Health Promotion Research, University of Vermont, 429 AR4, 1 South Prospect Street, Burlington, VT 05401-3444, USA.
Nicotine Tob Res. 2009 Nov;11(11):1339-46. doi: 10.1093/ntr/ntp143. Epub 2009 Sep 30.
This study examined cognitive barriers that might prevent cigarette smokers who are interested in quitting from calling a smoking quitline.
Using qualitative and quantitative methods, we developed a 53-item inventory of possible cognitive barriers to quitline access. A total of 641 daily smokers who reported high intentions to stop smoking in the next 30 days completed this inventory and were then prompted to call a toll-free smoking quitline (800-QUIT NOW) on 3 occasions. Two months later, they completed a follow-up phone interview to assess use of the quitline, quit attempts, and smoking status.
Exploratory and confirmatory factor analysis of the barrier items revealed a 5-factor solution: stigma, low appraisal of the service, no need for assistance, poor fit with the service, and privacy concerns. Endorsements of barrier factors were generally low. Although several barrier factor scores predicted concurrent intentions to call a quitline in the near future, none prospectively predicted calling the quitline by 2-month follow-up.
Cognitive barriers to use of quitlines remain elusive.
本研究旨在探讨可能阻碍有戒烟意愿的吸烟者拨打戒烟热线的认知障碍。
采用定性和定量方法，我们开发了一份 53 项可能阻碍戒烟热线使用的认知障碍清单。共有 641 名每日吸烟者报告在未来 30 天内有强烈的戒烟意愿，他们完成了这份清单，然后被提示在 3 次机会拨打免费戒烟热线（800-QUIT-NOW）。两个月后，他们完成了后续电话采访，以评估戒烟热线的使用情况、戒烟尝试和吸烟状况。
对障碍项目的探索性和验证性因子分析显示出 5 个因素的解决方案：耻辱感、对服务的低评价、不需要帮助、与服务不匹配和隐私问题。对障碍因素的认可程度普遍较低。尽管一些障碍因素得分预测了近期内拨打戒烟热线的即时意愿，但没有一个因素前瞻性地预测了 2 个月后的戒烟热线使用情况。
使用戒烟热线的认知障碍仍然难以捉摸。
