适应和评估一个简短的建议 烟草戒烟干预在高影响力,低资源设置在印度:一个集群随机对照试验的协议
Sitara L Mahtani1, Kasisomayajula Viswanath1,2, Himanshu A Gupte3
1Dana-Farber Cancer Institute, Boston, MA, United States.
这项研究测试了LifeFirst SWASTH计划,使用任务转移和移动应用程序,帮助孟买较低社会经济地位的患者戒烟. 调查结果将为印度和类似国家提供可扩展,低成本的戒烟干预措施.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 烟草使用在印度每年造成135万人死亡,需要可扩展,低成本的戒烟支持.
- 任务转移提供了一个可行的策略,以扩大简短的咨询干预措施,鉴于缺乏资格人员.
- 生命第一的SWASTH计划针对孟买私人医疗保健部门的社会经济地位较低的患者.
研究的目的:
- 调查LifeFirst SWASTH计划是否增加了在资源较少,高影响力的医疗保健机构中戒烟率.
- 评估孟买戒烟任务转移方法的有效性.
主要方法:
- 一个平行臂,集群随机对照试验,涉及非政府组织和牙科诊所.
- 干预小组收到了小册子,受过训练的从业者的简短建议,以及为期6个月的电话咨询.
- 对照组只收到小册子. 练习者使用移动应用程序和WhatsApp同行网络.
主要成果:
- 该研究于2020年6月获得资金,但由于COVID-19而延迟.
- 实践人员招聘和培训已完成2023年11月至2024年7月.
- 截至2024年7月,36%的患者 (1687/4688) 已经被招募.
结论:
- 假设LifeFirst SWASTH计划可以增加禁烟或减少使用烟草.
- 如果有效,该计划有可能在印度和其他低收入和中等收入国家扩展.
- 研究结果将有助于将基于证据的干预措施转化为低资源环境.
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