Wesley R. Barnhart, The Ohio State University Nisonger Center.
Cara N. Whalen Smith, Ohio Colleges of Medicine Government Resource Center.
Intellect Dev Disabil. 2020 Jun 1;58(3):241-250. doi: 10.1352/1934-9556-58.3.241.
People with disabilities have more health complications and higher healthcare utilization related to tobacco use than people without disabilities. Yet, they are less likely to use tobacco cessation resources. Important to meaningful and lasting health behavior change are relationships developed in the home, workplace, and community. Some people with disabilities rely on paid and unpaid caregivers. Just like people with disabilities, paid caregivers are more likely to use tobacco, creating a unique opportunity to target smoking cessation to people with disabilities and their caregivers. Living Independent From Tobacco (LIFT), an evidence-based tobacco cessation intervention, was implemented with dyads of people with disabilities (n = 5) and their caregivers (n = 7). Qualitative analyses revealed that participants valued the dyadic approach and the opportunity to learn coping skills to help with smoking cessation. Lessons for offering inclusive health promotion interventions to people with disabilities and their caregivers are discussed.
与没有残疾的人相比，残疾人因吸烟而导致的健康并发症更多，医疗保健利用率也更高。然而，他们使用戒烟资源的可能性较小。在家庭、工作场所和社区中建立关系对于实现有意义和持久的健康行为改变很重要。一些残疾人依赖有偿和无偿的护理人员。和残疾人一样，有偿护理人员更有可能吸烟，这为针对残疾人及其护理人员实施戒烟提供了独特的机会。以证据为基础的戒烟干预措施“独立生活，远离烟草”（LIFT）在残疾人和他们的护理人员（n=5）和残疾人和他们的护理人员（n=7）之间进行了实施。定性分析显示，参与者重视这种二元方法，以及有机会学习应对技能来帮助戒烟。讨论了为残疾人和他们的护理人员提供包容性健康促进干预措施的经验教训。
