A review of the evidence on technology-based interventions for the treatment of tobacco dependence in college health.

摘要: Background The college years are a critical time in the development of smoking behavior and tobacco use. Smoking is linked to 30% cancer deaths, 80% deaths from chronic obstructive pulmonary disease, early cardiovascular disease death. Effective cessation interventions at this provide an opportunity drastically reduce premature morbidity mortality. Aims To review available evidence on Internet with young adults, including methodology, theoretical frameworks outcome measures for treatment guide program health. Methods A comprehensive literature search studies published January 1999 February 2011, multiple databases was conducted, along hand-searching reference lists. Inclusion criteria were: participants aged 18–30 years, intervention involved through either Web sites or e-mail texting, measurement cessation/abstinence. Studies were evaluated utilizing tool synthesized guidelines presented by Cochrane Collaboration. Findings Eight met inclusion (four randomized controlled trials, four cohort studies). Theoretical utilized Transtheoretical Model Change, Health Belief Model, Theory Social Support, social cognitive theory. Interventions varied included computer-generated advice letters, Web-based guides, text messages, peer support. With abstinence as primary measure, there statistically significant improvement quit rates. Because use components, differences number contacts, it not clear what types computer-based applications most effective. Small sample sizes, lack control groups, inconsistency limit ability conclusive support these interventions—but feasibility design future programs. Conclusions Use technology-based interventions, such Internet, may be effective especially students. There great potential reach large numbers students, many who identify themselves smokers seek traditional methods treatment. Additional research needed determine which more evidence.