用1周尼古丁替代疗法采样在户外吸烟热点的移动戒烟治疗的有效性:一个集群随机对照试验
Wan Jia Aaron He1, Qi Wang2, Ching Han Helen Chan3
1School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong.
Addiction (Abingdon, England)
|September 10, 2024
概括
提供1周尼古丁替代疗法 (NRT) 样本的移动戒烟治疗并没有改善香港吸烟者的戒烟尝试或戒烟率. 虽然它增加了现场参与,但它降低了诊所服务使用率.
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:
- 在全球范围内,吸烟仍然是一个重大的公共卫生问题.
- 有效的戒烟策略对于减少与烟草有关的发病率和死亡率至关重要.
- 移动卫生干预为提供SC服务提供了一个有希望的途径.
研究的目的:
- 为了评估移动SC治疗与1周尼古丁替代疗法 (NRT) 样本相结合的疗效.
- 评估对日常吸烟者的招聘和关键戒烟结果的影响.
- 分析对SC服务利用的影响.
主要方法:
- 在香港进行了一项双臂,单盲集群随机对照试验 (RCT).
- 834名成年每日吸烟者被招募并随机分配,接受NRT采样移动SC治疗或标准移动SC治疗.
- 结果包括1个月的戒烟尝试和6个月的验证禁欲,SC服务的使用作为次要措施.
主要成果:
- 在实验组和对照组 (44.4%和43.5%) 的戒烟尝试中没有发现显著差异.
- 该NRT抽样组显示,随后的SC诊所服务的利用率较低 (32.4%与44.9%相比).
- 验证的戒断率没有显著差异 (4.6%对2.8%),尽管干预增加了现场药物建议的吸收.
结论:
- 使用短期NRT样本进行移动SC治疗并没有在这个香港人群中增强戒烟尝试或戒断.
- 干预对服务利用的影响是混合的,增加了立即参与,但减少了临床转诊.
- 需要进一步的研究来优化移动SC干预措施,以实现持续的戒烟.
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