Research On The Effect Of Smoking Cessation Based On WeChat Smoking Cessation Apple

Objective:Design and develop the We Chat Mini Program for smoking cessation of the mobile smoking cessation platform,and evaluate the smoking cessation effect of the We Chat cessation mini-program to provide a new and effective way to quit smoking for smokers.Methods:This topic consists of two parts of research.The first part is the design and realization of the We Chat smoking cessation mini-program.Firstly,according to the "5R" and "5A" method models in the "Chinese Clinical Smoking Cessation Guidelines(2015 Edition)",the framework of the We Chat smoking cessation mini-program was constructed,and according to the content of the relevant guidelines,the core elements of the smoking cessation management plan for the We Chat smoking cessation mini-program were clarified.Secondly,the user intention and functional requirements of the mobile smoking cessation platform for smokers and medical staff were investigated by means of the Tencent electronic questionnaire,and the current status and functions of the existing We Chat smoking cessation mini-program in the market were referenced.After expert group discussion,the research team determined the basic structure and functional modules of the mini-program and filled the required contents of each module.Finally,the We Chat smoking cessation mini-program was developed through the We Chat platform and We Chat Mini Program development tools.The second part is the evaluation of the smoking cessation effect of the We Chat smoking cessation mini-program.From September 2020 to October 2021,regular smokers who are willing to quit smoking will be recruited from society.The participants were screened and informed through the relevant questionnaires and telephone return visits exported from the platform so that the participants could understand the process of using the We Chat quit smoking mini-program and gradually start smoking cessation according to the set process.During the intervention,the participants used the smoking cessation mini-program by themselves.The platform will automatically pop up the corresponding questionnaire for the participant to fill in24 hours,the first week,January and March,after the participant quits smoking.If the participant does not fill in the questionnaire,the platform will automatically remind the background manager,and at the same time,a telephone follow-up will be conducted at each time point,and the relevant data of the participant will be automatically collected by the platform.Outcomes were measured by intention-to-treat analysis of participants’ self-reported smoking cessation rate at 24 hours,one week,one month,and three months,influencing factors of smoking cessation success,frequency of use,experience satisfaction,and degree of help.The counting data were expressed by frequency and percentage,and the comparison of rates or constituent ratios between two or more groups was performed by x 2 test,Fisher’s exact probability method or Monte Carlo direct calculation probability method.The measurement data shall be subject to the normality test(Shapiro Wilk test).The statistical description of the measurement data of normal distribution shall be expressed asx±S,and the measurement data of non normal distribution shall be expressed as M(QR);The non-conditional logistic regression model was used to explore the influencing factors,and the difference was statistically significant(P <0.05).Results:1.The We Chat smoking cessation mini-program designed and achieved is called "Quit Smoking Action" and has two login windows: "Quit Smoking Consultation" and "Medical Staff." "Smoking cessation consultation" is the login window for smokers,including four modules: health science,smoking cessation consultation,smoking cessation management,and personal center.It provides tobacco-related health science knowledge,smoking assessment,smoking cessation plan,smoking cessation consultation channel,and a personal center for smokers."Medical staff" is the login window for medical staff,including consultation management(smoker management,smoking cessation interaction,case review,medication management,consultation management,and follow-up record functions)and personal center(personal account,password,personal information,and other related information)two module.At the same time,the functional modules of mini-programs are integrated into the intervention process framework constructed by "5A" and "5R" methods,and the intervention path of Wechat mini-programs for quitting smoking is constructed to guide quitters step by step to quit smoking.2.A total of 303 participants were recruited through We Chat public accounts,websites,etc.,of which 59 had incomplete information,64 had no intention to quit smoking,and 180 were finally included in the study.(1)Among 180 participants,179 were successfully followed up on the first day,61 were successfully quit smoking within 24-hours,and the 24-hour quit rate was33.9%;177 were successfully followed up on the first week,49 were successfully quit smoking,and the one-week quit rate was 27.2%;167 people were successfully followed up in the first month,47 people quit smoking successfully,and the smoking cessation rate was 26.1% at the 7-day point of follow-up in the one month;163 people were successfully followed up in the third month,45 people successfully quit smoking,the smoking cessation rate at the 7-day point in the monthly follow-up was25.0% in the third month.(2)Univariate analysis of smoking cessation success in third-month follow-up was performed using Pearson’s chi-square test、Fisher’s exact probability method or Monte Carlo direct calculation probability method.In the third-month follow-up,the smoking cessation success group and the smoking cessation failure group had no statistical difference between the participants with different gender,ages,education level,and other sociodemographic data and smoking level(P > 0.05).Only the smoking cessation difficulty score(P = 0.010)and the frequency of using the smoking cessation mini-program(P=0.005)were statistically significant.Combined with the results of univariate analysis and professional judgment,factors such as age,education level,smoking age,number of cigarettes per day,and nicotine dependence were selected for non-conditional logistic regression analysis.Participants with a smoking cessation difficulty score of 80-100 were compared with 0-60 points were less likely to quit smoking successfully in the third month(OR=0.278,95%CI:0.099-0.784,P=0.015),and participants who used the smoking cessation mini-program more than five times were more likely to quit smoking successfully in the third month than those who used the smoking cessation mini-program less than five times(OR=3.591,95%CI:1.514-8.518,P=0.004).(3)The average number of times the participants used the Wechat Mini Program was 6.3±7.6,the maximum was 46 times,the minimum was two times,and 33.9%had more than five times.Among the 163 valid follow-ups,26.4% of the participants thought the We Chat quit smoking mini-program was very helpful,47.9% thought it was beneficial,19.6% thought it was generally beneficial,and 6.1% thought it was not beneficial.25.8% of the participants were very satisfied with the smoking cessation mini-program,50.3% were satisfied,19.6% were generally satisfied,4.3%were dissatisfied,and no one was very dissatisfied,with a total satisfaction rate of76.1%.Conclusion:Quit smoking action We Chat Mini Program according to the Chinese clinical guide(2015 edition)of the 5A and 5R method model constructed We Chat Mini Program specific intervention paths,its each function module is reasonable and rich and can provide comprehensive smoking cessation services for smokers quit,can effectively improve the success rate of smokers to quit smoking,and has a good user experience satisfaction.