Brockman Tabetha A, Patten Christi A, Lukowski Amy
Center for Clinical and Translational Science; Office for Community Engagement in Research; Mayo Clinic, 200 First Street SW, Rochester, MN 55905;
Department of Psychology and Psychiatry, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; ;
Addict Res Theory. 2018;26(6):525-532. doi: 10.1080/16066359.2018.1450872. Epub 2018 Mar 19.
Translation of effective behavioral interventions is a key challenge for the addictions treatment field. With the goal of disseminating an effective behavioral intervention to practice, this narrative study describes tobacco cessation coaches' skills sets and provides an illustrative case study of a 1-session phone intervention between a coach and a concerned family member who wants to help their smoker quit. Delivered through a quitline by quitline coaches, the intervention consisted of a 15-30 minute phone session and written materials. The goal of the intervention was for family members and friends (support persons) to encourage their smoker to use a quitline. Data were collected from transcripts of 193 audiotapes of the one session phone intervention from a previous trial (Patten et al., In Print). Using content analysis, major themes regarding barriers and challenges within the sessions and coaches' solutions assisted in selecting case study illustrating the dialogue between a coach and a support person, as well as demonstrating the coaches' skill sets used to deliver the session. In addition, the barriers and challenges among support persons (i.e., uncertainty about how to approach the smoke, the smoker is not ready to quit) and the coaches' responses and suggestions are illustrated. These types of data could be useful to clinicians, providers and others interested in implementing a behavioral intervention for nonsmokers who want to support a smoker to quit.
有效行为干预措施的推广是成瘾治疗领域面临的一项关键挑战。为了将有效的行为干预措施推广到实际应用中,本叙述性研究描述了戒烟教练的技能组合,并提供了一个案例研究,展示了教练与一位希望帮助吸烟者戒烟的关心家人之间进行的一次电话干预。该干预由戒烟热线的教练通过戒烟热线进行,包括一次15 - 30分钟的电话沟通和书面材料。干预的目标是让家人和朋友(支持人员)鼓励吸烟者使用戒烟热线。数据收集自之前一项试验中193盘单次电话干预录音带的文字记录(帕滕等人,即将发表)。通过内容分析,关于沟通环节中的障碍与挑战以及教练的应对方法的主要主题,有助于选择案例研究,展示教练与支持人员之间的对话,以及展示教练在沟通中所运用的技能组合。此外,还阐述了支持人员面临的障碍与挑战(例如,不确定如何与吸烟者沟通、吸烟者尚未准备好戒烟)以及教练的回应和建议。这类数据可能对临床医生、服务提供者以及其他有兴趣为想要支持吸烟者戒烟的非吸烟者实施行为干预的人有用。