口腔卫生访问期间的 VR 戒烟

实验性的：干预组

随机分配到干预组的参与者将在牙科清洁门诊就诊期间观看戒烟视频（准备戒烟或不准备戒烟），收到有关 EBT 的小册子，并参加为期 4 周的短信计划，该计划包括自动和定制的短信来激励 EBT 的使用。 为期 4 周的计划结束后，干预组将每月收到评估短信。

行为的：实验性戒烟视频

被随机分配到干预组的参与者将观看一段教育视频，其中包括在洗牙期间戒烟的技巧。 该视频长约 10 分钟，专为准备在牙科就诊时戒烟而量身定制。

其他：戒烟 EBT 手册

所有参与者都将收到与戒烟标准临床护理一致的关于 EBT 的相同印刷材料。

行为的：量身定制的短信程序

随机分配到干预组的参与者将参加为期 4 周的定制短信计划，该计划包括评估问题以及旨在激励和促进准备戒烟的个人和尚未准备好戒烟的个人使用 EBT 的短信。

有源比较器：控制组

随机分配到控制臂的参与者将在牙科卫生访问期间观看控制视频，并收到有关 EBT 的小册子，以及为期 4 周的仅评估短信程序。

其他：戒烟 EBT 手册

所有参与者都将收到与戒烟标准临床护理一致的关于 EBT 的相同印刷材料。

行为的：控制视频

随机分配到对照组的参与者将观看 10 分钟的视频。

其他：评估短信

随机分配到对照组的参与者将参加另一个为期 4 周的短信计划，该计划仅包括评估问题。

Use of Any Evidence-Based Treatment (EBT) for Smoking Cessation

Self-reported use of any Evidence-Based Treatment (EBT) for smoking cessation. Participants indicated whether they used any EBT during the study. EBT is defined according to clinical practice guidelines and include: counseling (individual or group counseling at a clinic or community center and telehealth), a telephone quit line (Massachusetts quitline), quit smoking text-message programs (National Cancer Institute's "SmokefreeTXT" or Massachusetts quitline text program), Nicotine Replacement Therapy (patch, gum, lozenge, inhaler), and non-nicotine quit smoking medications (bupropion or varenicline).

Verified Use of Any EBT for Smoking Cessation

Objectively verified use of the following EBT: the text message program SmokefreeTXT and/or the Massachusetts state quitline. Verification of use will occur through review of usage databases from the vendors.

Use of Combination EBT for Smoking Cessation

Self-reported use of combination EBT defined according to clinical guidelines as use of a pharmacologic product (NRT or non-nicotine medications) combined with behavioral support (counseling, quitline, or text-message program).

Number of EBT Used for Smoking Cessation

Self-reported use of the total number of EBT computed by counting the different type of EBTs used for smoking cessation in any combination (range 0 - 4).

Text Message (TM) Data Use of Any EBT for Smoking Cessation

TM and questionnaire assessment of self-reported use of any Evidence-Based Treatment (EBT) for smoking cessation. Participants indicated whether they used any EBT during the study (for the intervention group, responses were also obtained through text message assessments during the course of the study). EBT is defined according to clinical practice guidelines and include: counseling (individual or group counseling at a clinic or community center and telehealth), a telephone quit line (Massachusetts quitline), quit smoking text-message programs (National Cancer Institute's "SmokefreeTXT" or Massachusetts quitline text program), Nicotine Replacement Therapy (patch, gum, lozenge, inhaler), and non-nicotine quit smoking medications (bupropion or varenicline).

Self-report 7-day Point Prevalence Smoking Abstinence

Participants self-report of no smoking, not even a puff, in the preceding 7 days.

Verified 7-day Point Prevalence Smoking Abstinence

Participants self-report of no smoking, not even a puff, in the preceding 7 days will be biochemically confirmed through salivary cotinine analysis using the clinically recommended cut off level (<15 ng/mL = verified abstinent).

Motivation to Quit Smoking

Self-reported motivation to quit smoking within 30 days. Participants who did not quit smoking (non-abstinent) during the study indicated whether they are ready to quit smoking within 30 days.

Any Quit Smoking Attempt

Self-reported attempts to quit smoking for at least 24 hours. Participants indicated whether they made any attempt to quit smoking for at least 24 hours because they were trying to quit (not due to illness or hospitalization)

Participant's Satisfaction

A 10-item questionnaire measuring satisfaction with the video experience (6 items) and satisfaction with the virtual reality (VR) headset experience (4 items). Each item is rated on a 1 ("not satisfied at all") to 7 ("very satisfied") scale and average scores are computed for each scale. Higher scores mean a better outcome.

EBT Utilization Index Score

The utilization index score (UIS) is computed as the sum of the utilization dose of each evidence-based treatment (EBT) for smoking cessation used by participants (range 0 - 100). Higher scores mean a better outcome.