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一项将住院精神病人与社区戒烟相联系的随机对照试验支持:一项研究方案。

A randomised controlled trial linking mental health inpatients to community smoking cessation supports: a study protocol.

机构信息

University of Newcastle, Callaghan, NSW, Australia.

出版信息

BMC Public Health. 2011 Jul 17;11:570. doi: 10.1186/1471-2458-11-570.

Abstract

BACKGROUND

Mental health inpatients smoke at higher rates than the general population and are disproportionately affected by tobacco dependence. Despite the advent of smoke free policies within mental health hospitals, limited systems are in place to support a cessation attempt post hospitalisation, and international evidence suggests that most smokers return to pre-admission smoking levels following discharge. This protocol describes a randomised controlled trial that will test the feasibility, acceptability and efficacy of linking inpatient smoking care with ongoing community cessation support for smokers with a mental illness.

METHODS/DESIGN: This study will be conducted as a randomised controlled trial. 200 smokers with an acute mental illness will be recruited from a large inpatient mental health facility. Participants will complete a baseline survey and will be randomised to either a multimodal smoking cessation intervention or provided with hospital smoking care only. Randomisation will be stratified by diagnosis (psychotic, non-psychotic). Intervention participants will be provided with a brief motivational interview in the inpatient setting and options of ongoing smoking cessation support post discharge: nicotine replacement therapy (NRT); referral to Quitline; smoking cessation groups; and fortnightly telephone support. Outcome data, including cigarettes smoked per day, quit attempts, and self-reported 7-day point prevalence abstinence (validated by exhaled carbon monoxide), will be collected via blind interview at one week, two months, four months and six months post discharge. Process information will also be collected, including the use of cessation supports and cost of the intervention.

DISCUSSION

This study will provide comprehensive data on the potential of an integrated, multimodal smoking cessation intervention for persons with an acute mental illness, linking inpatient with community cessation support.

摘要

背景

精神科住院患者的吸烟率高于一般人群,并且受到烟草依赖的影响不成比例。尽管精神卫生医院已经实施了无烟政策,但支持住院后戒烟尝试的系统有限,国际证据表明,大多数吸烟者在出院后会恢复到入院前的吸烟水平。本方案描述了一项随机对照试验,该试验将测试将住院期间的吸烟护理与为有精神疾病的吸烟者提供持续的社区戒烟支持相结合的可行性、可接受性和效果。

方法/设计:本研究将作为一项随机对照试验进行。将从一家大型住院精神卫生机构招募 200 名患有急性精神疾病的吸烟者。参与者将完成基线调查,并随机分为多模式戒烟干预组或仅提供医院吸烟护理组。随机分组按诊断(精神病性、非精神病性)分层。干预组将在住院期间接受简短的动机访谈,并在出院后提供以下持续戒烟支持的选择:尼古丁替代疗法(NRT);转介至戒烟热线;戒烟小组;以及每两周一次的电话支持。通过盲法访谈,在出院后一周、两个月、四个月和六个月收集包括每天吸烟量、戒烟尝试以及自我报告的 7 天点流行率禁欲(通过呼出一氧化碳验证)等结果数据。还将收集过程信息,包括戒烟支持的使用情况和干预成本。

讨论

本研究将为急性精神疾病患者提供综合数据,评估将住院期间与社区戒烟支持相结合的综合、多模式戒烟干预的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f162/3155917/67e26d9114fb/1471-2458-11-570-1.jpg

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