Comput Methods Programs Biomed - S-PC: an e-treatment application for management of smoke-quitting patients.

Tópicos

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Resumo

The main objective of this paper is to present a new program that facilitates the management of people who want to quit smoking, implemented through an e-treatment software called S-PC (Smoker Patient Control). S-PC is a web-based application that manages groups of patients, provides a bidirectional communication through mobile text messages and e-mails between patients and clinicians and offers advice and control to keep track of the patients and their status. A total of 229 patients were enrolled in the study, randomly divided into two groups, although some variables were tested to ensure that there were no significant differences between the groups that could have an impact on the outcome of the treatment. There were no significant differences between the two groups regarding the ratio/number of males/females, tobacco dependence, co-oximetry, average cigarette consumption, current age and age when smoking started. The first group was made up of 104 patients (45.4% of the total) and followed a treatment that incorporated the S-PC tool, while the second one had 125 patients without the S-PC tool. S-PC was evaluated for its effectiveness at assisting the patients to give up smoking, and its effect on clinician time management. 74% of the S-PC group completed the treatment without relapses and remained abstinent three months after the completion of the treatment, understanding abstinence as being continuous (with no relapses allowed and co-oximetry below 1 ppm) from the day of stopping. In contrast only 45.6% of the No S-PC group completed the treatment without relapses and remained abstinent three months after completion of the treatment. The rate of admittance to the program has doubled in one year and patients went from having to wait for 3 months to be immediately admitted into the program. This therapeutic e-health program aims at maximizing the number of patients that a professional can effectively help to quit smoking. In addition, the system also detects patients who are not progressing appropriately, allowing the professional to improve their treatment parameters dynamically.

Resumo Limpo

main object paper present new program facilit manag peopl want quit smoke implement etreat softwar call spc smoker patient control spc webbas applic manag group patient provid bidirect communic mobil text messag email patient clinician offer advic control keep track patient status total patient enrol studi random divid two group although variabl test ensur signific differ group impact outcom treatment signific differ two group regard rationumb malesfemal tobacco depend cooximetri averag cigarett consumpt current age age smoke start first group made patient total follow treatment incorpor spc tool second one patient without spc tool spc evalu effect assist patient give smoke effect clinician time manag spc group complet treatment without relaps remain abstin three month complet treatment understand abstin continu relaps allow cooximetri ppm day stop contrast spc group complet treatment without relaps remain abstin three month complet treatment rate admitt program doubl one year patient went wait month immedi admit program therapeut ehealth program aim maxim number patient profession can effect help quit smoke addit system also detect patient progress appropri allow profession improv treatment paramet dynam

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