Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA.
J Immigr Minor Health. 2012 Jun;14(3):395-404. doi: 10.1007/s10903-011-9507-0.
The study was conducted to examine the relative effectiveness of cognitive behavior therapy with a cultural tailoring intervention compared to brief medication management. The study used a two-arm randomized controlled trial in which participant assignment was stratified by gender. The intervention condition received eight weekly 40-min individualized counseling sessions of culturally tailored cognitive behavior therapy, while the control condition received eight weekly 10-min individualized counseling sessions of medication management. Both conditions received nicotine patches for 8 weeks. Data were collected at baseline and at four follow-up points (one and 4 weeks, and three and 6 months post-quit). Treatment outcomes were presented as an intention-to-treat analysis. Thirty Korean immigrants participated in the study. At 6-month follow-up, 57.1% of participants in the intervention and 18.8% of participants in the control had 7-day point prevalence abstinence (odds ratio = 5.8, 95% confidence interval = 1.12-26.04, P = 0.04). Participants' self-reported abstinence was biochemically verified with exhaled carbon monoxide and salivary cotinine levels. A combination of the culturally tailored cognitive behavior therapy and nicotine replacement therapy had a better treatment outcome compared to brief medication management. The promising result suggests a need to further test the intervention in larger samples and longer follow-up assessments before it can be adapted in clinical settings.
本研究旨在考察经过文化调适的认知行为疗法与简短药物治疗相比的相对有效性。该研究采用了一项双臂随机对照试验，参与者按照性别分层分组。干预组接受每周 8 次 40 分钟的个体化认知行为疗法的文化调适咨询，而对照组则接受每周 8 次 10 分钟的个体化药物管理咨询。两组均接受 8 周尼古丁贴片治疗。数据在基线和四个随访点（戒烟后 1 周和 4 周，以及 3 个月和 6 个月）收集。治疗结果以意向治疗分析呈现。30 名韩国移民参与了这项研究。在 6 个月的随访中，干预组有 57.1%的参与者和对照组有 18.8%的参与者在 7 天点患病率上达到了戒烟（优势比=5.8，95%置信区间=1.12-26.04，P=0.04）。参与者的自我报告的戒烟情况通过呼出一氧化碳和唾液可替宁水平进行了生物化学验证。与简短药物治疗相比，经过文化调适的认知行为疗法与尼古丁替代疗法的联合治疗有更好的治疗效果。这一有希望的结果表明，在将干预措施应用于临床实践之前，需要在更大的样本和更长的随访评估中进一步测试该干预措施。
