Hammal Fadi, Chappell Alyssa, Pohoreski Katherine, Finegan Barry A
Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada.
Tob Induc Dis. 2015 Jun 10;13(1):13. doi: 10.1186/s12971-015-0040-0. eCollection 2015.
In Canada, although there are periodic media campaigns to raise awareness of Quitlines, these services are underused. We sought to determine if a dedicated kiosk, similar to that used in the retail industry but staffed by volunteers trained in smoking cessation techniques, would be effective method to enhance Quitline reach.
We located a kiosk in the foyer of two hospitals and in two shopping malls in Edmonton, Canada between Feb/2012 and July/2014. The cessation intervention was based on the 5 A's approach. Outcome was assessed by number of visits to the kiosk and referral rates to the Quitline. A cross sectional survey among small sample of visitors was used for evaluation. Descriptive statistics were used to summarize visitors' data.
Of 1091 kiosk visitors, 53.3 % were current smokers, of whom 93.3 % indicated a willingness to quit. Of these, 32.1 % requested a Quitline referral at the time of the kiosk visit. Referral requests to the Quitline were greater when the kiosk was located in the non-hospital setting 39.1 % compared to 31.1 % in hospitals (P = 0.2). Referrals from the kiosk represented 6 % of total referrals received by the provincial Quitline during the study period. Following referral the Quitline was able to reach 50 % of those referred, of those, 17 % refused to proceed. At seven month follow up 30 day abstinence rate was 3.8 % of smokers who wished quit. Visitors agreed that the kiosk design was interesting (89.3 %) and increased their knowledge about tobacco and cessation options (88.8 %) and encouraged them to take action to quit (85.7 %).
A "volunteer manned kiosk" can increase awareness of smoking cessation resources in the community and increase referral rates to Quitline services.
在加拿大，尽管定期开展媒体宣传活动以提高人们对戒烟热线的认识，但这些服务的利用率仍然很低。我们试图确定，一个类似于零售业使用的、由接受过戒烟技巧培训的志愿者值守的专用咨询台，是否是提高戒烟热线覆盖范围的有效方法。
2012年2月至2014年7月期间，我们在加拿大埃德蒙顿市的两家医院大厅和两个购物中心设置了咨询台。戒烟干预基于“5A”方法。通过咨询台的访问次数和转介到戒烟热线的比率来评估结果。对一小部分访客进行横断面调查以进行评估。使用描述性统计来总结访客数据。
在1091名咨询台访客中，53.3%为当前吸烟者，其中93.3%表示愿意戒烟。在这些人中，32.1%在访问咨询台时要求转介到戒烟热线。当咨询台设在非医院环境中时，转介到戒烟热线的请求更高，为39.1%，而在医院中为31.1%（P = 0.2）。咨询台的转介占研究期间省级戒烟热线收到的总转介的6%。转介后，戒烟热线能够联系到50%的被转介者，其中17%拒绝继续。在七个月的随访中，希望戒烟的吸烟者的30天戒烟率为3.8%。访客们认为咨询台的设计很有趣（89.3%），增加了他们对烟草和戒烟选择的了解（88.8%），并鼓励他们采取行动戒烟（85.7%）。
“志愿者值守咨询台”可以提高社区对戒烟资源的认识，并提高转介到戒烟热线服务的比率。
