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健康信念作为戒烟替代方式成功的预测因素:一项对照试验的结果

Health beliefs as predictors of success of alternate modalities of smoking cessation: results of a controlled trial.

作者信息

Kaufert J M, Rabkin S W, Syrotuik J, Boyko E, Shane F

出版信息

J Behav Med. 1986 Oct;9(5):475-89. doi: 10.1007/BF00845134.

DOI:10.1007/BF00845134
PMID:3795265
Abstract

The primary objective of this study was to determine whether health beliefs influenced the outcome of the three alternate modalities of reducing cigarette consumption. The study randomized volunteers either to a control group or to one of three cessation programs, using behavior modification, health education, or hypnosis. A questionnaire was used to document health beliefs, demographic characteristics, and smoking history. Blood samples were taken before and after the completion of intervention programs to measure changes in serum thiocyanate. A follow-up questionnaire was used to assess smoking behavior after 6 months. Statistically significant decreases in serum thiocyanate levels followed participation in each of the three programs. Factor analysis and reliability tests were used to identify four scales reflecting major variable dimensions in the health belief model. Significant correlations between change in serum thiocyanate and two of the scales (general health concern and perceived vulnerability) were found only for the group randomly assigned to the health education intervention program.

摘要

本研究的主要目的是确定健康观念是否会影响三种减少吸烟量替代方式的效果。该研究将志愿者随机分为对照组或三个戒烟项目组之一,分别采用行为矫正、健康教育或催眠的方法。使用一份问卷记录健康观念、人口统计学特征和吸烟史。在干预项目结束前后采集血样,以测量血清硫氰酸盐的变化。使用一份随访问卷评估6个月后的吸烟行为。参与三个项目中的任何一个后,血清硫氰酸盐水平均出现了具有统计学意义的下降。采用因子分析和可靠性测试来确定反映健康观念模型中主要变量维度的四个量表。仅在随机分配到健康教育干预项目组中,发现血清硫氰酸盐变化与其中两个量表(对总体健康的关注和感知到的易感性)之间存在显著相关性。

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