Attitudes toward nicotine replacement therapy in smokers and ex-smokers in the general public
Attitudes toward nicotine replacement therapy in smokers and ex-smokers in the general public
复制标题
DOI：
10.1067/mcp.2001.113722
复制
发表时间：
2001-03-01
影响因子：
6.7
通讯作者：
Perneger, TV
中科院分区：
文献类型：
--
作者：
Etter, JF;Perneger, TV
目的：尼古丁替代疗法(NRT)使吸烟者戒烟的几率增加一倍，但大多数试图戒烟的吸烟者根本不使用它，或者只是不一致地使用它。我们的目的是了解吸烟者和戒烟者对NRT的态度，并编制和评估用于测量这些态度的简表的效度。方法：我们对256名吸烟者和戒烟者进行了第一次邮寄调查，以收集定性数据并制定调查项目，并对494名吸烟者和戒烟者进行第二次邮寄调查，以最终确定该量表并评估其效度。本研究于1998年至1999年在瑞士日内瓦进行。结果：本研究形成了一个由12个条目组成的二维问卷：对尼古丁替代疗法的态度量表(ANRT-12)，2个子量表测量对NRT优点的认知(8个条目)和NRT的缺点(4个条目)。内部一致性系数(α分别为0.84和0.75)和重测相关系数(两个量表均为0.79)都很高。量表尊重内容和结构效度的标准。得分与使用NRT的意向有关，在那些曾经使用过NRT的人中，与使用天数有关。一个令人不安的结果是，6名被调查者中只有1人(16%)同意“NRT有助于人们戒烟”，4名戒烟者中只有1人(24%)曾经使用过NRT。结论：许多吸烟者和戒烟者对NRT认识不足，态度消极，ANRT-12是反映这些态度的有效和可靠的工具，可供临床医生、研究人员和教育工作者使用，以提高对NRT的使用和依从性。
Objective: Nicotine replacement therapy (NRT) doubles the chances that a smoker will quit smoking, but most smokers who attempt to quit do not use it at all or only use it inconsistently. We aimed to identify attitudes of smokers and ex-smokers toward NRT and to develop and assess the validity of a brief scale used to measure these attitudes.Methods: We conducted a first mail survey of 256 smokers and ex-smokers to collect qualitative data and to develop survey items and a second mail survey of 494 smokers and ex-smokers to finalize the scale and assess its validity. The study was conducted in Geneva, Switzerland, in 1998 to 1999.Results: The study resulted in a 2-dimensional, 12-item scale: the Attitudes Toward Nicotine Replacement Therapy scale (ANRT-12), The 2 subscales measure perception of the advantages of NRT (8 items) and the drawbacks of NRT (4 items). internal consistency coefficients (alpha = 0.84 and 0.75, respectively) and test-retest correlations (0.79 for both scales) were high. The scales respected criteria of content and construct validity. Scores were associated with intention to use NRT, and among those who had ever used NRT, with the number of days of use. A disturbing result was that only 1 (16%) of 6 participants agreed that "NRT helps people quit smoking," and only 1 (24%) of 4 ex-smokers had ever used NRT.Conclusions: Many smokers and ex-smokers have inadequate knowledge of and negative attitudes toward NRT, ANRT-12 is a valid and reliable measure of these attitudes; it call be used by clinicians, researchers, and educators to improve use of and compliance with NRT.