为严重精神疾病的吸烟者提供一种新的多元组件戒烟干预方案的项目评估
Mary F Brunette1,2,3, Jenna G Bourassa1, Joelle C Ferron1,2
1Dartmouth Health, Lebanon, NH, USA.
一项针对严重精神疾病 (SMI) 患者的新型远程医疗干预措施显著增加了戒烟率,并减少了香烟消费. 这项可访问的计划显示了改善这一弱势群体健康结果的希望.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 行为科学 行为科学
背景情况:
- 与普通人群相比,患有严重精神疾病 (SMI) 的个人吸烟率更高,戒烟成功率更低.
- 有效,易于获得的戒烟治疗对于这种差异群体来说至关重要,以改善健康和预防疾病.
研究的目的:
- 为了优化和评估多组件远程医疗干预的可行性和有效性,呼吸好,生活好,对于吸烟的SMI患者.
- 将干预结果与通常的护理条件进行比较 (3 As).
主要方法:
- 对170名每日吸烟者进行了准实验性项目评估,SMI患者接受综合护理.
- 干预组 (n=53) 在4个月内接受了8次远程医疗会议,包括基于认知行为疗法 (CBT) 的咨询,药物治疗支持,激励应用程序使用 (quitSTART) 和社会支持指导.
- 对照组 (n=117) 接受了通常的护理.
主要成果:
- 与通常护理组相比,呼吸好,生活好计划的参与者在随访时实现生物验证的戒烟的可能性大约是通常护理组的三倍.
- 在继续吸烟的参与者中,干预组的参与者减少每日吸烟至少50%的可能性是5倍.
结论:
- "呼吸好,生活好"的干预措施可由社区心理健康中心的工作人员通过远程医疗提供.
- 该干预措施在促进吸烟戒断和减少SMI患者吸烟消费方面表现出显著的有效性.
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