Etälääketieteen tupakoinnin lopettamisohjelman arviointi maaseudun perusterveydenhuollossa
torstai 4. lokakuuta 2012 päivittänyt: Kimber Richter, PhD, MPH, MA
Etälääketiede tupakoinnin lopettamiseen maaseudun perusterveydenhuollossa
Ihmiset, jotka polttavat savukkeita ja asuvat maaseudulla, eivät välttämättä pysty käyttämään monia erilaisia resursseja tupakoinnin lopettamiseksi.
Tässä tutkimuksessa arvioidaan kahta tupakoinnin lopettamisohjelmaa - Internet-pohjaista telelääketieteen ohjelmaa ja puhelinpohjaista lopetusohjelmaa - maaseudun asukkaiden keskuudessa.
Tutkimuksen yleiskatsaus
Tila
Valmis
Ehdot
Yksityiskohtainen kuvaus
Maaseudulla asuvat ihmiset polttavat todennäköisemmin savukkeita kuin ihmiset, jotka asuvat kaupungeissa ja esikaupunkialueilla. Monet tupakoinnin lopettamiseen liittyvät resurssit ja ohjelmat eivät kuitenkaan välttämättä ole maaseutualueiden asukkaiden saatavilla. Maksuttomat tupakan lopetuslinjat auttavat ihmisiä lopettamaan tupakoinnin, ja ne ovat lähes kaikkien Yhdysvalloissa asuvien saatavilla, mutta vain 1–5 % tupakoijista käyttää niitä. Toinen vaihtoehto auttaa ihmisiä lopettamaan tupakointi voi olla se, että lääkärit järjestävät tupakoinnin lopettamisohjelmia toimistoissaan tai klinikoillaan. useimmilla lääkärin vastaanotoilla ei kuitenkaan ole resursseja tarjota tämäntyyppisiä palveluja. Telelääketiede tarjoaa lääketieteellistä tietoa puhelimitse tai Internetin kautta käyttämällä erilaisia tekniikoita, kuten web-kameroita tai videoneuvottelulaitteita. Sitä on käytetty menestyksekkäästi psykiatrisen hoidon ja riippuvuusneuvonnan tarjoamiseen, mutta tutkimuksia ei ole tutkittu etälääketieteellisen tupakoinnin lopettamisohjelman tehokkuudesta. Tämän tutkimuksen tarkoituksena on verrata lääkärin vastaanotolla suoritettavan etälääketieteellisen tupakoinnin lopettamisohjelman tehokkuutta perinteisen puhelinlinjan tupakoinnin lopettamisohjelman tehokkuuteen maaseudun tupakoitsijoiden keskuudessa.
Tutkimus tehdään 25 maaseudun lääkärin vastaanotolla Kansasissa. Osallistujat valitaan satunnaisesti osallistumaan puhelinlinjan lopetusohjelmaan tai etälääketieteen ohjelmaan. Puhelimen lopetuslinja-ohjelmaan osallistuvat saavat neljä puhelinkeskustelua tupakoinnin lopettamisneuvojilta 8 viikon aikana. Telelääketieteen ohjelmaan osallistuvat saavat neljä etälääketieteen neuvontaa tupakoinnin lopettamisen ohjaajilta 8 viikon aikana, jotka toimitetaan kaksisuuntaisten web-kameroiden kautta lääkärien vastaanotolla oleville tietokoneille. Kaikki osallistujat saavat koulutusmonisteja ja yksilöllisesti räätälöityjä lopettamissuunnitelmia, mukaan lukien tietoa tupakoinnin lopettamiseen liittyvistä lääkkeistä. Lähtötilanteessa ja kuukausina 3, 6 ja 12 kaikki osallistujat osallistuvat puhelinhaastatteluihin tutkimustutkijoiden kanssa arvioidakseen tupakointitottumuksia. Lähtötilanteessa ja kuukauden 12 aikana osallistujat lähettävät tutkijoille sylkinäytteen, jonka tarkoituksena on määrittää kehon nikotiinitaso.
Opintotyyppi
Interventio
Ilmoittautuminen (Todellinen)
566
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.
Opiskelupaikat
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Kansas
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Kansas City, Kansas, Yhdysvallat, 66160
- University of Kansas Medical Center
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Osallistumiskriteerit
Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.
Kelpoisuusvaatimukset
Opintokelpoiset iät
18 vuotta ja vanhemmat (Aikuinen, Vanhempi Aikuinen)
Hyväksyy terveitä vapaaehtoisia
Ei
Sukupuolet, jotka voivat opiskella
Kaikki
Kuvaus
Sisällyttämiskriteerit:
- Polttaa tupakkaa joka päivä
- Polttaa viisi tai enemmän savuketta päivässä
- Polttanut tupakkaa vähintään 1 vuoden ennen opiskelua
- Siellä on kotiosoite ja puhelinnumero
- Halukas osallistumaan puhelinarviointeihin
- Halukas nimitetyksi jompaankumpaan kahdesta opinto-ohjelmasta
Poissulkemiskriteerit:
- Raskaana oleva tai imettävä
- Toinen kotitalouden jäsen on mukana tutkimuksessa
- Muutto pois asuinalueelta 14 kuukauden kuluessa opiskelusta
- Perusterveydenhuollon tarjoaja ei osallistu tutkimukseen
- Muiden tupakkatuotteiden (esim. sikarit, sylkeä, nuuska) käyttö savukkeiden lisäksi
- Tupakoinnin vieroituslääkkeen käyttö
Opintosuunnitelma
Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: 1
Osallistujat osallistuvat etälääketieteen tupakoinnin lopettamisohjelmaan.
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Osallistujat saavat neljä etälääketieteellistä tupakoinnin lopettamisneuvontaa 8 viikon aikana.
Telelääketieteen istunnot toimitetaan kaksisuuntaisilla web-kameroilla, jotka on asennettu pöytätietokoneisiin lääkärien vastaanotoilla.
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Active Comparator: 2
Osallistujat osallistuvat puhelinlinjan tupakoinnin lopettamisohjelmaan.
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Osallistujat saavat neljä tupakoinnin lopettamisneuvontaa puhelimitse kotonaan kahdeksan viikon aikana.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
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7 päivän pisteen esiintyvyys raittius
Aikaikkuna: Mitattu kuukausilla 3, 6 ja 12
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Mitattu kuukausilla 3, 6 ja 12
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
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Pitkäaikainen raittius
Aikaikkuna: Mitattu kuukausilla 3, 6 ja 12
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Mitattu kuukausilla 3, 6 ja 12
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Yhteistyökumppanit ja tutkijat
Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.
Sponsori
Yhteistyökumppanit
Tutkijat
- Päätutkija: Kimber P. Richter, PhD, MPH, MA, University of Kansas
Julkaisuja ja hyödyllisiä linkkejä
Tutkimusta koskevien tietojen syöttämisestä vastaava henkilö toimittaa nämä julkaisut vapaaehtoisesti. Nämä voivat koskea mitä tahansa tutkimukseen liittyvää.
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