Jitnarin Nattinee, Poston Walker S C, Jahnke Sara A, Haddock Christopher K, Severson Herbert H
Center for Fire, Rescue and EMS Health Research, NDRI-USA, Leawood, United States.
Oregon Research Institute, Eugene, United States.
Tob Prev Cessat. 2021 Apr 8;7:26. doi: 10.18332/tpc/132963. eCollection 2021.
The prevalence of smokeless tobacco (SLT) use among firefighters is substantially higher than the general population and similar occupational groups. Despite the significant health risks associated with SLT and its impact on occupational readiness, there are no occupationally-tailored SLT education or treatment programs for the fire service. The purpose of this study was to beta test QUIT SPIT!, a self-help SLT cessation program that is culturally tailored for the US fire service and firefighters who are interested in quitting.
After development and tailoring the QUIT SPIT! SLT cessation program for firefighters, the feasibility and acceptability of the program were evaluated in a sample of eleven SLT-using firefighters who wanted to quit. The primary outcome was a 7-day point prevalence of SLT abstinence measured at 4 and 12 weeks post-enrollment follow-up assessments.
Four firefighters reported having quit SLT (7-days point prevalence) at follow-up at 12 weeks. Those who did not achieve SLT abstinence reported reductions in frequency and quantity in SLT use and demonstrated a decrease in nicotine dependence. Firefighters also reported being satisfied with the QUIT SPIT! cessation program.
The results provide strong support for the feasibility and acceptability of the QUIT SPIT! in SLT-using firefighters interested in quitting. The findings provide critical information about the next steps for further development and evaluation of the QUIT SPIT! program.
消防员中无烟烟草（SLT）的使用率显著高于普通人群和类似职业群体。尽管SLT存在重大健康风险及其对职业准备状态的影响，但针对消防部门并没有专门定制的SLT教育或治疗项目。本研究的目的是对“戒烟吐唾！”进行β测试，这是一个为美国消防部门以及有戒烟意愿的消防员量身定制的自助式SLT戒烟项目。
在为消防员开发并定制“戒烟吐唾！”SLT戒烟项目后，对11名想要戒烟且使用SLT的消防员样本进行了该项目的可行性和可接受性评估。主要结果是在入组后4周和12周的随访评估中测量的7天SLT戒断点患病率。
4名消防员在12周的随访中报告已戒掉SLT（7天戒断点患病率）。未实现SLT戒断的消防员报告其SLT使用频率和数量有所减少，且尼古丁依赖程度降低。消防员们还报告对“戒烟吐唾！”戒烟项目感到满意。
结果为“戒烟吐唾！”在有戒烟意愿的使用SLT的消防员中的可行性和可接受性提供了有力支持。这些发现为“戒烟吐唾！”项目进一步开发和评估的后续步骤提供了关键信息。
