Fritz Deborah J, Hardin Sally B, Gore Paul A, Bram Douglas
VA Medical Center, St. Louis, MO, USA.
Pediatr Nurs. 2008 Jan-Feb;34(1):13-7.
This study evaluated a computerized intervention designed to assist high school-aged smokers to consider not smoking and move forward in the "Stages of Change." A pretest-posttest pilot was conducted with 121 high school students who completed self-reported questionnaires that provided information about smoking history and exposure, smoking dependence, stage of change, and social support. Following baseline assessment, the experimental group (n = 61) completed four, 30-minute computerized sessions known as the Computerized Adolescent Smoking Cessation Program (CASCP). Immediately following completion of the program and 1 month later, the experimental subjects were reassessed. Control subjects completed baseline assessment and were reassessed 4 to 5 weeks later. CASCP increased the number of quit attempts. At 1 month after the intervention, 20% of the experimental group quit smoking. Of those subjects who did not quit smoking, nicotine dependence and the number of cigarettes smoked daily decreased, which decreased their nicotine dependence. Overall, there was a forward movement in the experimental group's stage of change. CASCP was found to be an effective and inexpensive intervention that motivates adolescent smokers to consider smoking cessation, move forward in the stage of change, and decrease nicotine dependence.
本研究评估了一种计算机化干预措施,该措施旨在帮助高中年龄段的吸烟者考虑戒烟,并在“改变阶段”取得进展。对121名高中生进行了一项前后测试点研究,这些学生完成了自我报告问卷,问卷提供了有关吸烟史和接触情况、吸烟依赖、改变阶段以及社会支持的信息。在基线评估之后,实验组(n = 61)完成了四个30分钟的计算机化课程,即计算机化青少年戒烟计划(CASCP)。在课程结束后立即以及1个月后,对实验组受试者进行了重新评估。对照组受试者完成了基线评估,并在4至5周后进行了重新评估。CASCP增加了戒烟尝试的次数。在干预1个月后,实验组中有20%的人戒烟。在那些没有戒烟的受试者中,尼古丁依赖和每日吸烟量有所减少,这降低了他们的尼古丁依赖程度。总体而言,实验组在改变阶段有了进展。研究发现,CASCP是一种有效且廉价的干预措施,能够促使青少年吸烟者考虑戒烟,在改变阶段取得进展,并降低尼古丁依赖。