针对幼儿父母的戒烟干预：一项随机对照试验。
Smoking cessation intervention in parents of young children: a randomised controlled trial.
作者信息
Abdullah Abu Saleh M, Mak Yim W, Loke Alice Y, Lam Tai-Hing
机构信息
Department of Community Medicine, The University of Hong Kong, Hong Kong.
出版信息
Addiction. 2005 Nov;100(11):1731-40. doi: 10.1111/j.1360-0443.2005.01231.x.
OBJECTIVE
To examine whether telephone counselling based on the stages of change component of Transtheoretical model of behaviour change together with educational materials could help non-motivated smoking parents of young children to cease.
DESIGN
Randomised controlled trial.
SETTING
Hong Kong Special Administrative Region, PR China.
PARTICIPANTS
952 smoker fathers and mothers of Chinese children aged 5 years.
INTERVENTION
Participants were randomly allocated into two groups: the intervention group received printed self-help materials and three-session telephone-based smoking cessation counselling delivered by trained counsellors; the control group received printed self-help materials only. A structured questionnaire was used for data collection at baseline and at 1, 3 and 6 month follow up.
MAIN OUTCOME MEASURES
The main outcome is 7 day point prevalence quit rate at 6 months (defined as not smoking during the 7 days preceding the 6 month follow up) determined by self reports. Other secondary outcomes were self reported 24 h point prevalence quit rate and self-reported continuous quit rate and bio-chemically validated quit rate at 6 months.
RESULTS
A total of 952 smoker fathers and mothers were randomized to the intervention (n = 467) and control (n = 485) groups. Most were daily smokers (92.4%) and the mean number of cigarettes smoked per day was 14.5 (SD = 8.9). By using intention-to-treat analysis, the 7 day point prevalence quit rate at 6 month follow up was significantly greater in the intervention group (15.3%; 68/444) than the control group (7.4%; 34/459) (P < 0.001). The absolute risk reduction was 7.9% (95% confidence interval: 3.78% to 12.01%). The number needed to treat to get one additional smoker to quit was 13 (95% CI: 8-26). The crude odds ratio of quitting was 2.3(95% CI: 1.5-3.5). The adjusted odds ratio was 2.1 (95% CI: 1.4-3.4) (adjusted for age, number of years smoked, and alcohol dependency).
CONCLUSION
Proactive telephone counselling is an effective aid to promote smoking cessation among parents of young children.
目的
探讨基于行为改变跨理论模型中改变阶段组成部分的电话咨询以及教育材料是否有助于缺乏戒烟动力的幼儿吸烟父母戒烟。
设计
随机对照试验。
地点
中国香港特别行政区。
参与者
952名5岁中国儿童的吸烟父母。
干预措施
参与者被随机分为两组：干预组接受印刷版自助材料以及由经过培训的咨询师提供的为期三期的电话戒烟咨询；对照组仅接受印刷版自助材料。在基线、1个月、3个月和6个月随访时使用结构化问卷收集数据。
主要结局指标
主要结局是6个月时7天时间点患病率戒烟率（定义为在6个月随访前7天内未吸烟），通过自我报告确定。其他次要结局是自我报告的24小时时间点患病率戒烟率、自我报告的持续戒烟率以及6个月时经生化验证的戒烟率。
结果
共有952名吸烟父母被随机分配到干预组（n = 467）和对照组（n = 485）。大多数是每日吸烟者（92.4%），平均每日吸烟量为14.5支（标准差 = 8.9）。采用意向性分析，干预组在6个月随访时的7天时间点患病率戒烟率（15.3%；68/444）显著高于对照组（7.4%；34/459）（P < 0.001）。绝对风险降低为7.9%（95%置信区间：3.78%至12.01%）。使一名吸烟者额外戒烟所需的治疗人数为13（95%置信区间：8 - 26）。戒烟的粗比值比为2.3（95%置信区间：1.5 - 3.5）。调整后的比值比为2.1（95%置信区间：1.4 - 3.4）（根据年龄、吸烟年数和酒精依赖进行调整）。
结论
积极的电话咨询是促进幼儿父母戒烟的有效辅助手段。
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