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独立尼古丁替代疗法起始套装在全州范围内戒烟计划中的影响和效果。

Impact and Effectiveness of a Stand-Alone NRT Starter Kit in a Statewide Tobacco Cessation Program.

机构信息

1 Professional Data Analysts, Inc, Minneapolis, MN, USA.

2 ClearWay Minnesota, Minneapolis, MN, USA.

出版信息

Am J Health Promot. 2019 Feb;33(2):183-190. doi: 10.1177/0890117118772493. Epub 2018 May 10.

DOI:10.1177/0890117118772493
PMID:29747516
Abstract

PURPOSE

To examine 2-week nicotine replacement therapy (NRT) starter kit quit outcomes and predictors and the impact of adding this new service on treatment reach.

DESIGN

Observational study of a 1-year cohort of QUITPLAN Services enrollees using registration and utilization data and follow-up outcome survey data of a subset of enrollees who received NRT starter kits.

SETTING

ClearWay Minnesota's QUITPLAN Services provides a quit line that is available to uninsured and underinsured Minnesotans and NRT starter kits (a free 2-week supply of patches, gum, or lozenges) that are available to all Minnesota tobacco users.

PARTICIPANTS

A total of 15 536 adult QUITPLAN Services enrollees and 818 seven-month follow-up survey NRT starter kit respondents.

MEASURES

Treatment reach for all services and tobacco quit outcomes and predictors for starter kit recipients.

ANALYSIS

Descriptive analyses, χ analyses, and logistic regression.

RESULTS

Treatment reach increased 3-fold after adding the 2-week NRT starter kit service option to QUITPLAN Services compared to the prior year (1.86% vs 0.59%). Among all participants enrolling in QUITPLAN services during a 1-year period, 83.8% (13 026/15 536) registered for a starter kit. Among starter kit respondents, 25.6% reported being quit for 30 days at the 7-month follow-up. After controlling for other factors, using all NRT and selecting more cessation services predicted quitting.

CONCLUSION

An NRT starter kit brought more tobacco users to QUITPLAN services, demonstrating interest in cessation services separate from phone counseling. The starter kit produced high quit rates, comparable to the quit line in the same time period. Cessation service providers may want to consider introducing starter kits to reach more tobacco users and ultimately improve population health.

摘要

目的

考察为期两周的尼古丁替代疗法(NRT)起始套装戒烟效果和预测因素,以及新增该服务对治疗覆盖面的影响。

设计

使用注册和使用数据对 QUITPLAN 服务注册者进行为期一年的队列观察研究,并对接受 NRT 起始套装的注册者进行亚组随访结果调查。

设置

明尼苏达州的 ClearWay Minnesota 的 QUITPLAN 服务为未参保和未充分参保的明尼苏达州居民提供戒烟热线,同时还为所有明尼苏达州的烟草使用者提供 NRT 起始套装(为期两周的免费贴片、口香糖或锭剂)。

参与者

共有 15536 名成人 QUITPLAN 服务注册者和 818 名接受七个月随访的 NRT 起始套装调查应答者。

测量指标

所有服务的治疗覆盖面以及起始套装接受者的戒烟效果和预测因素。

分析方法

描述性分析、卡方检验和逻辑回归分析。

结果

与前一年相比,将为期两周的 NRT 起始套装服务选项添加到 QUITPLAN 服务后,治疗覆盖面增加了三倍(1.86%比 0.59%)。在一年期间注册 QUITPLAN 服务的所有参与者中,83.8%(13026/15536)注册了起始套装。在起始套装应答者中,25.6%在七个月的随访中报告 30 天的戒烟率。在控制其他因素后,使用所有 NRT 和选择更多的戒烟服务可以预测戒烟。

结论

NRT 起始套装使更多的烟草使用者使用 QUITPLAN 服务,这表明除了电话咨询之外,人们对戒烟服务也有兴趣。起始套装产生了高戒烟率,与同期的戒烟热线相当。戒烟服务提供商可能希望考虑引入起始套装,以接触更多的烟草使用者,并最终改善人群健康。

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