于目标).
- 干预组中戒烟尝试率 (18%) 超过了标准,但与对照组 (21%) 相似.
- 随访的高损失导致关键结果的数据完整性低于30%.
结论:
- 将戒烟整合到数字心理健康治疗中是可行的.
- 自动招生和随机化程序是可行的.
- 解决招聘策略和参与者保留对于未来的试验至关重要.
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