一个随机对照试验的动机面试,以防止在澳大利亚从无烟监狱释放后复发
Xingzhong Jin1, Stuart Alistair Kinner2, Robyn Hopkins3
1Centre for Big Data Research in Health, University of New South Wales, Sydney, Australia.
International journal of prisoner health
|June 21, 2024
概括
监狱释放前的一次激励面试 (MI) 没有显著降低吸烟复发率. 虽然没有减少戒断,但MI确实减少了释放后的每日香烟消费,这表明进一步干预开发的潜力.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 行为科学 行为科学
背景情况:
- 在监禁期间戒烟是一个公共卫生优先事项.
- 监狱释放是吸烟复发的关键时刻.
- 无烟监狱提供了一个独特的机会来解决吸烟行为.
研究的目的:
- 评估单次激励面试 (MI) 会议在从无烟惩戒设施释放的个人中预防吸烟复发的有效性.
- 为了确定是否释放前MI干预影响持续吸烟戒断和释放后的二次吸烟相关结果.
主要方法:
- 一项随机对照试验涉及557名前吸烟者,这些人来自澳大利亚北领地两个禁烟监狱.
- 参与者被分配到一个单一的面对面激励面试 (MI) 会议,在释放前4-6周或通常的护理 (UC).
- 主要结局:连续吸烟戒断,通过呼出的一氧化碳 (<5 ppm) 验证,在释放后三个月. 二次结局包括点患病率禁欲,第一次抽烟的时间和每天抽烟的消费.
主要成果:
- 在心脏病发作组 (8.6%) 和常规护理组 (7.4%) 之间,持续戒断率没有显著差异.
- 观察到高复发率,66.9%在释放日复发,90.2%在三个月内复发.
- 与UC组相比,接受MI的参与者在释放后三个月内平均每天少抽一支香烟 (p < 0.01).
结论:
- 单次MI会话不足以防止在无烟监狱释放后的吸烟复发.
- 围绕监狱释放的时期仍然是戒烟干预的有价值目标.
- 需要进一步的研究来开发全面的释放前和释放后干预措施,以持续预防复发.
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