Pisinger Charlotta, Vestbo Jørgen, Borch-Johnsen Knut, Thomsen Troels, Jørgensen Torben
Research Centre for Prevention and Health, Nordre Ringvej, Glostrup University Hospital, Glostrup, Denmark.
Scand J Public Health. 2005;33(2):138-45. doi: 10.1080/14034940410028370.
Potential exists for improving the impact of quit-smoking programmes, by recruiting smokers in early motivational stages, by using active recruitment strategies, and by offering professional assistance to quit.
This was a randomized population-based intervention study, in Copenhagen, Denmark. A total of 2,408 daily smokers in all motivational stages were included. All participants completed a questionnaire, and underwent a health examination and a lifestyle consultation. Smokers in the high-intensity intervention were offered assistance to quit smoking in smoking cessation groups.
Before the lifestyle consultation only 11% of the smokers stated that they planned to quit within one month. After the lifestyle consultation 27% accepted smoking cessation in groups and an additional 12% planned to quit without assistance. Of the smokers who accepted smoking cessation groups 23% had not been planning to quit before the lifestyle consultation. Being a woman, having high tobacco consumption, having a long smoking history, having tried to quit within the previous year, and having a higher motivation to quit predicted participation in smoking cessation groups.
It was possible to recruit a large number of smokers in early motivational stages by using active recruitment strategies and by offering assistance to quit. Lifestyle consultations markedly increased the number of smokers willing to try to quit. Smokers preferred assistance to quit in a smoking cessation group to quitting on their own; therefore, it is important to improve recruitment strategies for smoking cessation programmes.
通过在动机形成早期阶段招募吸烟者、采用积极的招募策略并提供专业戒烟帮助，提高戒烟项目的效果具有潜力。
这是一项在丹麦哥本哈根进行的基于人群的随机干预研究。共纳入了处于所有动机阶段的2408名每日吸烟者。所有参与者都完成了一份问卷，并接受了健康检查和生活方式咨询。高强度干预组的吸烟者在戒烟小组中获得了戒烟帮助。
在生活方式咨询前，只有11%的吸烟者表示他们计划在一个月内戒烟。生活方式咨询后，27%的人接受了小组戒烟，另有12%的人计划在没有帮助的情况下戒烟。在接受戒烟小组帮助的吸烟者中，23%在生活方式咨询前并未打算戒烟。女性、烟草消费量高、吸烟史长、在前一年曾尝试戒烟以及戒烟动机较高预示着会参与戒烟小组。
通过采用积极的招募策略并提供戒烟帮助，有可能在动机形成早期阶段招募大量吸烟者。生活方式咨询显著增加了愿意尝试戒烟的吸烟者数量。吸烟者更喜欢在戒烟小组中获得戒烟帮助而非自行戒烟；因此，改进戒烟项目的招募策略很重要。
