Journal of Smoking Cessation最新文献_第6页

Pregnant Aboriginal women self-assess health risks from smoking and efficacy to quit over time using an adapted Risk Behaviour Diagnosis (RBD) Scale 怀孕的土著妇女自我评估健康风险从吸烟和效能戒烟随着时间的推移使用适应风险行为诊断(RBD)量表

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-10-28 DOI: 10.1017/jsc.2020.27

G. Gould, Simon Chiu, C. Oldmeadow, Y. Bar-Zeev, Michelle Bovill

During pregnancy, the imperative to stop smoking becomes urgent due to health risks for mother and baby.Explore responses to a smoking-related, pregnancy-focused Risk Behaviour Diagnosis (RBD) Scale over time with Aboriginal1 pregnant women.Six Aboriginal Medical Services in three states recruited 22 eligible women: ⩽28 weeks' gestation, ⩾16 years old, smoked tobacco, pregnant with an Aboriginal baby. Surveys were completed at baseline (n = 22), 4-weeks (n = 16) and 12-weeks (n = 17). RBD Scale outcome measures included: perceived threat (susceptibility and severity), perceived efficacy (response and self-efficacy), fear control (avoidance), danger control (intentions to quit) and protection responses (protecting babies).At baseline, the total mean threat scores at 4.2 (95% CI: 3.9–4.4) were higher than total mean efficacy scores at 3.9 (95% CI: 3.6–4.1). Over time there was a non-significant reduction in total mean threat and efficacy; fear control increased; danger control and protection responses remained stable. Reduction of threat and efficacy perceptions, with raised fear control responses, may indicate a blunting effect (a coping style which involves avoidance of risks).In 22 Aboriginal pregnant women, risk perception changed over time. A larger study is warranted to understand how Aboriginal women perceive smoking risks as the pregnancy progresses so that health messages are delivered accordingly.

在怀孕期间，由于母亲和婴儿的健康风险，戒烟的必要性变得迫切。探索原住民孕妇对吸烟相关、以妊娠为重点的风险行为诊断（RBD）量表的反应。三个州的六个原住民医疗服务机构招募了22名符合条件的女性：怀孕28周、16岁、吸烟、怀上原住民婴儿。在基线（n=22）、4周（n=16）和12周（n=17）完成调查。RBD量表的结果测量包括：感知威胁（易感性和严重性）、感知效能（反应和自我效能）、恐惧控制（回避）、危险控制（退出意图）和保护反应（保护婴儿）。基线时，4.2分的总平均威胁得分（95%置信区间：3.9-4.4）高于3.9分的总均值疗效得分（95%可信区间：3.6-4.1）。随着时间的推移，总均值威胁和疗效没有显著降低；恐惧控制增强；危险控制和保护反应保持稳定。威胁和疗效感知的减少，以及恐惧控制反应的提高，可能表明了钝化效应（一种涉及规避风险的应对方式）。在22名土著孕妇中，风险认知随着时间的推移而发生变化。有必要进行一项更大规模的研究，以了解土著妇女在怀孕过程中如何看待吸烟风险，从而相应地传递健康信息。

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引用次数: 1

COVID-19 and smoking: an association requiring urgent attention 新冠肺炎与吸烟：一个需要紧急关注的关联

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-09-21 DOI: 10.1017/JSC.2020.26

Vinoth Kumar Kalidoss, S. Singh Bakshi

To the editor, The COVID-19 pandemic has emerged as the greatest challenge to the healthcare system worldwide. The pathogenesis involves the infection and replication of the virus in the epithelial cells of the respiratory system leading to severe acute respiratory syndrome and death. As on 25th April 2020 more than 187,000 deaths have been reported worldwide and the number of people infected stands at 2,724,809 (World Health Organization, 2020). Smoking is directly linked to the development of chronic pulmonary disease and smokers are vulnerable to many respiratory viruses. Besides, smoking is a risk factor for the development of many conditions such as cancer and cardiovascular disease, the presence of these conditions increases the morbidity and mortality in patients with COVID-19 (Emami, Javanmardi, Pirbonyeh, & Akbari, 2020). Some studies have already indicated that smoking has proven to worsen the prognosis and outcome in COVID-19 infections (Vardavas & Nikitara, 2020). The underlying mechanism may the reduced mucosal immunity and increased permeability of respiratory epithelial cells following chronic inflammation due to smoking. Another possible mechanism may be the increase in the expression of angiotensinconverting enzyme 2 receptor, which is also a binding receptor for the COVID-19 virus (Brake et al., 2020). The enforcement of lockdowns, uncertainties about income, news regarding the pandemic and prolonged isolation measures will increase the psychological stress on patients which may, in turn, lead to an increase in the smoking habit (Patwardhan, 2020). Also ongoing de-addiction programs may also suffer a setback. This scenario calls for an urgent increase in the anti-tobacco campaign. We as healthcare professionals must counsel smokers and prevent the emergence of new smokers. A clear message should be sent to patients that although these are stressful times, smoking is not a solution. Proper guidance to patients who smoke regarding the delirious effects of smoking especially concerning the COVID-19 pandemic should be imparted. They should be educated in terms of prevention of both active and passive smoking and given counseling on the availability of de-addiction services, coping with mechanisms for withdrawal symptoms which include balanced diet, regular physical activity, adequate sleep and nicotine replacements such as nicotine gums. Patients can be directed to a host of education material and motivational videos available on the internet. In addition, telemedicine services can be used by patients to communicate with their treating physicians and virtual group support sessions organized for psychological support and motivation. Opportunistic advice to patients on relapse prevention and to watch for increased smoking tendencies can be given. Training sessions can be organized for healthcare professionals in terms of the WHO 5A’s model for tobacco cessation incorporating components such as ask, advice, assess, assist and arrange.

致编辑:2019冠状病毒病大流行已成为全球医疗保健系统面临的最大挑战。其发病机制涉及病毒在呼吸系统上皮细胞中的感染和复制，导致严重的急性呼吸综合征和死亡。截至2020年4月25日，全世界报告的死亡人数超过18.7万人，感染人数为2 724 809人(世界卫生组织，2020年)。吸烟与慢性肺部疾病的发展直接相关，吸烟者容易感染许多呼吸道病毒。此外，吸烟是癌症和心血管疾病等许多疾病发展的危险因素，这些疾病的存在增加了COVID-19患者的发病率和死亡率(Emami, Javanmardi, Pirbonyeh， & Akbari, 2020)。一些研究已经表明，吸烟已被证明会恶化COVID-19感染的预后和结果(Vardavas & Nikitara, 2020)。其潜在机制可能是吸烟引起慢性炎症后粘膜免疫功能降低，呼吸道上皮细胞通透性增加。另一种可能的机制可能是血管紧张素转换酶2受体的表达增加，该受体也是COVID-19病毒的结合受体(Brake et al.， 2020)。封锁的实施、收入的不确定性、有关大流行的新闻和长期隔离措施将增加患者的心理压力，这可能反过来导致吸烟习惯的增加(Patwardhan, 2020)。同时，正在进行的戒毒项目也可能遭受挫折。这种情况要求紧急加强反烟草运动。作为医护专业人员，我们必须为吸烟者提供建议，防止新吸烟者的出现。应该向患者传达一个明确的信息，即尽管这是压力时期，吸烟不是解决办法。应向吸烟患者提供有关吸烟导致精神错乱的适当指导，特别是在COVID-19大流行的情况下。应对他们进行预防主动吸烟和被动吸烟的教育，并就能否获得戒瘾服务提供咨询，处理戒断症状的机制，包括均衡饮食、定期体育活动、充足睡眠和尼古丁口香糖等尼古丁替代品。患者可以被引导到互联网上提供的大量教育材料和激励视频。此外，患者可以使用远程医疗服务与治疗医生沟通，并组织虚拟小组支持会议，以提供心理支持和激励。可以给病人关于预防复发和注意增加吸烟倾向的机会性建议。可根据世卫组织5A戒烟模式为卫生保健专业人员组织培训课程，包括询问、建议、评估、协助和安排等内容。综上所述，吸烟可能是COVID-19恶化的调节因素。在大流行期间，心理压力增加可能导致吸烟增加。至关重要的是，医疗保健提供者认识到这一令人不安的趋势，并采取积极措施，以防止吸烟人数的上升。

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引用次数: 3

An integrated behavioural intervention combined with varenicline for heavy-drinking smokers: a randomized pilot study. 结合伐尼克兰对重度饮酒吸烟者的综合行为干预:一项随机试点研究。

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-09-01 Epub Date: 2020-03-18 DOI: 10.1017/jsc.2020.13

Lisa M Fucito, Ran Wu, Stephanie S O'Malley, Tess H Hanrahan, Jolomi T Ikomi, Srinivas Muvvala, Kathleen M Carroll, Ralitza Gueorguieva

Objectives: Combined smoking and heavy drinking is a significant health burden. Varenicline, an efficacious tobacco pharmacotherapy that also shows promise for drinking, has yielded mixed results among heavy-drinking smokers. This pilot study investigated integrated tobacco and alcohol counselling plus varenicline for this vulnerable group.

Design: Twelve-week parallel, randomized controlled pilot trial of two behavioural interventions in combination with open-label varenicline. Participants were randomized using computer-generated tables, stratified by sex.

Setting: Outpatient academic medical centre research clinic.

Participants: Volunteers who reported smoking and heavy drinking and sought tobacco or alcohol treatment (N = 26). Intervention. (1) Integrated tobacco + alcohol counselling (INT; n = 13) or (2) counselling focused on their presenting concern (i.e., tobacco or alcohol) (SINGLE; n = 13), plus varenicline (2 mg) for 12 weeks.

Main outcomes: Feasibility/acceptability, smoking quit rates and heavy drinking.

Results: INT feasibility/acceptability was high among men but not women. More participants quit smoking in INT than SINGLE. This outcome was only in men, not significant, but had a medium effect size. Both conditions yielded significant drinking reductions.

Conclusion: Integrated tobacco and alcohol behavioural counselling plus varenicline may be feasible and promote smoking cessation among men who smoke and drink heavily, but a larger sample is needed to replicate this finding.

目的:吸烟和酗酒是严重的健康负担。伐尼克兰(Varenicline)是一种有效的烟草药物疗法，在酗酒者中效果好坏参半。这项试点研究调查了针对这一弱势群体的综合烟酒咨询和伐尼克兰。设计:两种行为干预联合开放标签伐尼克兰的12周平行、随机对照先导试验。参与者使用计算机生成的表格随机分组，按性别分层。机构:门诊、学术医疗中心、研究诊所。参与者:报告吸烟和酗酒并寻求烟草或酒精治疗的志愿者(N = 26)。干预。(1)烟酒综合咨询(INT);n = 13)或(2)针对他们目前所关心的问题(即烟草或酒精)进行咨询(单身;N = 13)，加用伐尼克兰(2mg)治疗12周。主要结局:可行性/可接受性、戒烟率和重度饮酒。结果:男性患者的可接受性较高，女性患者的可接受性较低。INT组戒烟人数多于SINGLE组。这一结果仅在男性中出现，并不显著，但具有中等效应。两种情况下的饮酒量都显著减少。结论:综合烟酒行为咨询加伐尼克兰可能是可行的，可以促进重度吸烟和饮酒的男性戒烟，但需要更大的样本来复制这一发现。

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引用次数: 1

Quit4hlth: a preliminary investigation of tobacco treatment with gain-framed and loss-framed text messages for quitline callers. 戒烟热线呼叫者使用增益框和损失框短信进行烟草治疗的初步调查。

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-09-01 Epub Date: 2020-05-21 DOI: 10.1017/jsc.2020.17

Alana M Rojewski, Lindsay R Duncan, Allison J Carroll, Anthony Brown, Amy Latimer-Cheung, Paula Celestino, Christine Sheffer, Andrew Hyland, Benjamin A Toll

Introduction: Recent evidence suggests that quitline text messaging is an effective treatment for smoking cessation, but little is known about the relative effectiveness of the message content.

Aims: A pilot study of the effects of gain-framed (GF; focused on the benefits of quitting) versus loss-framed (LF; focused on the costs of continued smoking) text messages among smokers contacting a quitline.

Methods: Participants were randomized to receive LF (N = 300) or GF (N = 300) text messages for 30 weeks. Self-reported 7-day point prevalence abstinence and number of 24 h quit attempts were assessed at week 30. Intent-to-treat (ITT) and responder analyses for smoking cessation were conducted using logistic regression.

Results: The ITT analysis showed 17% of the GF group quit smoking compared to 15% in the LF group (P = 0.508). The responder analysis showed 44% of the GF group quit smoking compared to 35% in the LF group (P = 0.154). More participants in the GF group reported making a 24 h quit attempt compared to the LF group (98% vs. 93%, P = 0.046).

Conclusions: Although there were no differences in abstinence rates between groups at the week 30 follow-up, participants in the GF group made more quit attempts than those in the LF group.

最近的证据表明，戒烟热线短信是一种有效的戒烟治疗方法，但人们对短信内容的相对有效性知之甚少。目的:对增益框架(GF;专注于戒烟的好处)和损失框架(LF;聚焦于继续吸烟的成本)吸烟者之间的短信联系戒烟热线。方法:参与者随机接受LF (N = 300)或GF (N = 300)短信，为期30周。自我报告的7天点患病率戒断和24小时戒烟尝试次数在第30周进行评估。使用逻辑回归对戒烟的意向治疗(ITT)和应答者进行分析。结果:ITT分析显示GF组戒烟率为17%，LF组为15% (P = 0.508)。应答者分析显示GF组有44%的人戒烟，而LF组只有35% (P = 0.154)。与LF组相比，GF组有更多的参与者报告在24小时内尝试戒烟(98%对93%，P = 0.046)。结论:虽然在第30周的随访中，两组之间的戒断率没有差异，但GF组的参与者比LF组的参与者有更多的戒烟尝试。

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引用次数: 1

The predictive value of intake questions on informing tailored quitline services 入境问题对告知量身定制的戒烟热线服务的预测价值

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-06-17 DOI: 10.1017/jsc.2020.18

Ryan G. N. Seltzer, Stephen S. Michael, Heather P. York, Nicole P. Yuan

The Minimal Data Set are demographic and tobacco use questions asked during enrollment at many quitlines. We tested whether these questions can be used to predict program engagement and success, and to evaluate whether findings can inform the tailoring of protocols to disparate populations. We analyzed 7,920 Arizona Smokers' Helpline treatment records to test a Structural Equation Model of the mediating effects of quitline services and short-term cessation outcomes on the relationship between intake questions and 7-month quit rate. Education (b = 0.05), gender (b = 0.03), Medicaid (b = −0.09), longest length of previous quit attempt (b = 0.05), confidence in quitting for 24 h (b = 0.04), environmental risk (b = −0.05), and life stress (b = 0.04) all significantly (P < 0.05) predicted engagement in quitline services. Program engagement had a direct effect on an in-program cessation outcomes construct (b = 0.47) and 7-month quit rate (b = 0.44). This in-program cessation outcomes construct had a significant direct effect on 7-month quit rate (b = −0.12). This model showing the relationship between program engagement and outcomes suggests that tailoring protocols can focus on engaging clients who have historically not taken full advantage of quitline services.

最小数据集是在许多戒烟中心注册期间提出的人口统计和烟草使用问题。我们测试了这些问题是否可以用于预测项目参与和成功，并评估研究结果是否可以为不同人群的协议定制提供信息。我们分析了7920名亚利桑那州吸烟者的求助热线治疗记录，以检验戒烟热线服务和短期戒烟结果对摄入问题和7个月戒烟率之间关系的中介作用的结构方程模型。教育程度（b=0.05）、性别（b=0.03）、医疗补助（b=−0.09）、上次尝试戒烟的最长时间（b=0.05%）、戒烟24小时的信心（b=0.04）、环境风险（b=–0.05）和生活压力（b=.04）均显著（P<0.05）预测了戒烟服务的参与度。项目参与对项目内停止结果结构（b=0.47）和7个月退出率（b=0.44）有直接影响。项目内停止效果结构对7个月的退出率（b=-0.12）有显著的直接影响。该模型显示了项目参与和结果之间的关系，表明定制协议可以专注于吸引那些历史上没有充分利用专线服务。

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引用次数: 0

Examining E-Cigarette Purchases and Cessation in a Consumer Panel of Smokers – CORRIGENDUM 在吸烟者消费者小组中审查电子烟的购买和停止——CORRIGENDUM

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-03-04 DOI: 10.1017/jsc.2020.5

Zachary Cahn, R. Haardörfer, Michael Lewis, Yanwen Wang, C. Berg

In the above mentioned article, table 2 has been published with an error. The cessation odds ratios for 2011 single NRT use, 2011 multiple NRT use, and 2012–13 single NRT are erroneously duplicated, repeating the corresponding odds ratios for e-cigarette use. The correct table is displayed below. Reference Cahn, Z., Haardörfer, R., Lewis, M., Wang, Y., & Berg, C. (2019). Examining E-Cigarette Purchases and Cessation in a Consumer Panel of Smokers. Journal of Smoking Cessation, 14(1), 32–41. doi:10.1017/jsc.2018.11

在上面提到的文章中，表2的发布有一个错误。2011年单一NRT使用、2011年多种NRT使用和2012-13年单一NRT使用的戒烟优势比被错误地重复，重复了电子烟使用的相应优势比。正确的表如下所示。参考文献Cahn, Z.， Haardörfer, R.， Lewis, M.， Wang, Y.， & Berg, C.(2019)。在吸烟者消费者小组中调查电子烟的购买和戒烟情况。中国戒烟杂志，2014(1)，32-41。doi: 10.1017 / jsc.2018.11

引用次数: 0

Text2Quit: An analysis of user experiences with a mobile smoking cessation program. Text2Quit：手机戒烟程序用户体验分析。

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-03-01 Epub Date: 2019-11-08 DOI: 10.1017/jsc.2019.22

L C Abroms, C L Heminger, A L Boal, J M Van Alstyne, N Krishnan

Introduction: Studies have shown that Text2Quit and other mobile cessation programs increase quit rates in adult smokers, but the mechanism of effects and user experiences are not well understood.

Aims: This study reports on participants' experiences with the program and explores aspects of the program that they liked and disliked.

Methods: Self-reported experiences of the program were collected through a follow-up survey conducted one month after enrollment (n=185). Participant responses to open-ended items were dual coded by independent coders.

Results: Overall participants agreed that they liked the program (4.2/5), that the program was helpful (4.1/5) and that they would recommend the program to a friend (4.3/5). Top reasons for liking the program included that it served as a constant reminder of quitting (17.8%), the content (16.7%), the encouragement provided (13.3%), and the on-demand tools (12.2%). Top reasons for disliking the program were message frequency (20.5%), content (7.0%), and the lack of personal interaction (7.0%).

Conclusions: The constancy of messaging was both liked as a reminder and disliked as an annoyance. Future programs might be improved by pre-testing and customizing the content based on user preferences, and by adding in human interactions, while keeping a supportive tone and offering on-demand tools.

简介研究表明，Text2Quit 和其他手机戒烟程序提高了成年吸烟者的戒烟率，但其效果机制和用户体验还不甚了解：方法：通过在注册一个月后进行的跟踪调查，收集参与者（185 人）对该计划的自我体验报告。参与者对开放式项目的回答由独立编码员进行双重编码：总的来说，参与者一致认为他们喜欢该计划（4.2/5），该计划很有帮助（4.1/5），并且他们会向朋友推荐该计划（4.3/5）。喜欢该计划的主要原因包括：它能不断提醒人们戒烟（17.8%）、内容（16.7%）、提供的鼓励（13.3%）和按需工具（12.2%）。不喜欢该计划的主要原因是信息频率（20.5%）、内容（7.0%）和缺乏个人互动（7.0%）：结论：信息的持续性既能起到提醒作用，也会给人带来烦恼。在保持支持性语气和提供按需工具的同时，可通过预先测试、根据用户偏好定制内容以及增加人际互动来改进未来的程序。

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引用次数: 0

Pilot trial of nicotine replacement therapy sampling in a dental care clinic 牙科诊所尼古丁替代疗法抽样试验

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-03-01 DOI: 10.1017/jsc.2019.17

E. Bloom, M. Carpenter, K. Walaska, Laura Hunt, Kathy Keable, Maryam Rayani, S. Japuntich

Nicotine replacement therapy sampling (NRTS) refers to providing all smokers, regardless of interest in quitting, with free samples of over-the-counter NRT. NRTS has been shown to increase quit attempts and abstinence.We conducted a pilot trial with a goal to establish the feasibility and acceptability of NRTS in a dental clinic, where providing free samples is routine and universal.Participants (N = 30) completed a baseline survey and were randomized to receive or not receive a 2-week supply of NRT samples (14 mg patches and 4 mg lozenges) in a 3:1 ratio.We enrolled 30 of 50 potentially eligible patients, of whom 26 completed a 4-week follow-up survey. At follow-up, 61% of the NRT group reported use of the samples and 26% said they used more NRT obtained on their own. In the No NRT group, only one patient reported using NRT. No patients reported past week abstinence, but 43% of the NRT group vs. 29% of the No NRT group reported making a quit attempt lasting longer than 24 h.The pattern of results suggests that conducting a larger trial would be feasible and that the NRTS intervention was acceptable to dental patients.

尼古丁替代疗法样本(NRTS)指的是向所有吸烟者提供免费的非处方尼古丁替代疗法样本，无论他们是否有戒烟的兴趣。NRTS已被证明可以增加戒烟尝试和戒断。我们进行了一项试点试验，目的是确定NRTS在牙科诊所的可行性和可接受性，在那里提供免费样品是常规和普遍的。参与者(N = 30)完成了基线调查，并按3:1的比例随机接受或不接受2周的NRT样本(14毫克贴片和4毫克含片)。我们招募了50名可能符合条件的患者中的30名，其中26名完成了为期4周的随访调查。在随访中，61%的NRT组报告使用了样本，26%的人说他们使用了更多自己获得的NRT。在无NRT组中，只有1例患者报告使用了NRT。没有患者报告过去一周的戒断，但43%的NRT组和29%的非NRT组报告戒烟尝试持续时间超过24小时。结果的模式表明进行更大规模的试验是可行的，并且NRTS干预对牙科患者是可以接受的。

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引用次数: 1

Smokers who do not quit: Can the precaution adoption process model help identify hard-core smokers? 不戒烟的吸烟者:预防措施采用过程模型能否帮助识别铁杆吸烟者?

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-03-01 DOI: 10.1017/jsc.2019.20

Tanya Buchanan, C. Magee, P. Kelly

Hard-core smokers have been identified as a potential public health challenge. The trans-theoretical model lacks the specificity to identify hard-core smokers. The precaution adoption process model (PAPM) is a stage-based behaviour change model which includes ‘no intent to quit’ as a distinct stage and so may be useful in identifying hard-core smokers.The aim of this study was to apply the PAPM to a community based sample of smokers to determine whether it provides a useful approach to identifying hard-core smokers.We surveyed smokers in Australia who were recruited through social media and an online data collection agency.The sample included 336 current smokers, 11.9% were in Stage 4 of the PAPM – i.e. had decided not to quit. Stage 4 smokers are more resistant to quitting and marked by their similarities to hard-core smokers. This is further amplified when addressing Stage 4 smokers with no previous quit attempt.Stage 4 smokers with no previous quit attempts are aligned with a hard-core smoker profile with higher levels of nicotine dependence, greater cigarette consumption and low socio-economic status. Further research is required to determine if PAPM is a valid predictive model for identifying hard-core smokers in clinical practice.

铁杆吸烟者已被确定为潜在的公共健康挑战。跨理论模型缺乏识别铁杆吸烟者的特异性。预防措施采用过程模型(PAPM)是一个基于阶段的行为改变模型，其中包括“无意戒烟”作为一个独特的阶段，因此可能有助于识别铁杆吸烟者。本研究的目的是将PAPM应用于基于社区的吸烟者样本，以确定它是否为识别铁杆吸烟者提供了有用的方法。我们调查了澳大利亚的吸烟者，他们是通过社交媒体和在线数据收集机构招募的。样本包括336名当前吸烟者，11.9%处于PAPM的第4阶段，即决定不戒烟。第四阶段吸烟者更不愿意戒烟，他们的特点是与铁杆吸烟者相似。在解决没有戒烟尝试的第4阶段吸烟者时，这种情况进一步扩大。没有戒烟尝试的第四阶段吸烟者属于尼古丁依赖程度较高、香烟消费量较大、社会经济地位较低的铁杆吸烟者。需要进一步的研究来确定PAPM是否在临床实践中是识别铁杆吸烟者的有效预测模型。

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引用次数: 3

A pilot study to implement and sustain the US PHS clinical practice guidelines for treating tobacco use and dependence in free clinics, a safety net care setting for the uninsured 一项试点研究，旨在实施和维持美国公共卫生服务临床实践指南，在免费诊所治疗烟草使用和依赖，这是一个为无保险人员提供的安全网护理环境

IF 0.9 Q4 SUBSTANCE ABUSE

Journal of Smoking Cessation

Pub Date : 2020-03-01 DOI: 10.1017/jsc.2019.21

K. Foley, Eunyoung Y. Song, Jessica R Pockey, Cindy Jones, J. Spangler, David P. Miller, Whitney D. Davis, E. Sutfin

Uninsured patients are more likely than the general population to use tobacco and less likely to quit.To determine if the mode of delivering the PHS Guidelines influenced the effectiveness of smoking cessation among patients in a safety net setting.Six free clinics were randomly assigned to a training program delivered by an academic physician or community partner plus video support. A repeated cross-sectional survey of patients was conducted at three waves to assess effectiveness to promote quitting.Tobacco use was triple the rate of the US population: 57.7% (Wave 1), 44.7% (Wave 2), and 48.9% (Wave 3). Patients were more likely to report receipt of at least one evidence-based strategy to promote quitting at Wave 2 (AOR = 2.33, 95% CI (1.18–4.58)). Patients treated in clinics trained by the community partner were significantly more likely to report receiving cessation assistance at Wave 2 (AOR 2.54, 95%CI 1.29–5.00) and the trend was similar, but not significant at Wave 3. Patients in the community partner-led arm were significantly less likely to report tobacco use at Wave 3 (AOR 0.59, 95% CI 0.35–0.99).Implementation of the PHS Guidelines in free clinics demonstrates preliminary efficacy, with delivery by community partners offering greater scalability.

未参保的患者比普通人群更有可能吸烟，戒烟的可能性较小。确定在安全网环境中，PHS指南的实施模式是否影响患者戒烟的有效性。六家免费诊所被随机分配到一个由学术医生或社区合作伙伴提供的培训项目中，外加视频支持。对患者进行了三次重复的横断面调查，以评估促进戒烟的有效性。烟草使用率是美国人口的三倍：57.7%（第1波）、44.7%（第2波）和48.9%（第3波）。患者更有可能报告在第二波接受了至少一种循证策略来促进戒烟（AOR=2.33，95%CI（1.18-4.58））。在社区合作伙伴培训的诊所接受治疗的患者更有可能在第二次接受戒烟援助（AOR2.54，95%CI 1.29-5.00），趋势相似，但在第三波并不显著。社区合作伙伴主导组的患者在第3波报告吸烟的可能性显著降低（AOR 0.59，95%CI 0.35–0.99）。在免费诊所实施PHS指南证明了初步疗效，社区合作伙伴提供的服务具有更大的可扩展性。

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引用次数: 0