Cooperman Nina A, Richter Kimber P, Bernstein Steven L, Steinberg Marc L, Williams Jill M
1Rutgers Robert Wood Johnson Medical School, Division of Addiction Psychiatry , New Brunswick, New Jersey , United States.
Subst Use Misuse. 2015 Apr;50(5):566-81. doi: 10.3109/10826084.2014.991405. Epub 2015 Jan 5.
Over 80% of people in methadone treatment smoke cigarettes, and existing smoking cessation interventions have been minimally effective.
To develop an Information-Motivation-Behavioral Skills (IMB) Model of behavior change based smoking cessation intervention for methadone maintained smokers, we examined smoking cessation related IMB factors in this population.
Current or former smokers in methadone treatment (n = 35) participated in focus groups. Ten methadone clinic counselors participated in an individual interview. A content analysis was conducted using deductive and inductive approaches.
Commonly known IMB factors related to smoking cessation were described. These factors included: the health effects of smoking and treatment options for quitting (information); pregnancy and cost of cigarettes (motivators); and coping with emotions, finding social support, and pharmacotherapy adherence (behavioral skills). IMB factors specific to methadone maintained smokers were also described. These factors included: the relationship between quitting smoking and drug relapse (information), the belief that smoking is the same as using drugs (motivator); and coping with methadone clinic culture and applying skills used to quit drugs to quitting smoking (behavioral skills). IMB strengths and deficits varied by individual.
Methadone maintained smokers could benefit from research on an IMB Model based smoking cessation intervention that is individualized, addresses IMB factors common among all smokers, and also addresses IMB factors unique to this population.
接受美沙酮治疗的人群中，超过80%的人吸烟，而现有的戒烟干预措施效果甚微。
为接受美沙酮维持治疗的吸烟者开发一种基于信息-动机-行为技能（IMB）行为改变模型的戒烟干预措施，我们研究了该人群中与戒烟相关的IMB因素。
接受美沙酮治疗的现吸烟者或既往吸烟者（n = 35）参加了焦点小组。10名美沙酮诊所的咨询师参加了个人访谈。采用演绎法和归纳法进行内容分析。
描述了与戒烟相关的常见IMB因素。这些因素包括：吸烟对健康的影响及戒烟治疗选择（信息）；怀孕和香烟成本（动机）；以及应对情绪、寻找社会支持和药物治疗依从性（行为技能）。还描述了美沙酮维持治疗吸烟者特有的IMB因素。这些因素包括：戒烟与药物复发之间的关系（信息），认为吸烟与使用毒品相同的信念（动机）；以及应对美沙酮诊所文化并将用于戒毒的技能应用于戒烟（行为技能）。IMB的优势和不足因人而异。
接受美沙酮维持治疗的吸烟者可能会从基于IMB模型的个性化戒烟干预研究中受益，该研究既要解决所有吸烟者共有的IMB因素，也要解决该人群特有的IMB因素。
