Department of Health Promotion and Health Education, Maastricht University, The Netherlands.
Health Educ Res. 2010 Dec;25(6):1008-20. doi: 10.1093/her/cyq053. Epub 2010 Sep 23.
No definitive picture of the factors determining smoking relapse exists, and many smoking relapse prevention programmes have only modest behavioural effects. This study aims to identify the level of consensus among and compare the opinions of two groups of experts (researchers and coaches who provide smoking cessation courses) regarding factors already studied in relation to smoking relapse, factors that have not yet been addressed and ideas on how to improve prevention programmes. A three-round Delphi method was employed. In the first round, 15 researchers completed an electronic questionnaire on factors associated with relapse. The results were used to develop a structured questionnaire for the second round, which was completed by 47 researchers and 61 coaches. The second-round results were then presented to the same experts in the third round, enabling them to re-rate their answers. Results revealed high consensus on some factors already identified as predicting relapse (e.g. self-efficacy), new factors (e.g. action planning) and several methods to improve prevention programmes. Generally speaking, the researchers and coaches provided similar suggestions. The results paint a picture of the current state of knowledge on relapse-related factors and point the way to areas for further research.
目前尚不清楚决定吸烟复吸的因素有哪些，而且许多预防吸烟复吸的项目仅能产生适度的行为效果。本研究旨在确定两组专家（提供戒烟课程的研究人员和教练）对与吸烟复吸相关的已研究因素、尚未涉及的因素以及如何改进预防项目的看法的共识程度并进行比较。本研究采用三轮德尔菲法。在第一轮中，15 名研究人员完成了一份关于与复吸相关因素的电子问卷。研究结果用于制定第二轮的结构化问卷，该问卷由 47 名研究人员和 61 名教练完成。第二轮的结果随后在第三轮呈现给相同的专家，使他们能够重新评估他们的答案。结果表明，一些已确定的预测复吸的因素（如自我效能感）、新因素（如行动计划）以及改善预防计划的几种方法得到了高度共识。总的来说，研究人员和教练提出了类似的建议。研究结果描绘了与复吸相关因素的当前知识状况，并为进一步研究指明了方向。
