Human Sciences Division, Faculty of Medicine/Northern Ontario School of Medicine, Lakehead University, Thunder Bay, Ontario, Canada.
Mental Health and Addictions Program, Meno Ya Win Health Centre, Sioux Lookout, Ontario, Canada.
Transl Behav Med. 2020 Aug 7;10(3):555-564. doi: 10.1093/tbm/ibz162.
Integrating tobacco cessation interventions into substance use disorder (SUD) programs is recommended, yet few are implemented into practice. This translational research implementation study was designed to integrate an evidence-based tobacco cessation intervention into a 2-week hospital outpatient SUD program that served a rural municipality and 33 remote Indigenous communities. Objectives included determining tobacco use prevalence, intervention uptake, and staffing resources required for intervention delivery. A series of 1-hr tobacco and health/well-being interactive education and behavior-change groups were developed for the SUD program to create a central access point to offer an evidence-based, intensive tobacco cessation intervention that included an initial counseling/planning session and nine post-SUD treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12 months). Group sign-in data included age, gender, community, tobacco use, and interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to February 2019) were attended by 105 people from 22 communities-56% were female, mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the intensive tobacco cessation intervention. The age-standardized tobacco use ratio was two times higher than would be expected in the general rural population in the region. Average staff time to provide the intervention was 1.5-2.5 hr/week. Results showed that a Healthy Living group integrated into SUD programming provided a forum for tobacco education, behavior-change skills development, and access to an intensive tobacco cessation intervention for which enrollment was high yet the intervention could be delivered with only a few staff hours a week.
将戒烟干预措施纳入物质使用障碍（SUD）计划中是被推荐的，然而，实际实施的措施却很少。本项转化研究旨在将一种基于证据的戒烟干预措施纳入为期两周的医院门诊 SUD 计划中，该计划为一个农村自治市和 33 个偏远的原住民社区提供服务。目标包括确定吸烟流行率、干预措施的采用情况以及实施干预所需的人员资源。为 SUD 计划开发了一系列 1 小时的烟草和健康/福祉互动教育和行为改变小组，为提供一种基于证据的强化戒烟干预措施创造了一个集中的切入点，其中包括初始咨询/计划会议和九次 SUD 治疗后的随访（治疗后 1 个月每周一次；2 个月每两周一次；以及 3、6 和 12 个月各一次）。小组签到数据包括年龄、性别、社区、吸烟情况以及对接受戒烟帮助的兴趣。在 2018 年 4 月至 2019 年 2 月期间，32 个小组（共 105 人）参加了这些小组，其中 22 个来自不同社区，56%为女性，平均年龄为 30.9（±7.3；93% < 45 岁），86%的人吸烟，38%的人参加了强化戒烟干预措施。标准化的吸烟比率是该地区一般农村人口的两倍。提供干预措施的平均工作人员时间为每周 1.5-2.5 小时。结果表明，将健康生活小组纳入 SUD 计划中为烟草教育、行为改变技能的发展以及获得强化戒烟干预措施提供了一个平台，尽管参与率很高，但每周只需少量工作人员即可提供干预措施。
