Cupertino A Paula, Richter Kimber, Cox Lisa Sanderson, Garrett Susan, Ramirez Rigoberto, Mujica Fernando, Ellerbeck Edward F
University of Kansas Medical Center, Department of Preventive Medicine and Public Health, Kansas City, Kansas, USA.
J Health Care Poor Underserved. 2010 May;21(2):504-17. doi: 10.1353/hpu.0.0307.
People with poor access to medical care are more likely to smoke but are less likely to receive nicotine dependence treatment.
To assess preliminary outcomes of a computer-based, bilingual smoking cessation decision-aid to facilitate utilization of resources.
A computer kiosk with a smoking cessation decision-aid was integrated at three safety-net clinics and two health fairs. The kiosk queries participants about smoking behaviors, guides them to set a quit date and select treatment, provides printed materials, and prompts fax-referral to quitline.
Among the 163 smokers referred to the kiosk, 78.5% participated in the study and 30% completed the kiosk in Spanish. Few had previously used cessation resources. During completion of the decision-aid, 95.3% requested pharmacotherapy, and 70.3% opted for counseling. Among those reached for two-month follow-up (69.5%), 20.2% reported they had quit smoking.
Spanish/English computerized decision aids are feasible and can facilitate the use of effective treatments for smoking cessation among underserved smokers.
获得医疗服务机会少的人群吸烟可能性更大，但接受尼古丁依赖治疗的可能性较小。
评估一种基于计算机的双语戒烟决策辅助工具促进资源利用的初步效果。
在三家安全网诊所和两个健康博览会上设置了配备戒烟决策辅助工具的计算机信息亭。该信息亭询问参与者的吸烟行为，指导他们设定戒烟日期并选择治疗方法，提供印刷材料，并促使通过传真转介至戒烟热线。
在转介至信息亭的163名吸烟者中，78.5%参与了研究，30%用西班牙语完成了信息亭操作。很少有人此前使用过戒烟资源。在完成决策辅助工具操作过程中，95.3%的人要求药物治疗，70.3%的人选择咨询服务。在接受两个月随访的人群中（69.5%），20.2%的人报告已戒烟。
西班牙语/英语计算机化决策辅助工具是可行的，并且可以促进为服务不足的吸烟者提供有效的戒烟治疗。
