Havercamp Susan M, Barnhart Wesley R, Ellsworth David, Coleman Erica, Lorenz Allison, Whalen Smith Cara N, Riddle Ilka K
Nisonger Center, The Ohio State University, Columbus, OH, USA.
University Center for Excellence in Developmental Disabilities, University of Cincinnati, Cincinnati, OH, USA.
Tob Use Insights. 2019 Jan 23;12:1179173X18825075. doi: 10.1177/1179173X18825075. eCollection 2019.
People with disabilities (PWD) are more likely to use tobacco and less likely to access tobacco cessation programs compared with people without disabilities. (LIFT), an evidence-based intervention designed for PWD, was piloted with dyads of PWD (n = 5) and their caregivers (n = 7). As an important source of practical and social support for PWD, caregivers also impact health-related attitudes, knowledge, and behaviors of PWD. Caregivers who smoke may unwittingly interfere with cessation efforts of the people they support. We found that LIFT could be offered to dyads of PWD and their caregivers with fidelity. The intervention was associated with increased use of coping strategies and self-efficacy to reduce smoking. Tobacco use decreased at post-test (-34.94%), with further reduction 6-months after the intervention (-50.60%). Implications for offering inclusive health promotion interventions to both PWD and their caregivers are discussed.
与非残疾人相比，残疾人更有可能使用烟草，且获得戒烟项目的可能性更低。“提升”（LIFT）是一项专为残疾人设计的循证干预措施，在由5名残疾人和7名他们的照顾者组成的二元组中进行了试点。作为残疾人实际和社会支持的重要来源，照顾者也会影响残疾人与健康相关的态度、知识和行为。吸烟的照顾者可能会无意中干扰他们所支持的人的戒烟努力。我们发现，可以如实地向残疾人和他们的照顾者二元组提供“提升”干预措施。该干预措施与应对策略的更多使用以及减少吸烟的自我效能感增加有关。在测试后，烟草使用量下降了（-34.94%），在干预后6个月进一步下降（-50.60%）。本文讨论了为残疾人和他们的照顾者提供包容性健康促进干预措施的意义。
