An automated telephone-based smoking cessation education and counseling system

被引:55
作者
Ramelson, HZ
Friedman, RH
Ockene, JK
机构
[1] Boston Univ, Sch Med, Med Informat Syst Unit, Boston, MA 02118 USA
[2] Univ Massachusetts, Sch Med, Div Prevent & Behav Med, Worcester, MA USA
关键词
smoking cessation; expert system; computer systems; telecommunications; telemedicine;
D O I
10.1016/S0738-3991(98)00130-X
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Automated patient education and counseling over the telephone is a convenient and inexpensive method for modifying health-related behaviors. A computer-controlled, telecommunications technology called Telephone-Linked Care (TLC) was used to develop a behavioral intervention to assist smokers to quit and to prevent relapse. The education and counseling is offered through a series of interactive telephone conversations which can take place in the smoker's home. The system's automated dialogues are driven by an expert system that controls the logic. The content is derived from the Transtheoretical Moder of behavioral change, principles of Social Cognitive Theory, strategies of patient-centered counseling and recommendations of clinical experts in smoking cessation. The system asks questions, provides information, gives positive reinforcement and feedback, and makes suggestions for behavioral change. Information that the patient communicates is stored and is used to influence the content of subsequent conversations. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:131 / 144
页数:14
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