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Background: Tobacco smoking prevalence continues to be high, particularly among adolescents and young adults with lower educational levels, and is therefore a serious public health problem. Tobacco smoking and problem drinking often co-occur and relapses after successful smoking cessation are often associated with alcohol use. This study aims at testing the efficacy of an integrated smoking cessation and alcohol intervention by comparing it to a smoking cessation only intervention for young people, delivered via the Internet and mobile phone.
Methods/Design: A two-arm cluster-randomised controlled trial with one follow-up assessment after 6 months will be conducted. Participants in the integrated intervention group will: (1) receive individually tailored web-based feedback on their drinking behaviour based on age and gender norms, (2) receive individually tailored mobile phone text messages to promote drinking within low-risk limits over a 3-month period, (3) receive individually tailored mobile phone text messages to support smoking cessation for 3 months, and (4) be offered the option of registering for a more intensive program that provides strategies for smoking cessation centred around a self-defined quit date. Participants in the smoking cessation only intervention group will only receive components (3) and (4). Study participants will be 1350 students who smoke tobacco daily/occasionally, from vocational schools in Switzerland. Main outcome criteria are 7-day point prevalence smoking abstinence and cigarette consumption assessed at the 6-month follow up.
Discussion: This is the first study testing a fully automated intervention for smoking cessation that simultaneously addresses alcohol use and interrelations between tobacco and alcohol use. The integrated intervention can be easily implemented in various settings and could be used with large groups of young people in a cost-effective way.
Sustainable software products - Towards assessment criteria for resource and energy efficiency
(2018)
Many authors have proposed criteria to assess the “environmental friendliness” or “sustainability” of software products. However, a causal model that links observable properties of a software product to conditions of it being green or (more general) sustainable is still missing. Such a causal model is necessary because software products are intangible goods and, as such, only have indirect effects on the physical world. In particular, software products are not subject to any wear and tear, they can be copied without great effort, and generate no waste or emissions when being disposed of. Viewed in isolation, software seems to be a perfectly sustainable type of product. In real life, however, software products with the same or similar functionality can differ substantially in the burden they place on natural resources, especially if the sequence of released versions and resulting hardware obsolescence is taken into account. In this article, we present a model describing the causal chains from software products to their impacts on natural resources, including energy sources, from a life-cycle perspective. We focus on (i) the demands of software for hardware capacities (local, remote, and in the connecting network) and the resulting hardware energy demand, (ii) the expectations of users regarding such demands and how these affect hardware operating life, and (iii) the autonomy of users in managing their software use with regard to resource efficiency. We propose a hierarchical set of criteria and indicators to assess these impacts. We demonstrate the application of this set of criteria, including the definition of standard usage scenarios for chosen categories of software products. We further discuss the practicability of this type of assessment, its acceptability for several stakeholders and potential consequences for the eco-labeling of software products and sustainable software design.