新墨西哥州药剂师提供的戒烟计划中参与者的戒烟模式和成功预测因素。

Quitting patterns and predictors of success among participants in a tobacco cessation program provided by pharmacists in New Mexico.

机构信息

University of New Mexico, 1 University of New Mexico, MSC 09 5360, Albuquerque, NM 87131.

出版信息

J Manag Care Spec Pharm. 2014 Jun;20(6):579-87. doi: 10.18553/jmcp.2014.20.6.579.

DOI:10.18553/jmcp.2014.20.6.579

PMID:24856596

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10437766/

Abstract

BACKGROUND

Tobacco use causes hundreds of thousands of deaths in the United States each year. Pharmacists are available in the community to provide tobacco cessation interventions. Between 2004 and 2010, the New Mexico Pharmaceutical Care Foundation (NMPCF) provided a pharmacist-led tobacco cessation program to residents in New Mexico.

OBJECTIVES

To (a) obtain point prevalence quit rates at 1 month, 3 months, and 6 months follow-up for participants enrolled in the NMPCF program; (b) differentiate between the quitting patterns of enrolled participants; and (c) identify predictors associated with the quitting patterns.

METHODS

Seven-year data were combined for the pattern analysis. Four quitting patterns were defined, including immediate quitters, delayed quitters, once quitters, and never quitters. Multinomial logistic regression was used to identify characteristics of participants with different quitting patterns.

RESULTS

The analysis included 1,437 participants. The average point prevalence quit rate at 1 month, 3 months, and 6 months was 29.3%, 23.3%, and 18.0%, respectively. Based on our definition for quitting patterns, the study sample consisted of 145 (10.1%) immediate quitters, 113 (7.9%) delayed quitters, 298 (20.7%) once quitters, and 881 (61.3%) never quitters. Multinomial logistic regression identified associations between quitting patterns and demographics, tobacco use and restrictions, baseline confidence in successful quitting, and pharmacotherapy aids used to quit. Relationships varied between quitting patterns.

CONCLUSIONS

The study findings showed that having community pharmacists provide smoking cessation interventions resulted in quitting success rates similar to other health care professionals, which ranged from 9.9% to 26.0%. Since pharmacists are a widely available resource for their patients, managed care organizations may be able to improve the health, and avoid subsequent tobacco-related adverse health outcomes, of their members by implementing a program similar to the NMPCF Tobacco Cessation Program.

摘要

背景

在美国，每年有数十万人因使用烟草而死亡。药剂师可在社区提供戒烟干预措施。2004 年至 2010 年期间，新墨西哥州药剂师医疗基金会（NMPCF）为新墨西哥州的居民提供了一项由药剂师主导的戒烟计划。

目的

（a）获得参与 NMPCF 计划的参与者在 1 个月、3 个月和 6 个月随访时的即时戒烟率；（b）区分参与参与者的戒烟模式；（c）确定与戒烟模式相关的预测因素。

方法

对模式分析进行了 7 年的数据合并。定义了四种戒烟模式，包括立即戒烟者、延迟戒烟者、偶尔戒烟者和从不戒烟者。使用多项逻辑回归来确定具有不同戒烟模式的参与者的特征。

结果

分析共纳入 1437 名参与者。1 个月、3 个月和 6 个月的平均即时戒烟率分别为 29.3%、23.3%和 18.0%。根据我们对戒烟模式的定义，研究样本包括 145 名（10.1%）立即戒烟者、113 名（7.9%）延迟戒烟者、298 名（20.7%）偶尔戒烟者和 881 名（61.3%）从不戒烟者。多项逻辑回归确定了戒烟模式与人口统计学、烟草使用和限制、戒烟成功的基线信心以及用于戒烟的药物治疗辅助工具之间的关联。关系因戒烟模式而异。