Pomeranz Jamie L, Moorhouse Michael D, King Jessica, Barnett Tracey E, Young Mary Ellen, Simmons Vani, Brandon Thomas, Stetten Nichole
University of Florida, Newberry, United States.
University of South Florida, United States.
J Addict Res Ther. 2014;5(4). doi: 10.4172/2155-6105.1000204. Epub 2014 Dec 21.
Smoking is the single most preventable cause of morbidity and mortality, accountable for one out of every five fatalities in the United States annually. Fifty million Americans (22%) suffer from some form of disability, with evidence suggesting that smoking rates within the disabled community are double that of the general population.
The purpose of this study was to develop a tobacco cessation program designed by and for people with disabilities (PWD). Limited research data regarding tobacco interventions suggest that both adapting treatment methods and developing novel approaches may be effective in establishing cessation programs for low-income populations. Community-Based Participatory Research (CBPR) was conducted to develop a tobacco cessation group treatment program for PWD. Consumers with disabilities who use tobacco were recruited from a large population of PWD utilizing services at multiple centers for independent living (CIL) within North Central Florida.
Following qualitative interviews, multiple Community Advisory Board (CAB) meetings, and expert panel review, the tobacco cessation program was modified across several areas including: updating epidemiological data, decreasing text density, adding personal vignettes from PWD, adjusting for person-first language, adding disability-specific issues, and incorporating appropriate counseling strategies.
Study findings suggest that CBPR-based methods are useful when developing tobacco cessation programs for persons with disability. Forty-two changes were recommended for the resulting LIFT Curriculum. Next steps include pilot testing the curriculum among individuals with disability and comparing results to a standard tobacco cessation curriculum.
吸烟是发病率和死亡率的单一最可预防原因，在美国每年每五例死亡中就有一例与此有关。五千万美国人（22%）患有某种形式的残疾，有证据表明残疾人群体中的吸烟率是普通人群的两倍。
本研究的目的是开发一个由残疾人设计并为残疾人服务的戒烟项目。关于烟草干预的有限研究数据表明，调整治疗方法和开发新方法可能对为低收入人群建立戒烟项目有效。开展了基于社区的参与性研究（CBPR），以开发一个针对残疾人的戒烟小组治疗项目。从佛罗里达州中北部多个独立生活中心（CIL）使用服务的大量残疾人群体中招募了吸烟的残疾消费者。
经过定性访谈、多次社区咨询委员会（CAB）会议和专家小组审查后，戒烟项目在几个方面进行了修改，包括：更新流行病学数据、降低文本密度、添加残疾人的个人经历、调整以人为本的语言、添加特定于残疾的问题以及纳入适当的咨询策略。
研究结果表明，基于CBPR的方法在为残疾人开发戒烟项目时很有用。针对最终的LIFT课程建议进行42项修改。下一步包括在残疾个体中对该课程进行试点测试，并将结果与标准戒烟课程进行比较。
