Institute of Public Health, College of Health and Human Sciences, Georgia State University, 140 Decatur Street, Atlanta, GA 30303, USA.
Health Educ Res. 2009 Dec;24(6):941-8. doi: 10.1093/her/cyp053. Epub 2009 Oct 6.
Efficacious 'packaged' teen smoking cessation treatment programs, those developed by national organizations, are widely disseminated to local communities to help teens quit smoking. The implementation fidelity of these programs in community settings has not been documented. The efficacy of these programs could be lessened if they are not implemented as intended. Data from Helping Young Smokers Quit describe the frequency and types of modifications made to packaged teen cessation treatment programs for community delivery. A national sample of 591 community-based teen tobacco cessation treatment programs was profiled and 59% used a single packaged treatment program. Bivariate analyses found that 63% of program administrators reported implementing their program as planned; 37% modified their selected program. The most frequently reported modifications were made to the length and format of the program. Of those who modified their programs, >90% reported multiple program modifications (e.g. length and content). Administrators modified their programs to accommodate implementation barriers, such as time constraints and low participant enrollment, and to address the needs of participants with multiple risk behaviors that are co-morbid with tobacco use.
有效的“套餐式”青少年戒烟治疗方案，即由国家组织制定的方案，已广泛传播到地方社区，以帮助青少年戒烟。这些方案在社区环境中的实施效果尚未得到记录。如果这些方案没有按预期实施，其效果可能会降低。《帮助青少年戒烟》的数据描述了为在社区推广而对“套餐式”青少年戒烟治疗方案进行的修改的频率和类型。对全国范围内 591 个社区青少年烟草戒断治疗方案进行了概况描述，其中 59%使用了单一的“套餐式”治疗方案。双变量分析发现，63%的项目管理人员报告按计划实施了他们的方案；37%修改了他们选择的方案。最常报告的修改是对方案的长度和形式进行了修改。在那些修改了方案的人中，超过 90%的人报告了多个方案的修改（例如，长度和内容）。管理人员修改了他们的方案，以适应实施障碍，如时间限制和低参与者入学率，并满足同时存在多种与烟草使用相关的风险行为的参与者的需求。
