Training chemical dependency counselors to treat nicotine dependence.
Training chemical dependency counselors to treat nicotine dependence.
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培训化学依赖顾问来治疗尼古丁依赖。
DOI：
10.1016/0306-4603(95)00101-8
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发表时间：
1997
影响因子：
4.4
通讯作者：
Bowman,A
中科院分区：
文献类型：
--
作者：
Bobo,JK;Anderson,JR;Bowman,A
为了检验为化学物质依赖（CD）员工提供治疗尼古丁依赖的知识和技能建设研讨会的有效性，我们采用了内布拉斯加州六个门诊CD项目的嵌套横断面设计（3干预）。3个对照点)。通过电话从目前在每个参与地点接受酒精治疗的吸烟者的连续样本中获得由疾控中心工作人员提供的有关烟草咨询的数据。在员工培训工作坊结束后到诊所就诊的干预现场来访者与在工作坊开始前到诊所就诊的干预现场来访者相比，没有更多的可能报告他们被告知吸烟（OR = 0.95, 95%可信区间（CI）： 0.74-1.21）。然而，在研究的后半部分，即使在数据收集完成之前，控制站点的工作人员没有提供培训，对照站点的客户也更有可能报告接受过有关吸烟的咨询（OR = 2.15, 95%CI: 1.49-3.08）。这些发现表明，在一些酒精治疗项目中，对工作人员咨询实践的简单监测可能足以增加对烟草的关注频率。在其他情况下，可能需要更多的努力来改变乳糜泻工作人员对尼古丁依赖的更一致的治疗。
To test the effectiveness of providing chemical dependency (CD) staff with a knowledge-and-skills-building workshop on treatment of nicotine dependence, we employed a nested cross-sectional design with six outpatient CD programs in Nebraska (3 intervention. 3 control sites). Data on tobacco counseling provided by CD staff were obtained by telephone from sequential samples of smokers currently receiving alcohol treatment at each participating site. Intervention site clients with clinic visits after the staff training workshop were no more likely than intervention-site clients with clinic visits before the workshop to report having been counseled about their smoking (OR = 0.95, 95% confidence interval (CI): 0.74–1.21). However, control-site clients were significantly more likely to report having been counseled about smoking during the second half of the study (OR = 2.15, 95%CI: 1.49–3.08), even though staff training was not provided at control sites until data collection had been completed. These findings suggest that in some alcohol treatment programs simple monitoring of staff counseling practices may be sufficient to increase the frequency of attention to tobacco. In others, more intensive efforts might be needed to shift CD staff toward more consistent treatment of nicotine dependence.