Social Epidemiology Departement, Sorbonne Université, INSERM UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique IPLESP, 27 rue Chaligny, Paris, 75012, France.
Centre Ambulatoire d'Addictologie, DMU Psychiatrie et Addictologie, Hôpital Européen Georges Pompidou, APHP.Centre, Paris, France.
Addict Sci Clin Pract. 2021 Jun 30;16(1):43. doi: 10.1186/s13722-021-00254-6.
Compared to smokers with favorable socio-economic position (SEP), those with low SEP are less likely to have a successful smoking cessation attempt. Tailored approaches are therefore needed, and general practitioners could help reaching and assisting usually hard-to-reach population.
STOP (Sevrage Tabagique à l'aide d'Outils dédiés selon la Préférence) is a pilot study, examining the feasibility, acceptability and potentiality of a smoking cessation intervention centered on smoker's preference. Smokers with low SEP, wishing to quit, were recruited in six healthcare centers in the Greater Paris area. They were asked to choose between different types of nicotine replacement therapy (NRT) products and/or e-cigarette with liquids delivered free of charge to aid their smoking cessation attempt. We describe the characteristics of recruited participants, their perception of smoking cessation aids, and the evolution of their smoking status 4 to 6 weeks after recruitment.
We recruited 49 participants, of which 29% chose an e-cigarette, 29% chose NRT and 42% chose both an e-cigarette and NRT. The intervention was shown to be acceptable by participants and health professionals. Among the 24 participants followed for at least one month, 14 (28% of all participants) stopped smoking, and 9 (18%) considerably reduced their consumption.
The STOP intervention is feasible and acceptable, even if more efforts should be made to limit lost-to-follow-up. This preference-based intervention also shows interesting prospect in helping smokers with low SEP quit smoking. We will test the efficacy of this preference-based intervention in a randomized controlled trial.
与社会经济地位较高的吸烟者相比，社会经济地位较低的吸烟者戒烟成功的可能性较小。因此，需要采取针对性的方法，而全科医生可以帮助接触和帮助通常难以接触的人群。
STOP（根据偏好使用专用工具进行戒烟）是一项试点研究，检验了以吸烟者的偏好为中心的戒烟干预措施的可行性、可接受性和潜力。希望戒烟的社会经济地位较低的吸烟者在大巴黎地区的六个医疗中心招募。他们被要求在不同类型的尼古丁替代疗法（NRT）产品和/或免费提供的电子烟及其液体之间进行选择，以帮助他们戒烟。我们描述了招募参与者的特征、他们对戒烟辅助工具的看法，以及招募后 4 至 6 周他们吸烟状况的变化。
我们招募了 49 名参与者，其中 29%选择电子烟，29%选择 NRT，42%选择电子烟和 NRT。参与者和卫生专业人员认为该干预措施是可以接受的。在至少随访一个月的 24 名参与者中，有 14 人（所有参与者的 28%）戒烟成功，9 人（18%）显著减少了吸烟量。
即使需要进一步努力减少失访，STOP 干预措施也是可行和可接受的。这种基于偏好的干预措施在帮助社会经济地位较低的吸烟者戒烟方面也显示出了有趣的前景。我们将在一项随机对照试验中测试这种基于偏好的干预措施的疗效。
