智能手机应用单独使用或与传统戒烟干预措施一起使用的有效性:系统审查和元分析
Shuilian Chu1, Lin Feng1, Hang Jing1
1Department of Research on Tobacco Dependence Therapies and Evidence-based Medicine Center, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
BMJ evidence-based medicine
|January 13, 2026
概括
智能手机应用程序可以提高戒烟 (SC) 率,特别是当与药物治疗相结合时. 基于心理行为理论 (PBT) 的应用程序比传统的行为应用程序更有效,尽管证据质量较低.
科学领域:
- 数字健康数字健康
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 智能手机应用程序 (APP) 越来越多地用于健康干预,包括戒烟 (SC).
- 这些应用程序的有效性,特别是当与传统方法集成时,需要进行彻底的评估.
- 了解基于特定理论框架的应用程序的影响对于优化SC策略至关重要.
研究的目的:
- 系统地审查和元分析智能手机应用程序在戒烟方面的有效性.
- 为了比较基于应用程序的SC干预单独与传统方法相结合.
- 为了确定基于心理行为理论 (PBT) 的应用程序是否优于基于传统行为方法的应用程序.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 包括涉及15岁以上成年人SC智能手机应用程序的研究.
- 数据使用随机效应元分析进行了合成,证据确定性通过GRADE进行评估.
主要成果:
- 仅智能手机应用程序就显示了与最小支持 (低确定性证据) 相比,连续禁欲6个月的潜在增加.
- 结合传统干预措施,应用程序可以提高6个月禁酒率 (低确定性证据).
- 与传统的行为应用 (高确定性证据) 相比,基于PBT的应用在3个月和6个月内显著增加了7天的禁欲流行点 (PPA).
结论:
- 智能手机应用程序显示出作为戒烟工具的希望,特别是在增强药物治疗等传统干预措施时.
- 与传统的行为应用程序相比,基于PBT的应用程序在支持戒烟方面表现出更高的有效性.
- 由于目前的低确定性证据,需要进行更多的高质量试验,随访时间更长,以证实这些发现.
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