Asvat Yasmin, Cao Dingcai, Africk Joel J, Matthews Alicia, King Andrea
Yasmin Asvat is with the Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL. Dingcai Cao is with the Department of Ophthalmology, University of Illinois, Chicago. Joel J. Africk is with the Respiratory Health Association of Metropolitan Chicago. Alicia Matthews is with the College of Nursing, University of Illinois, Chicago. Andrea King is with the Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL.
Am J Public Health. 2014 Sep;104 Suppl 4(Suppl 4):S620-7. doi: 10.2105/AJPH.2014.302097.
We evaluated the feasibility, acceptability, and effectiveness, in addition to the effects of a psychoeducation-based orientation on smoking cessation knowledge for Courage to Quit (CTQ), an evidence-based smoking cessation intervention disseminated to racially diverse, urban community sites in Chicago, Illinois.
Smokers (n = 1494; 55% African American) enrolled in 6-session full (n = 945) or 3-session short (n = 549) versions of CTQ in 2008 to 2012.
Orientation improved knowledge of efficacious and nonefficacious treatments. Acceptability was outstanding: more than 90% of participants would recommend CTQ. Feasibility was good: completion rates were 53% in the full and 75% in the short programs. Intent-to-treat quit rates were 19% in the full and 17% in the short programs (completer quit rates were 36% and 22%, respectively). Among completers, smoking cessation medication use was associated with higher quit rates. There were no racial disparities: African Americans and Whites showed similar completion and quit rates. Predictors of successful quitting were higher readiness to quit and smoking cessation medication use.
CTQ is moderately successful in the short term as delivered in community-based settings for urban-dwelling, largely minority smokers. Further evaluation of longer-term outcomes and cost effectiveness is warranted.
我们评估了“勇于戒烟”(CTQ)这一循证戒烟干预措施在伊利诺伊州芝加哥市不同种族的城市社区场所传播时,基于心理教育的指导方向对戒烟知识的影响,此外还评估了其可行性、可接受性和有效性。
2008年至2012年,吸烟者(n = 1494;55%为非裔美国人)参加了6节完整课程(n = 945)或3节简短课程(n = 549)的CTQ。
指导方向提高了对有效和无效治疗方法的认识。可接受性非常出色:超过90%的参与者会推荐CTQ。可行性良好:完整课程的完成率为53%,简短课程的完成率为75%。意向性分析的戒烟率在完整课程中为19%,在简短课程中为17%(完成者的戒烟率分别为36%和22%)。在完成者中,使用戒烟药物与较高的戒烟率相关。不存在种族差异:非裔美国人和白人的完成率和戒烟率相似。成功戒烟的预测因素是更高的戒烟意愿和使用戒烟药物。
对于居住在城市的、主要为少数族裔的吸烟者,在社区环境中实施的CTQ在短期内取得了一定程度的成功。有必要对长期结果和成本效益进行进一步评估。