Ostroff Jamie S, Shuk Elyse, Krebs Paul, Lu Wei-Hsin, Burkhalter Jack, Cortez-Weir Jeralyn, Rodriguez Rian, Burnside Vanessa N, Lubetkin Erica I
Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
J Cancer Educ. 2011 Sep;26(3):427-35. doi: 10.1007/s13187-011-0229-8.
Treatments for tobacco dependence exist but are underutilized, particularly among low-income and minority smokers. Patient navigation has been shown to help patients overcome barriers to quality care. In preparation for testing the feasibility of integrating tobacco cessation patient navigation into primary care, this paper describes the development and qualitative evaluation of a new curriculum for training patient navigators to address cessation treatment barriers faced by low-income, minority smokers who are advised to quit by their physicians. Thematic text analysis of transcripts obtained from focus groups with experienced patient navigators (n = 19) was conducted. Participants endorsed patient navigation as a relevant strategy for addressing tobacco cessation treatment barriers and made several recommendations regarding the knowledge, core competencies, and skills needed to conduct tobacco cessation patient navigation. This curriculum could be used by existing patient navigation training centers or made available as a self-guided continuing education program for experienced navigators who wish to expand their navigation interventions to include a tobacco cessation focus.
针对烟草依赖的治疗方法是存在的，但未得到充分利用，尤其是在低收入吸烟者和少数族裔吸烟者中。患者导航已被证明有助于患者克服获得优质护理的障碍。为了测试将戒烟患者导航纳入初级保健的可行性，本文描述了一门新课程的开发和定性评估，该课程用于培训患者导航员，以解决被医生建议戒烟的低收入、少数族裔吸烟者在戒烟治疗中面临的障碍。对与经验丰富的患者导航员（n = 19）进行焦点小组访谈所获得的记录进行了主题文本分析。参与者认可患者导航是解决戒烟治疗障碍的一项相关策略，并就开展戒烟患者导航所需的知识、核心能力和技能提出了若干建议。现有患者导航培训中心可使用本课程，也可将其作为一个自学继续教育项目提供给那些希望将其导航干预扩展到包括戒烟重点的经验丰富的导航员。
