Guydish Joseph, Gruber Valerie A, Le Thao, Tajima Barbara, Andrews K Blakely, Leo Hannah, Zura Shaina K, Miller Roland, Tsoh Janice Y
Philip R. Lee Institute for Health Policy Studies, University of California San Francisco (UCSF), USA.
UCSF Department of Psychiatry, USA.
J Subst Abuse Treat. 2016 Apr;63:39-45. doi: 10.1016/j.jsat.2015.12.002. Epub 2015 Dec 28.
This study implemented a smoking cessation readiness group (RG) in two women-focused residential substance abuse treatment programs, with the aim of engaging women in smoking cessation services. The primary outcome was defined as attending at least one cessation group after the RG ended. The RG combined features of the Expert Systems (ES) approach with a practice quit attempt. ES is an interactive system which tailors intervention to the smokers' stage of change, while the practice quit attempt rehearses the process of quitting smoking. As a secondary aim we tested whether incentives, used to promote participation and engagement in the RG, would increase initiation of smoking cessation services. Participants (N=75) were women smokers enrolled in two residential programs, and intention to quit smoking was not required for participation. Twelve participant cohorts were randomly assigned to receive the RG with or without incentives. Following the RG intervention, 38.7% of participants (n=29) attended at least one smoking cessation session. Both the number of RG sessions attended and a successful practice quit attempt predicted the later use of cessation services, while incentives did not. From pre- to post-RG, participants reported decreased cigarettes per day (CPD: 11.8 vs. 7.6, p<.0001) and decreased nicotine dependence as measured by the Heaviness Smoking Index (HSI: 2.3 vs. 1.8, p<.001). The 3-session group-format RG intervention was associated with initiation of smoking cessation services and with changes in smoking behavior.
本研究在两个以女性为重点的住院药物滥用治疗项目中实施了戒烟准备小组（RG），旨在让女性参与戒烟服务。主要结果定义为在RG结束后至少参加一次戒烟小组。RG将专家系统（ES）方法的特点与实际戒烟尝试相结合。ES是一个交互式系统，可根据吸烟者的改变阶段调整干预措施，而实际戒烟尝试则演练戒烟过程。作为次要目标，我们测试了用于促进参与RG的激励措施是否会增加戒烟服务的启动。参与者（N = 75）为参加两个住院项目的女性吸烟者，参与并不要求有戒烟意愿。12个参与者队列被随机分配接受有或没有激励措施的RG。在RG干预后，38.7%的参与者（n = 29）至少参加了一次戒烟会议。参加RG会议的次数和成功的实际戒烟尝试都预测了后期戒烟服务的使用情况，而激励措施则没有。从RG前到RG后，参与者报告每天吸烟量减少（CPD：11.8对7.6，p <.0001），并且通过重度吸烟指数测量的尼古丁依赖程度降低（HSI：2.3对1.8，p <.001）。为期3节的小组形式的RG干预与戒烟服务的启动以及吸烟行为的改变有关。
