Sharma Manoj, Khubchandani Jagdish, Nahar Vinayak K
Behavioral & Environmental Health, School of Public Health, Jackson State University, Jackson, MS, USA; College of Health Sciences, Walden University, Minneapolis, MN, USA.
Department of Physiology and Health Science, Ball State University, Muncie, IN, USA.
Health Promot Perspect. 2017 Mar 5;7(2):102-105. doi: 10.15171/hpp.2017.18. eCollection 2017.
Smoking continues to be a public health problem worldwide. Smoking and tobacco use are associated with cardiovascular diseases that include coronary heart disease, atherosclerosis, cerebrovascular disease, and abdominal aortic aneurysm. Programs for quitting smoking have played a significant role in reduction of smoking in the United States. The smoking cessation interventions include counseling, nicotine replacement therapy, buproprion therapy, and varenicline therapy. The success rates with each of these approaches vary with clear need for improvement. Moreover, there is a need for a robust theory that can guide smoking cessation counseling interventions and increase the success rates. A fourth generation approach using multi-theory model (MTM) of health behavior change is introduced in this article for smoking cessation. An approach for developing and evaluating an intervention for smoking cessation is presented along with a measurement tool. A literature review reifying the MTM of health behavior change for smoking cessation has been presented. An instrument designed to measure constructs of MTM and associated smoking cessation behavior has been developed. The instrument developed is available for validation, reliability and prediction study pertaining to smoking cessation. The intervention is available for testing in a randomized control trial involving smokers. MTM is a robust theory that holds promise for testing and application to smoking cessation.
吸烟在全球范围内仍是一个公共卫生问题。吸烟及烟草使用与心血管疾病相关，这些疾病包括冠心病、动脉粥样硬化、脑血管疾病和腹主动脉瘤。戒烟项目在美国的吸烟减少方面发挥了重要作用。戒烟干预措施包括咨询、尼古丁替代疗法、安非他酮疗法和伐尼克兰疗法。这些方法的成功率各不相同，显然都需要改进。此外，需要一个强有力的理论来指导戒烟咨询干预措施并提高成功率。本文介绍了一种采用健康行为改变多理论模型（MTM）的第四代戒烟方法。文中还介绍了一种开发和评估戒烟干预措施的方法以及一种测量工具。本文呈现了一篇支持将健康行为改变MTM用于戒烟的文献综述。已开发出一种旨在测量MTM结构及相关戒烟行为的工具。所开发的工具可用于与戒烟相关的效度、信度和预测研究。该干预措施可在涉及吸烟者的随机对照试验中进行测试。MTM是一个强有力的理论，有望用于戒烟测试和应用。
