美国和加拿大的戒烟热线实践的实施情况。
Implementation of tobacco cessation quitline practices in the United States and Canada.
机构信息
Jessie E. Saul is with the Research Department, North American Quitline Consortium, Phoenix, AZ. Joseph A. Bonito is with the Department of Communication, College of Social and Behavioral Sciences, University of Arizona, Tucson. At the time of the study, Keith Provan was with the Center for Management Innovations in Health Care, School of Government & Public Policy, University of Arizona, Tucson. Erin Ruppel is with the Department of Communication, College of Letters and Science, University of Wisconsin-Milwaukee. Scott J. Leischow is with the Mayo Clinic-Arizona, Mayo Clinic Cancer Center, Scottsdale.
出版信息
Am J Public Health. 2014 Oct;104(10):e98-105. doi: 10.2105/AJPH.2014.302074. Epub 2014 Aug 14.
OBJECTIVES
We examined relationships between implementation of tobacco quitline practices, levels of evidence of practices, and quitline reach and spending.
METHODS
In June and July 2009, a total of 176 quitline funders and providers in the United States and Canada completed a survey on quitline practices, in particular quitline-level implementation for the reported practices. From these data, we selected and categorized evidence-based and emerging quitline practices by the strength of the evidence for each practice to increase quitline efficacy and reach.
RESULTS
The proportion of quitlines implementing each practice ranged from 3% (text messaging) to 92% (providing a multiple-call protocol). Implementation of practices showing higher levels of evidence for increasing either reach or efficacy showed moderate but significant positive correlations with both reach outcomes and spending levels. The strongest correlation was between reach outcomes and spending levels (r=0.80; P<.01).
CONCLUSIONS
The strong relationship between quitline spending and reach reinforces the need to increase quitline funding to levels commensurate with national cessation goals.
目的
我们研究了戒烟热线实践的实施情况、实践的证据水平以及戒烟热线的覆盖面和支出之间的关系。
方法
2009 年 6 月至 7 月，美国和加拿大共有 176 家戒烟热线资助者和提供者完成了一项关于戒烟热线实践的调查，特别是报告的实践在戒烟热线层面的实施情况。根据这些数据，我们根据每项实践的证据强度，选择和分类了基于证据的和新兴的戒烟热线实践，以提高戒烟热线的效果和覆盖面。
结果
实施每项实践的戒烟热线比例从 3%（短信）到 92%（提供多次呼叫协议）不等。实施证据水平较高的实践，无论是增加覆盖面还是效果，都与覆盖面结果和支出水平呈中度但显著的正相关。与支出水平的相关性最强（r=0.80；P<.01）。
结论
戒烟热线支出与覆盖面之间的强相关性强化了增加戒烟热线资金以达到与国家戒烟目标相称的水平的必要性。
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