Ockene J K, Lindsay E, Berger L, Hymowitz N
For The Commit Research Group, University of Massachusetts Medical School, Worcester.
Int Q Community Health Educ. 1990 Jan 1;11(3):223-37. doi: 10.2190/5MCE-ETDX-J8EC-T8P1.
The Community Intervention Trial for Smoking Cessation (COMMIT) is a multi-center collaborative trial sponsored by the National Cancer Institute. COMMIT utilizes multiple, community-based channels to facilitate quit attempts among heavy cigarette smokers. The "health care provider channel" is important, in that physicians, dentists, and other health care providers can effect changes in smoking behavior at both the individual and community level. There are over 1,600 primary care physicians and general practice dentists in the COMMIT intervention communities. This article describes the conceptual basis for the health care provider activities; results of a survey of community attitudes and behaviors regarding smoking and health care; specific training and intervention activities; and the role of health care providers as community change agents in the smoking cessation arena.
戒烟社区干预试验（COMMIT）是一项由美国国立癌症研究所赞助的多中心合作试验。COMMIT利用多种基于社区的渠道，促进重度吸烟者尝试戒烟。“医疗保健提供者渠道”很重要，因为医生、牙医和其他医疗保健提供者能够在个人和社区层面改变吸烟行为。在COMMIT干预社区中有1600多名初级保健医生和全科牙医。本文描述了医疗保健提供者活动的概念基础；关于吸烟与医疗保健的社区态度和行为调查结果；具体的培训和干预活动；以及医疗保健提供者作为戒烟领域社区变革推动者的作用。
