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评估泰国戒烟计划对临床结局的真实世界影响:一项多中心前瞻性观察研究方案。

Assessment of the real-world impact of the Thai smoking cessation programme on clinical outcomes: protocol for a multicentre prospective observational study.

机构信息

School of Pharmacy, Monash University Malaysia, Selangor, Malaysia.

Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Prim Health Care Res Dev. 2022 Nov 10;23:e71. doi: 10.1017/S1463423622000548.

DOI:10.1017/S1463423622000548
PMID:36354087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9706301/
Abstract

BACKGROUND

Tobacco smoking is the most common preventable cause of morbidity and mortality in the world. In an effort to counteract the harmful consequences of smoking, various tobacco control measures have been implemented, including the use of smoking cessation programmes to reduce the number of new smokers as well as helping current smokers to quit smoking. In Thailand, the SMART Quit Clinic Program (FAH-SAI Clinics) was launched in 2010 to provide smoking cessation services by a multidisciplinary team. There are currently 552 FAH-SAI Clinics established across all 77 provinces of Thailand.

AIM

This protocol describes a study aiming to evaluate the SMART Quit Clinic Program (FAH-SAI Clinics) in terms of programme performance and clinical outcomes. We hope that the results of the study could be used to improve the current service model and the programme's success.

METHOD

A multicentre prospective observational study will be conducted. The study will focus on 24 FAH-SAI Clinics across 21 provinces of Thailand. The primary outcomes are seven-day point prevalence abstinence rate and continuous abstinence rate at three and six months. The outcomes will be measured using a self-reported questionnaire and biochemical validated by exhaled carbon monoxide.

DISCUSSION

This study will be the first real-world study that reports the effectiveness of the well-established smoking cessation programme in Thailand. Findings from this study can help improve the quality of smoking cessation services provided by multidisciplinary teams and other smoking cessation services, especially those implemented in low- and middle-income countries.

摘要

背景

吸烟是世界上最常见的可预防的发病和死亡原因。为了抵消吸烟的有害后果,已经实施了各种烟草控制措施,包括使用戒烟方案来减少新烟民的数量,并帮助现有的吸烟者戒烟。在泰国,SMART 戒烟诊所计划(FAH-SAI 诊所)于 2010 年推出,由多学科团队提供戒烟服务。目前,泰国 77 个府共有 552 家 FAH-SAI 诊所。

目的

本方案描述了一项旨在评估 SMART 戒烟诊所计划(FAH-SAI 诊所)的计划表现和临床结果的研究。我们希望研究结果能够用于改进当前的服务模式和该计划的成功。

方法

将进行一项多中心前瞻性观察性研究。该研究将集中在泰国 21 个府的 24 家 FAH-SAI 诊所。主要结果是 7 天点现患率和 3 个月和 6 个月的持续戒烟率。将使用自我报告问卷和呼出一氧化碳的生物化学验证来衡量这些结果。

讨论

这将是第一项报告泰国成熟戒烟计划有效性的真实世界研究。这项研究的结果可以帮助提高多学科团队和其他戒烟服务提供的戒烟服务质量,特别是在中低收入国家实施的戒烟服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876d/9706301/10c80ae2afe0/S1463423622000548_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876d/9706301/0b80cc2e4a3d/S1463423622000548_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876d/9706301/10c80ae2afe0/S1463423622000548_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876d/9706301/0b80cc2e4a3d/S1463423622000548_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876d/9706301/10c80ae2afe0/S1463423622000548_fig2.jpg

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Int J Environ Res Public Health. 2021 Nov 12;18(22):11890. doi: 10.3390/ijerph182211890.
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