Division of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA.
Health Educ Behav. 2012 Oct;39(5):544-54. doi: 10.1177/1090198111421622. Epub 2011 Oct 10.
Interventions tailored to individual smoker characteristics have increasingly received attention in the tobacco control literature. The majority of tailored interventions are generated by computers and administered with printed materials or web-based programs. The purpose of this study was to examine the tailoring activities of community lay health influencers who were trained to perform face-to-face brief tobacco cessation interventions. Eighty participants of a large-scale, randomized controlled trial completed a 6-week qualitative follow-up interview. A majority of participants (86%) reported that they made adjustments in their intervention behaviors based on individual smoker characteristics, their relationship with the smoker, and/or setting. Situational contexts (i.e., location and timing) primarily played a role after targeted smokers were selected. The findings suggest that lay health influencers benefit from a training curriculum that emphasizes a motivational, person-centered approach to brief cessation interventions. Recommendations for future tobacco cessation intervention trainings are presented.
针对个体吸烟者特征量身定制的干预措施在烟草控制文献中越来越受到关注。大多数定制干预措施是由计算机生成的，并通过印刷材料或基于网络的程序来实施。本研究旨在探讨经过培训以进行面对面简短戒烟干预的社区基层卫生影响者的定制活动。在一项大规模的随机对照试验中，有 80 名参与者完成了为期 6 周的定性随访访谈。大多数参与者（86%）报告说，他们根据个体吸烟者的特征、他们与吸烟者的关系和/或环境调整了干预行为。在选择了目标吸烟者之后，情境背景（即地点和时间）主要发挥了作用。研究结果表明，基层卫生影响者受益于强调动机、以个人为中心的简短戒烟干预方法的培训课程。提出了对未来烟草戒烟干预培训的建议。
