The Influence of Engagement and Satisfaction on Smoking Cessation Interventions: A Qualitative Study.

The Influence of Engagement and Satisfaction on Smoking Cessation Interventions: A Qualitative Study.
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参与度和满意度对戒烟干预措施的影响:定性研究。

DOI:
10.1080/10826084.2016.1225765
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发表时间:
2017
影响因子:
2
通讯作者:
Prochaska,JamesO
Prochaska,JamesO
中科院分区:
医学4区
文献类型:
--
作者:
Mena,JasmineA;Ampadu,GiftyG;Prochaska,JamesO

文献摘要

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背景:烟草使用仍然是可预防疾病和死亡的主要原因。大多数吸烟者没有戒烟动机;然而,大多数戒烟干预措施是为准备采取行动的吸烟者设计的。目的:本研究的目的是描述参与者对处于不同戒烟准备阶段的吸烟者进行电话戒烟指导的参与度和满意度。方法:采用定性描述的方法,采用半结构访谈的方法,收集参加电话戒烟指导的62人的经历。结果:以人为中心的沟通促进了参与者的参与,他们对戒烟知识的重视程度等同于或高于教练的感知。参与干预与提高满意度、戒烟/减少吸烟和感知干预的便利性有关。结论/重要性:研究结果表明,无动机的吸烟者可以被主动招募并参与电话戒烟治疗,以人为中心的沟通和便利性是实施健康干预时应考虑的重要变量。电话辅导有可能接触到很大一部分有障碍的人群,并可能导致重要的健康行为改变。强烈建议加强提供商培训,包括以人为本的沟通策略。提出了成功实施和传播的具体建议。
Background: Tobacco use remains the leading cause of preventable disease and death. Most smokers are not motivated to quit; however, most smoking cessation interventions are designed for smokers who are ready to take action.Objectives: The aim of the present study was to describe participant engagement and satisfaction with telephonic smoking cessation coaching with a population of smokers at different stages of readiness to quit.Methods: Qualitative description was used to capture the experiences of 62 individuals who participated in telephonic smoking cessation coaching using semistructured interviews.Results: Results indicate that person-centered communication facilitated engagement and was valued equally or more than perceived coach smoking cessation knowledge. Engagement with the intervention was associated with increased satisfaction, smoking cessation/reduction and perceived convenience of intervention.Conclusions/Importance: Findings indicate that unmotivated smokers can be proactively recruited and engaged in telephonic smoking cessation treatment and that person-centered communication and convenience are important variables that should be considered when implementing health interventions. Telephonic coaching has the potential to reach a large segment of the population with access barriers and could lead to important health behavior change. Intensive provider training that includes person-centered communication strategies is strongly recommended. Specific suggestions for successful implementation and dissemination are provided.