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自助戒烟随机对照试验的长期结果。

Long-term outcomes from a self-help smoking cessation randomized controlled trial.

机构信息

Department of Health Outcomes and Behavior.

Department of Biostatistics and Bioinformatics.

出版信息

Psychol Addict Behav. 2018 Nov;32(7):710-714. doi: 10.1037/adb0000401. Epub 2018 Oct 4.

Abstract

There is a need for effective smoking cessation interventions that can be disseminated easily in health care and other settings. We previously reported that an extended self-help intervention comprising intensive repeated mailings over 18 months improved abstinence rates through 6 months beyond the end of the intervention when compared to both a reduced version of the self-help materials and a traditional self-help booklet. This report extends the follow-up for an additional 6 months (30-months postbaseline) to examine long-term maintenance of the intervention effect. We hypothesized that the previously observed "dose-response" effect of treatment intensity would be maintained. Participants were randomized to Traditional Self-Help (TSH, = 638), Standard Repeated Mailings (SRM, = 614), or Intensive Repeated Mailings (IRM, = 622). TSH received an existing self-help smoking cessation booklet. SRM received 8 cessation booklets mailed over 12 months. IRM received monthly mailings of 10 booklets and additional material to enhance social support over 18 months. Follow-up assessments occurred every 6 months through 30 months. Data were collected 2010-2013 and analyzed 2014-2017. At 1 year posttreatment, there was a linear dose effect with the highest abstinence rates observed in IRM (33%), followed by SRM (29%), and then TSH (23%; = .002). Paired comparisons indicated that IRM was superior to TSH ( = .002). Results revealed a robust intervention effect for the intensive self-help intervention that was maintained 12 months after treatment completion. This further supports extended self-help as a low-cost intervention for smoking cessation. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

摘要

需要有效的戒烟干预措施,以便在医疗保健和其他环境中易于传播。我们之前报告说,与简化版自助材料和传统自助手册相比,包含 18 个月密集重复邮寄的扩展自助干预措施可通过干预结束后 6 个月提高戒烟率。本报告将随访时间延长 6 个月(基线后 30 个月),以检查干预效果的长期维持情况。我们假设之前观察到的治疗强度“剂量反应”效应将得到维持。参与者被随机分配到传统自助(TSH,n=638)、标准重复邮寄(SRM,n=614)或密集重复邮寄(IRM,n=622)。TSH 收到了现有的戒烟自助手册。SRM 在 12 个月内收到了 8 份戒烟手册。IRM 每月收到 10 份邮件,并额外提供材料以增强 18 个月的社会支持。通过 30 个月的随访评估每 6 个月进行一次。数据收集于 2010-2013 年,分析于 2014-2017 年。在治疗后 1 年,存在线性剂量效应,IRM 的戒烟率最高(33%),其次是 SRM(29%),然后是 TSH(23%;P=0.002)。配对比较表明,IRM 优于 TSH(P=0.002)。结果表明,密集自助干预措施具有强大的干预效果,在治疗完成后 12 个月仍能维持。这进一步支持了扩展自助作为一种低成本戒烟干预措施。(PsycINFO 数据库记录(c)2018 APA,保留所有权利)。

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