Hudmon Karen Suchanek, Czarnik Julia S, Lahey Alexa M, Crowe Susie J, Conklin Megan, Corelli Robin L, Gonzalvo Jasmine D, Hilts Katy Ellis
Department of Pharmacy Practice, College of Pharmacy, Purdue University, West Lafayette, IN 47907, USA.
Department of Clinical Pharmacy, School of Pharmacy, University of California San Francisco, San Francisco, CA 94143, USA.
Pharmacy (Basel). 2023 Apr 7;11(2):72. doi: 10.3390/pharmacy11020072.
To address gaps in care for individuals from under-resourced communities disproportionately affected by tobacco use, this pharmacist-led demonstration project evaluated the feasibility of implementing tobacco use screening and brief cessation interventions during mobile health access events. A brief tobacco use survey was administered verbally during events at two food pantries and one homeless shelter in Indiana to assess the interest and potential demand for tobacco cessation assistance. Individuals currently using tobacco were advised to quit, assessed for their readiness to quit, and, if interested, offered a tobacco quitline card. Data were logged prospectively, analyzed using descriptive statistics, and group differences were assessed by site type (pantry versus shelter). Across 11 events (7 at food pantries and 4 at the homeless shelter), 639 individuals were assessed for tobacco use (n = 552 at food pantries; n = 87 at the homeless shelter). Among these, 189 self-reported current use (29.6%); 23.7% at food pantries, and 66.7% at the homeless shelter ( < 0.0001). About half indicated readiness to quit within 2 months; of these, 9 out of 10 accepted a tobacco quitline card. The results suggest that pharmacist-led health events at sites serving populations that are under-resourced afford unique opportunities to interface with and provide brief interventions for people who use tobacco.
为解决资源匮乏社区中受烟草使用影响尤为严重的个体在护理方面存在的差距,这个由药剂师主导的示范项目评估了在移动医疗服务活动期间实施烟草使用筛查和简短戒烟干预措施的可行性。在印第安纳州的两个食品分发处和一个无家可归者收容所举办活动期间,通过口头方式进行了简短的烟草使用调查,以评估对戒烟援助的兴趣和潜在需求。建议目前使用烟草的个体戒烟,评估他们的戒烟意愿,如果他们感兴趣,就提供一张戒烟热线卡片。数据进行前瞻性记录,使用描述性统计进行分析,并按场所类型(食品分发处与收容所)评估组间差异。在11次活动中(7次在食品分发处,4次在无家可归者收容所),对639名个体进行了烟草使用评估(食品分发处有552名;无家可归者收容所有87名)。其中,189人自我报告目前正在使用烟草(29.6%);食品分发处为23.7%,无家可归者收容所为66.7%(<0.0001)。约一半的人表示准备在2个月内戒烟;其中,十分之九的人接受了戒烟热线卡片。结果表明,在为资源匮乏人群服务的场所由药剂师主导的健康活动为接触使用烟草的人群并为其提供简短干预提供了独特的机会。