Gao Ni, Solomon Phyllis, Clay Zakia, Swarbrick Peggy
Department of Psychiatric Rehabilitation and Counseling Professions, School of Health Professions, Rutgers University. Piscataway, NJ, USA.
School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, USA.
J Ment Health. 2023 Feb;32(1):183-189. doi: 10.1080/09638237.2021.1922630. Epub 2021 May 17.
Smoking continues to be a major health concern among persons with mental illnesses.
This pilot study compared smoking outcomes between wellness-coaching for smoking cessation and a control group.
Thirty-one individuals were enrolled in an educational group on smoking cessation and 23 completed an eight-session manualized education. Following this educational group, 11 of 23 participants were randomly assigned to wellness coaching for four months and 12 to a control condition. ANCOVAs were used to compare group differences in smoking outcomes.
Fagerström Nicotine Dependence Index (FTND) score of the participants who received the wellness coaching intervention decreased significantly as compared to the control group, indicating a lower level of nicotine dependence. The outcomes of average number of cigarettes smoked daily and breath carbon monoxide level showed tendencies towards reductions for wellness coaching, although not statistically significant compared to the control condition.
Suggestions are shared about the feasibility of wellness coaching as well as barriers and challenges learned in implementing such an intervention to assist individuals with mental illnesses in quitting or reducing smoking.
吸烟仍然是精神疾病患者的一个主要健康问题。
这项试点研究比较了戒烟健康指导组与对照组之间的吸烟结果。
31人参加了一个戒烟教育小组，23人完成了一个为期八节的标准化教育课程。在这个教育小组之后，23名参与者中的11人被随机分配接受为期四个月的健康指导，12人被分配到对照组。采用协方差分析来比较两组吸烟结果的差异。
与对照组相比，接受健康指导干预的参与者的法格斯特龙尼古丁依赖指数（FTND）得分显著降低，表明尼古丁依赖水平较低。每日平均吸烟量和呼气一氧化碳水平的结果显示，健康指导有减少的趋势，尽管与对照组相比没有统计学意义。
分享了关于健康指导的可行性以及在实施这种干预措施以帮助精神疾病患者戒烟或减少吸烟方面所遇到的障碍和挑战的建议。
