在吸烟复发后该怎么做? 一个连续的多重分配随机试验慢性护理吸烟治疗
Tanya R Schlam1,2, Timothy B Baker3, Megan E Piper3
1Center for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Addiction (Abingdon, England)
|January 29, 2024
概括
在复发后立即鼓励重新参与戒烟治疗,称为"回收",导致戒烟率高于标准戒烟线路推. 这种方法也改善了与戒烟服务的重新接触.
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:
- 吸烟复发是实现长期戒烟的一个重大挑战.
- 需要有效的干预措施来支持那些在最初的戒烟尝试后复发的人.
研究的目的:
- 为了比较三个复发后干预措施对持续戒烟的有效性.
- 评估"回收"和"准备"策略与复发恢复的控制 (清洁线转诊) 相比.
主要方法:
- 一个连续的三阶段多重分配随机试验 (SMART) 在18个初级保健诊所进行.
- 582名复发患者被随机分配到接受尼古丁替代"准备"咨询",回收" (立即鼓励戒烟) 或控制 (戒烟线转诊).
- 干预后14个月,通过生物化学确认来评估禁欲.
主要成果:
- "回收"干预的结果是,与戒断线转诊相比,14个月的戒断率显著更高 (6.9%与2.1%相比).
- "准备"干预没有显示与戒断线转诊相比,戒断率存在显著差异.
- 第三阶段干预 (技能培训,支持性咨询) 并没有显著改善戒断率.
结论:
- 在复发后立即鼓励重新进入戒烟治疗 ("回收") 对于实现戒烟更有效,而不是戒烟线上转诊.
- 再循环还可以提高与准备策略相比,重新参与戒烟治疗.
- 进一步的研究可能会探索优化复发恢复干预措施的组件.
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