J Am Pharm Assoc (2003). 2018 Jul-Aug;58(4):387-394. doi: 10.1016/j.japh.2018.04.016. Epub 2018 May 18.
To evaluate the long-term impact of 2 promising intervention approaches to engage pharmacy personnel (pharmacists, technicians) in referring patients who want to quit smoking to the tobacco quitline.
Randomized trial.
Community pharmacies in Connecticut (n = 32) and Washington (n = 32).
Two intervention approaches were evaluated: academic detailing (AD), which involved on-site training for pharmacy staff about the quitline, versus mailed quitline materials (MM).
Changes in the overall percentage of quitline registrants who reported hearing about the quitline from any pharmacy during the 6-month baseline monitoring period versus the 12-month intervention period, and between-group comparisons of a) the number of quitline registrants who reported hearing about the quitline from one of the study pharmacies during the 12-month intervention period, and b) the number of quitline cards and brochures distributed to patients during the first 6 months of the intervention period.
The percentage of quitline callers who reported having heard about the quitline from a pharmacy increased significantly, from 2.2% during the baseline monitoring period to 3.8% during the 12-month intervention (P < 0.0001). In addition, comparisons controlled for seasonal effects also revealed significant increases in referrals. Across all 64 pharmacies, 10,013 quitline cards and 4755 brochures were distributed. The number of quitline cards distributed and the number registrants who reported hearing about the quitline from a pharmacy did not differ by intervention approach (AD vs. MM), although AD pharmacies distributed more quitline brochures (P = 0.022).
Brief cessation interventions are feasible in community pharmacies, and the 2 approaches evaluated for engaging pharmacy personnel were similarly effective and collectively led to meaningful increases in the number and proportion of all patients who called the quitline. Involvement of community pharmacy personnel in tobacco cessation presents a significant opportunity to promote quitline services by connecting patients with an effective publicly available resource.
评估两种有前途的干预措施对促使药房人员（药剂师、技术员）将有戒烟意愿的患者转介至戒烟热线的长期影响。
随机试验。
康涅狄格州（n=32）和华盛顿州（n=32）的社区药房。
评估了两种干预措施：学术详细信息（AD），涉及对药房员工进行有关戒烟热线的现场培训，以及邮寄戒烟热线材料（MM）。
在 6 个月的基线监测期和 12 个月的干预期内，登记戒烟热线的患者中报告从任何一家药房了解到戒烟热线的总体比例的变化，以及组间比较：a）在 12 个月的干预期内，报告从研究药房之一了解到戒烟热线的戒烟热线登记人数，以及 b）在干预期的前 6 个月内分发给患者的戒烟热线卡片和宣传册的数量。
从基线监测期的 2.2%到 12 个月干预期的 3.8%，报告从药房了解到戒烟热线的戒烟热线来电者的比例显著增加（P<0.0001）。此外，控制季节性影响的比较也显示出转介的显著增加。在所有 64 家药房中，共分发了 10013 张戒烟热线卡片和 4755 份宣传册。通过干预措施（AD 与 MM）分发的戒烟热线卡片数量和报告从药房了解到戒烟热线的登记人数没有差异，尽管 AD 药房分发的戒烟热线宣传册更多（P=0.022）。
简短的戒烟干预措施在社区药房中是可行的，评估的两种干预措施在吸引药房人员方面同样有效，共同导致拨打戒烟热线的所有患者的数量和比例有了有意义的增加。社区药房人员参与烟草戒断为通过将患者与有效的公共资源联系起来来促进戒烟热线服务提供了一个重要机会。
