Himelhoch Seth, Njie-Carr Veronica P S, Peeples Amanda, Awuah Crystal, Federline Amanda, Morton Isabella
College of Medicine, University of Kentucky, Lexington, USA.
School of Nursing, University of Maryland, Baltimore, Maryland, USA.
Health Psychol Behav Med. 2021 Aug 30;9(1):724-740. doi: 10.1080/21642850.2021.1967159. eCollection 2021.
Although veterans living with HIV infection are burdened with smoking-related morbidities, few studies have explored theory-informed, evidence-based smoking cessation interventions in the Veterans Affairs (VA) Health System.
In this concurrent mixed-method study, we sought to better understand factors influencing the adoption of existing evidence-based smoking cessation interventions (reminders, telephone quit lines, pharmacological) for veterans in VA HIV clinics. We explored the alignment of the revised Promoting Action on Research Implementation in Health Services Framework (i-PARIHS) with study results.
Nineteen clinicians working at eight HIV clinics in the VA System participated in the study. Seven themes were identified with relative quantitative and qualitative data convergence of clinicians' perceptions of the importance of integrating evidence-based smoking cessation interventions for veterans with HIV infection.
Identified themes underscore the need for clinicians to provide smoking cessation training, supportive care, and motivate veterans living with HIV infection to quit smoking. Integrating smoking cessation programs into HIV treatment plans in the veteran patient population is critical. Dedicated time to fully implement these efforts will maximize smoking cessation intervention efforts and will yield successful utilization and subsequent patient compliance. Importantly, combination strategies will ensure cessation program impact and sustainability.Netherlands National Trial Register identifier: ntr050..
尽管感染艾滋病毒的退伍军人承受着与吸烟相关的疾病负担，但很少有研究在退伍军人事务（VA）卫生系统中探索基于理论和证据的戒烟干预措施。
在这项同期混合方法研究中，我们试图更好地了解影响VA艾滋病毒诊所退伍军人采用现有循证戒烟干预措施（提醒、电话戒烟热线、药物治疗）的因素。我们探讨了修订后的卫生服务研究实施促进行动框架（i-PARIHS）与研究结果的一致性。
VA系统中8家艾滋病毒诊所的19名临床医生参与了该研究。通过对临床医生对为感染艾滋病毒的退伍军人整合循证戒烟干预措施重要性的认知进行相对定量和定性数据融合，确定了7个主题。
确定的主题强调临床医生需要提供戒烟培训、支持性护理，并激励感染艾滋病毒的退伍军人戒烟。将戒烟项目纳入退伍军人患者群体的艾滋病毒治疗计划至关重要。投入专门时间全面实施这些努力将使戒烟干预措施的效果最大化，并实现成功应用及随后的患者依从性。重要的是，联合策略将确保戒烟项目的影响和可持续性。荷兰国家试验注册标识符：ntr050..
