Kottke T E, Brekke M L, Solberg L I, Hughes J R
Department of Medicine, Mayo Clinic, Rochester, Minn 55905.
JAMA. 1989 Apr 14;261(14):2101-6.
Sixty-six physicians were randomized to three groups to conduct a 1-month campaign to help their patients stop smoking. The workshop group received free patient education materials and a 6-hour training workshop. The materials group received free patient education materials, and the no-assistance group received nothing. A telephone interview was completed with 89% of the 6767 eligible adult patients seen during the month of the campaign. The brief training program and patient education materials marginally increased the smoking intervention activities of volunteer physicians in private practice. Both workshop and materials physicians asked 54% of their smoking patients to stop; no-assistance physicians asked 40%. One year later, 36% of patients who had not even been asked by their doctors if they smoked reported that they had tried to stop smoking. If the physician had asked the patient if he or she smoked, the probability of a quit attempt was 47%. Patients who had been asked if they smoked were more likely to claim to have stopped (13%) than patients who had not been asked (9%). However, the proportion of patients claiming continued abstinence (range, 12% to 14%) was not related to the group of the physician.
66名医生被随机分为三组，开展为期1个月的活动，帮助他们的患者戒烟。参加研讨会组的医生获得了免费的患者教育材料和一个6小时的培训研讨会。材料组的医生获得了免费的患者教育材料，无援助组的医生则什么也没有得到。在活动月期间，对6767名符合条件的成年患者中的89%进行了电话访谈。简短的培训计划和患者教育材料略微增加了私人执业志愿医生的吸烟干预活动。参加研讨会组和材料组的医生都要求54%的吸烟患者戒烟；无援助组的医生要求40%的吸烟患者戒烟。一年后，36%甚至没有被医生询问是否吸烟的患者报告说他们曾试图戒烟。如果医生询问患者是否吸烟，尝试戒烟的概率为47%。被询问是否吸烟的患者比未被询问的患者更有可能声称已经戒烟（13%对9%）。然而，声称持续戒烟的患者比例（范围为12%至14%）与医生所在的组无关。
