J. Med. Internet Res. - Partnership for health-2, a web-based versus print smoking cessation intervention for childhood and young adult cancer survivors: randomized comparative effectiveness study.

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Resumo

CKGROUND: Smoking among cancer survivors increases the risk of late effects and second cancers. This article reports on Partnership for Health-2 (PFH-2)-an effort to develop an effective and scalable version of Partnership for Health (PFH), which was a previously tested peer-delivered telephone counseling program that doubled smoking cessation rates among childhood cancer survivors who smoke.OBJECTIVE: This paper presents results from a randomized controlled trial evaluating the effectiveness of PFH-2 in targeted and tailored Web-based versus print formats. The overall goal was to determine whether the intervention outcomes in these self-guided scalable formats approximate what was found in a more intensive telephone counseling program.METHODS: This study was a randomized controlled trial with a 15-month follow-up that included 374 smokers who were survivors of childhood or young adult cancers, recruited from five survivorship clinics. Participants were randomly assigned to a Web-based or print format of the PFH intervention; all had access to free pharmacotherapy. The website was designed to provide new content at each log-on, and a peer counselor moderated a forum/chat feature. The primary outcome was smoking status at 15 months post randomization.RESULTS: In total, 58.3% (77/132) of Web participants logged on at least once (mean visits 3.25). Using multiple imputation methods for missing data, there were similar rates of cessation in the two arms (print: 20/128, 15.6%; Web: 33/201, 6.4%), and no differences in quit attempts or readiness to quit. The quit rates were equivalent to those found in our previous telephone counseling intervention. There were high rates of satisfaction with both of the PFH-2 interventions.CONCLUSIONS: The print and Web formats yielded equivalent levels of success to those found with our telephone-delivered intervention and are comparable to other Internet treatment studies. This study provides important options for survivorship programs that may not have resources for interpersonal forms of cessation counseling. Efforts to increase patient use of the interventions may result in higher cessation rates.

Resumo Limpo

ckground smoke among cancer survivor increas risk late effect second cancer articl report partnership health pfhan effort develop effect scalabl version partnership health pfh previous test peerdeliv telephon counsel program doubl smoke cessat rate among childhood cancer survivor smokeobject paper present result random control trial evalu effect pfh target tailor webbas versus print format overal goal determin whether intervent outcom selfguid scalabl format approxim found intens telephon counsel programmethod studi random control trial month followup includ smoker survivor childhood young adult cancer recruit five survivorship clinic particip random assign webbas print format pfh intervent access free pharmacotherapi websit design provid new content logon peer counselor moder forumchat featur primari outcom smoke status month post randomizationresult total web particip log least mean visit use multipl imput method miss data similar rate cessat two arm print web differ quit attempt readi quit quit rate equival found previous telephon counsel intervent high rate satisfact pfh interventionsconclus print web format yield equival level success found telephonedeliv intervent compar internet treatment studi studi provid import option survivorship program may resourc interperson form cessat counsel effort increas patient use intervent may result higher cessat rate

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