Center for Behavioral and Preventive Medicine, The Miriam Hospital, Coro Building East, 167 Point Street, Providence, RI 02903, USA.
Nicotine Tob Res. 2010 Mar;12(3):217-25. doi: 10.1093/ntr/ntp197. Epub 2010 Jan 25.
Pharmacists are uniquely positioned within the community to provide smoking cessation counseling to their patients. However, pharmacists experience significant barriers to providing counseling, including limited time, reimbursement, and training in counseling techniques. We tested a computer-driven software system, "Exper_Quit" (EQ), that provided individually tailored interventions to patients who smoke and matching tailored reports for pharmacists to help guide cessation counseling.
A two-phase design was used to recruit an observation-only group (OBS; n = 100), followed by participants (n = 200) randomly assigned to receive either EQ-assisted pharmacist counseling or EQ plus 8 weeks of nicotine transdermal patch (EQ+). Both treatment groups were scheduled to receive two follow-up counseling calls from pharmacists.
Most participants in the EQ and EQ+ groups reported receiving counseling from a pharmacist, including follow-up calls, while none of the OBS participants reported speaking with the pharmacist about cessation. At 6 months, fewer OBS participants reported a quit attempt (42%) compared with EQ (76%) or EQ+ (65%) participants (p < .02). At 6 months, 7-day point-prevalence abstinence was 28% and 15% among the EQ+ and EQ groups, respectively, compared with 8% among OBS participants (p < .01), and EQ+ participants were twice as likely to be quit than were EQ participants (p < .01).
A tailored software system can facilitate the delivery of smoking cessation counseling to pharmacy patients. Results suggest that EQ was successful in increasing (a) the delivery of cessation counseling, (b) quit attempts, and (c) quit rates. Pharmacists can play an important role in the effective delivery of smoking cessation counseling.
药剂师在社区中具有独特的地位，可以为患者提供戒烟咨询。然而，药剂师在提供咨询方面存在着重大障碍，包括时间有限、报酬低以及缺乏咨询技巧的培训。我们测试了一种名为“Exper_Quit”（EQ）的计算机驱动软件系统，该系统为吸烟患者提供个性化的干预措施，并为药剂师提供匹配的个性化报告，以帮助指导戒烟咨询。
采用两阶段设计，先招募观察对照组（OBS；n=100），然后随机分配 200 名参与者接受 EQ 辅助的药剂师咨询或 EQ+8 周尼古丁透皮贴剂（EQ+）。两组治疗组都安排了两次由药剂师进行的随访咨询电话。
EQ 和 EQ+组的大多数参与者报告接受了药剂师的咨询，包括随访电话，而 OBS 组的参与者均未报告与药剂师讨论戒烟事宜。在 6 个月时，OBS 组报告尝试戒烟的比例（42%）明显低于 EQ（76%）或 EQ+（65%）组（p<.02）。在 6 个月时，EQ+和 EQ 组的 7 天点预存率分别为 28%和 15%，而 OBS 组为 8%（p<.01），EQ+组的戒烟成功率是 EQ 组的两倍（p<.01）。
定制软件系统可以促进为药房患者提供戒烟咨询。结果表明，EQ 成功地增加了（a）戒烟咨询的提供，（b）戒烟尝试，以及（c）戒烟率。药剂师可以在有效提供戒烟咨询方面发挥重要作用。
