改善马来西亚反吸烟策略的概念框架

M. Jaafar, N. Alias, A. Yusof, M. Isa
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引用次数: 0

摘要

本文提出了一个概念模型,用于建立一种即兴制定反吸烟策略的新方法。世界卫生组织(世界卫生组织)的烟草控制方案制定了在全球实施的MPOWER措施。尽管已经实施了许多方法,但在这些战略的积极影响方面存在知识差距。因此,分析现有的方法并制定新的策略将有利于烟草控制运动。所提出的模型改编自英国医学研究委员会(MRC)的复杂干预框架,可作为研究人员制定烟草控制新举措或战略的参考。该模型包括三个阶段,即(i)第一阶段:在“特定地点”人群中确定影响戒烟欲望及其成功的因素;(ii)第二阶段:使用系统综述分析全球可用的戒烟策略,以及(iii)第3阶段:在第1和第2阶段的基础上,开发新的潜在反吸烟宣传工具/产品/指南。这一概念在制定反吸烟战略方面的新颖之处在于在第一阶段结合了当地的需求。这项研究可能对马来西亚人戒烟或戒烟行为做出重大贡献。在这项研究结束时,研究人员将能够根据所讨论的框架推荐新的和/或经过调整的工具/产品/指南。此外,政府应适当审查有关香烟的法规,以取得更显著的效果,同时最大限度地减少反吸烟运动的费用。
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THE CONCEPTUAL FRAMEWORK IN IMPROVING ANTI-SMOKING STRATEGIES IN MALAYSIA
This paper proposes a conceptual model for establishing a new approach to improvise anti-smoking strategies. The Tobacco Control programme under the World Health Organization (WHO) has established MPOWER measures to be applied globally. Although numerous approaches have been implemented, there is a knowledge gap pertaining to the positive impact of these strategies. Therefore, analyzing current approaches and establishing new strategies will be beneficial for the tobacco control movement. The proposed model has been adapted from the Medical Research Council (MRC), United Kingdom framework for complex interventions which can be used as reference for researchers to develop a new initiative or strategy for tobacco control. This proposed model incorporates three phases, which are (i) Phase 1: To identify factors influencing stop smoking desires and their successfulness among “specific location” population, (ii) Phase 2: To analyse available smoking cessation strategies globally using systematic review, and (iii) Phase 3: To develop new potential tools/products/guidelines for anti-smoking promotions based on Phase 1 and 2. The novelty of this concept in developing anti-smoking strategies is the incorporation of local needs in Phase 1. This research may contribute significantly to stop or quit smoking behavior among Malaysians. At the end of this study, researchers will be able to recommend new and/or adapted tools/products/guidelines based on the framework discussed. Also, government regulations regarding cigarettes should be properly reviewed in order to achieve more significant results whilst minimizing expenses for anti-smoking campaigns.
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