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印度一个城市社区中针对女性烟草使用者的简短干预与简单建议的随机试点研究。

A Randomized Pilot Study of Brief Intervention versus Simple Advice for Women Tobacco Users in an Urban Community in India.

作者信息

Jhanjee Sonali, Lal Rakesh, Mishra Ashwami, Yadav Deepak

机构信息

National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Psychol Med. 2017 Mar-Apr;39(2):131-136. doi: 10.4103/0253-7176.203121.

Abstract

AIM

The study aimed to assess the efficacy of providing brief intervention (BI) for women tobacco users in a community-based setting.

METHODS

In this open-labeled randomized study, a representative sample of women ( = 100) from a community in East Delhi were screened using Alcohol, Smoking and Substance Involvement Screening Test. Eligible women were randomized to BI or simple advice (SA) arms. At baseline, they were assessed for tobacco use characteristics and severity of nicotine dependence using Fagerstrom's test for nicotine dependence. Intervention in the form of a single session of BI or SA to quit tobacco was provided at baseline. All participants were assessed at 1 week and 3 months following intervention. The principal outcome was self-reported abstinence from tobacco use at 3 months follow-up.

RESULTS

The mean age of the sample was 43 years (standard deviation = 13). Most women were married (80%), housewives (69%), illiterate (61%), socioeconomically disadvantaged and were smokeless tobacco users (94%). The subjects in the BI group were twice more likely to stop tobacco use as compared to individuals in the SA group (odds ratio = 2.2, 95% confidence interval: 0.962-5.197, = 0.06).

CONCLUSION

The study results are suggestive of beneficial effect of BI. A larger study might provide more significant results.

摘要

目的

本研究旨在评估在社区环境中为女性烟草使用者提供简短干预(BI)的效果。

方法

在这项开放标签随机研究中,使用酒精、吸烟和物质使用筛查测试对来自东德里一个社区的100名具有代表性的女性样本进行筛查。符合条件的女性被随机分为简短干预组或简单建议组。在基线时,使用法格斯特罗姆尼古丁依赖测试评估她们的烟草使用特征和尼古丁依赖程度。在基线时提供单次简短干预或简单建议形式的戒烟干预。所有参与者在干预后1周和3个月进行评估。主要结局是在3个月随访时自我报告的戒烟情况。

结果

样本的平均年龄为43岁(标准差 = 13)。大多数女性已婚(80%)、是家庭主妇(69%)、文盲(61%)、社会经济地位不利且使用无烟烟草(94%)。与简单建议组的个体相比,简短干预组的受试者停止使用烟草的可能性高出两倍(优势比 = 2.2,95%置信区间:0.962 - 5.197,P = 0.06)。

结论

研究结果提示简短干预有有益效果。更大规模的研究可能会提供更显著的结果。

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Group behaviour therapy programmes for smoking cessation.用于戒烟的团体行为治疗方案。
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Physician advice for smoking cessation.医生关于戒烟的建议。
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