Solomon L J, Scharoun G M, Flynn B S, Secker-Walker R H, Sepinwall D
Department of Psychology, University of Vermont, Burlington 05405, USA.
Prev Med. 2000 Jul;31(1):68-74. doi: 10.1006/pmed.2000.0683.
This study tested the impact of free nicotine patches plus proactive telephone peer support to help low-income women stop smoking.
A total of 214 Medicaid-eligible women smokers of childbearing age were randomized to receive free nicotine patches through the mail or free nicotine patches through the mail plus the provision of proactive support by telephone from a woman ex-smoker for up to 3 months. Assessments were conducted by telephone at baseline, 10 days, and 3 and 6 months after enrollment.
At the 3-month follow-up, significantly more women in the patch plus proactive telephone support condition were abstinent (42%) compared to the patch only condition (28%) (P = 0.03). Similarly, more women in the experimental condition were abstinent at both the 10-day and 3-month assessments (32 v 19%, P = 0.02). However, differences were not found at the 6-month follow-up, suggesting that the addition of proactive telephone peer support enhanced short-term, but not long-term cessation.
This is the first study to demonstrate a beneficial effect for the addition of proactive telephone support as an adjunct to free nicotine replacement in a low-income population.
本研究测试了免费尼古丁贴片加上积极的电话同伴支持对帮助低收入女性戒烟的影响。
共有214名符合医疗补助条件的育龄期女性吸烟者被随机分组，一组通过邮件接收免费尼古丁贴片，另一组通过邮件接收免费尼古丁贴片，外加由一名已戒烟女性提供长达3个月的积极电话支持。在基线、入组后10天、3个月和6个月通过电话进行评估。
在3个月的随访中，与仅使用贴片组（28%）相比，使用贴片加积极电话支持组中戒烟的女性显著更多（42%）（P = 0.03）。同样，在10天和3个月的评估中实验条件组中戒烟的女性更多（32%对19%，P = 0.02）。然而，在6个月的随访中未发现差异，这表明增加积极的电话同伴支持可增强短期戒烟效果，但对长期戒烟效果无影响。
这是第一项证明在低收入人群中，增加积极的电话支持作为免费尼古丁替代疗法的辅助手段具有有益效果的研究。
