双生子计划干预在单一吸烟伴侣夫妇中戒烟：一项随机对照试验的设计。

A dyadic planning intervention to quit smoking in single-smoking couples: design of a randomized controlled trial.

机构信息

Department of Health Psychology, University Medical Center Groningen, University of Groningen, De Brug, FA12, POB 30.001, 9700, RB, Groningen, The Netherlands.

出版信息

BMC Psychol. 2018 Nov 12;6(1):53. doi: 10.1186/s40359-018-0266-8.

DOI:10.1186/s40359-018-0266-8

PMID:30419956

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6233499/

Abstract

BACKGROUND

Tobacco use is the largest preventable cause of death. Smoking cessation interventions that use implementation intentions show promising results. Implementation intentions are if-then plans that specify a certain behaviour within a situational context. This study will examine whether involving a non-smoking partner could improve planning interventions, and whether and which partner interactions underlie this effectiveness.

METHODS

This single-blind randomized controlled trial has a longitudinal design with a baseline questionnaire, end-of-day measurements for three weeks starting on the quit date, and a follow-up questionnaire after three months.

PARTICIPANTS

single-smoking couples who live together and are in a relationship for more than one year.

SETTING

couples are randomized to either a dyadic or individual planning condition. After the intervention the smoker attempts to quit smoking and the diary measurements start.

MEASUREMENTS

The primary outcome variable is smoking abstinence. Secondary outcome measures are smoking behaviour and relationship satisfaction. Partner interactions are examined as a possible mediator.

DISCUSSION

This RCT is the first to examine the effectiveness of dyadic planning to quit smoking in single-smoking couples. Partner interactions are thought to play an important role during the quit attempt, and therefore in the effectiveness of the intervention. This RCT will provide more insight into which daily partner interactions are beneficial for smoking abstinence and the couples' relationship satisfaction, and whether the type of intervention is related to different types or levels of partner interactions and smoking behaviour. When proven effective, this planning intervention in combination with coaching for the non-smoking partner will be a valuable and low-cost addition to existing smoking interventions.

TRIAL REGISTRATION

The trial is retrospectively registered on 19/04/2017 on www.trialregister.nl ( TC: 6398 ).

摘要

背景

吸烟是最大的可预防死因。使用实施意向的戒烟干预措施显示出有希望的结果。实施意向是在特定情境背景下指定特定行为的如果-那么计划。本研究将检验涉及不吸烟的伴侣是否可以改善计划干预措施，以及这种有效性是否以及哪些伴侣互动是基础。

方法

这是一项单盲随机对照试验，采用纵向设计，包括基线问卷、戒烟日期开始后的三周内每天的结束时测量，以及三个月后的随访问卷。

参与者

共同生活且恋爱关系超过一年的单身吸烟夫妇。

设置

夫妇被随机分配到二元或个体计划条件中。干预后，吸烟者试图戒烟，日记测量开始。

测量

主要结局变量是吸烟戒断。次要结局测量是吸烟行为和关系满意度。伴侣互动被视为可能的中介。

讨论

这是第一项检验在单身吸烟夫妇中进行二元计划戒烟有效性的 RCT。伴侣互动被认为在戒烟尝试中起着重要作用，因此在干预的有效性中起着重要作用。这项 RCT 将更深入地了解哪些日常伴侣互动对吸烟戒断和夫妻关系满意度有益，以及干预类型是否与不同类型或水平的伴侣互动和吸烟行为有关。当被证明有效时，这种结合非吸烟者伴侣教练的计划干预将成为现有吸烟干预措施的有价值且低成本的补充。