Durham VA, 508 Fulton Street (152), Durham, NC 27705, USA.
Am J Health Promot. 2013 Jan-Feb;27(3):181-90. doi: 10.4278/ajhp.101122-QUAN-387.
When a patient is diagnosed with lung cancer, members of his/her social network may be more likely to engage in smoking cessation efforts. Proactive telephone counseling combined with a tailored self-directed intervention may be more effective at promoting smoking cessation than a tailored self-directed intervention alone.
Randomized controlled trial.
Four clinical sites.
Current smokers who are family members and close friends of patients with lung cancer.
Six counselor-initiated counseling calls using motivational interviewing techniques and focusing on teaching adaptive coping skills based on the transactional model of stress and coping along with tailored self-directed materials (including nicotine patches, if not contraindicated) (n = 245) vs. tailored self-directed materials (including nicotine patches, if not contraindicated) (n = 251).
Participants were surveyed at baseline and at 2 weeks, 6 months, and 12 months postintervention. The outcome was 7-day point prevalent abstinence.
The objective of this study was to test for arm differences in smoking cessation rates at 2 weeks and 6 months postintervention (primary) and at 12 months postintervention (secondary).
We found no overall effect of the proactive intervention on cessation rates. Among younger participants (age <50), the cessation rate in the intervention group was higher than in the control group at 2 weeks postintervention (16% vs. 4%, p = .046). For older participants (age >50), there were no group differences.
Proactive telephone counseling focusing on adaptive coping skills was difficult to implement among smokers in lung cancer patients' social network. Although this study did not demonstrate any added benefit to cessation rates, this null finding may be a result of an intervention that was weaker than intended, owing to difficulties in completing the counseling phone calls. We discuss lessons learned and areas for future research in this special population.
当患者被诊断出患有肺癌时，其社交网络中的成员可能更有可能努力戒烟。与仅接受个性化自我指导干预相比，主动电话咨询结合个性化自我指导干预可能更有效地促进戒烟。
随机对照试验。
四个临床站点。
目前是肺癌患者的家庭成员和亲密朋友的吸烟者。
六次顾问发起的咨询电话，使用动机访谈技术，并根据压力和应对的交互模型集中教授适应性应对技能，以及个性化自我指导材料（如果没有禁忌症，包括尼古丁贴片）（n=245）与个性化自我指导材料（如果没有禁忌症，包括尼古丁贴片）（n=251）。
参与者在基线和干预后 2 周、6 个月和 12 个月进行调查。结果是 7 天点流行戒烟。
本研究的目的是检验干预组和对照组在干预后 2 周和 6 个月（主要）以及 12 个月（次要）的戒烟率是否存在差异。
我们没有发现主动干预对戒烟率的总体影响。在年轻参与者（年龄<50 岁）中，干预组在干预后 2 周的戒烟率高于对照组（16%比 4%，p=0.046）。对于年龄较大的参与者（年龄>50 岁），两组之间没有差异。
以适应性应对技能为重点的主动电话咨询在肺癌患者社交网络中的吸烟者中难以实施。尽管本研究没有显示出对戒烟率有任何额外的益处，但这种无效结果可能是由于干预力度比预期的要弱，这是由于难以完成咨询电话造成的。我们讨论了在这个特殊人群中吸取的教训和未来研究的领域。
