在无家可归的退伍军人中戒烟的移动健康应急管理:一个比较有效性的试验
Sarah M Wilson1,2,3, Dan V Blalock1,2, Jonathan R Young2,3,4
1VA Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT COIN), Durham Veterans Affairs Health Care System, Durham, NC, United States.
Preventive medicine reports
|July 17, 2023
概括
移动应急管理 (mCM) 在短期内改善无家可归退伍军人的戒烟. 在mCM和标准护理之间,长期戒断率相似,这突显了需要持续支持的需要.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 成 药物 药物 药物 药物
背景情况:
- 对于无家可归的美国退伍军人来说,戒烟是一个挑战.
- 移动应急管理 (mCM) 对这一群体有希望,但需要进一步研究长期结果和验证.
- 之前的研究通常样本规模小,或缺乏强有力的戒断措施.
研究的目的:
- 在无家可归的退伍军人中评估mCM与标准戒烟护理相比的疗效.
- 在6个月和12个月的随访中评估生化验证的禁欲.
- 为了确定mCM的成本效益.
主要方法:
- 127名吸烟的无家可归退伍军人被随机分配到mCM (包括远程医疗和可选药物治疗) 或VA标准护理.
- 参与者在3个月的随访后获得了戒断的经济激励.
- 随机化后的3,6个月和12个月进行了禁欲的后续评估.
主要成果:
- 在6个月后,mCM组显示出明显更高的长期戒断率 (OR = 3.1).
- 在所有时间点中,与标准护理相比,mCM参与者长期戒断的几率翻了一番.
- 在两组之间12个月的随访期间,没有观察到戒断的显著差异.
结论:
- mCM是无家可归退伍军人的一种具有成本效益的戒烟干预措施,改善了短期戒烟.
- 持续的戒断策略至关重要,因为干预效应可能会减少12个月.
- 进一步的研究应该集中在维持长期戒烟在这个弱势群体.
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