Design and baseline characteristics from the KAN-QUIT disease management intervention for rural smokers in primary care.
Design and baseline characteristics from the KAN-QUIT disease management intervention for rural smokers in primary care.
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针对初级保健农村吸烟者的 KAN-QUIT 疾病管理干预措施的设计和基线特征。
DOI：
10.1016/j.ypmed.2008.04.013
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发表时间：
2008
影响因子：
5.1
通讯作者：
Ellerbeck,EdwardF
中科院分区：
文献类型：
--
作者：
Cox,LisaSanderson;Cupertino,Ana-Paula;Mussulman,LauraM;Nazir,Niaman;Greiner,KAllen;Mahnken,JonathanD;Ahluwalia,JasjitS;Ellerbeck,EdwardF
目的描述在农村初级保健中建立戒烟疾病管理项目的设计、实施、基线数据和可行性。方法本研究是一项随机临床试验，评价戒烟疾病管理项目。干预结合药物治疗，电话咨询，医生反馈，并重复干预超过两年。该项目始于2004年，在堪萨斯州的50个初级保健诊所实施。在符合条件的患者中，73%的人对参与研究感兴趣。750例入组受试者主要为白人、女性、有工作，平均年龄为47.2岁（SD=13.1）。除吸烟外，427人（57%）至少有一个心血管疾病的额外主要风险因素（糖尿病，高血压，高胆固醇，心脏病或中风）。参与者平均吸烟23.7（SD=10.4）支/天，正在考虑（61%）或准备戒烟（30%），积极性高，对自己戒烟的能力有信心，并报告在过去12个月内多次看医生（中位数=3.50;平均值=5.48; SD=6.58）。结论初步研究结果表明，患者愿意参加为期两年的疾病管理计划，以解决尼古丁依赖，即使是那些还没有准备好戒烟的病人。这些发现支持了在初级保健环境中识别和登记农村吸烟者的可行性。
OBJECTIVETo describe the design, implementation, baseline data, and feasibility of establishing a disease management program for smoking cessation in rural primary care.METHODThe study is a randomized clinical trial evaluating a disease management program for smoking cessation. The intervention combined pharmacotherapy, telephone counseling, and physician feedback, and repeated intervention over two years. The program began in 2004 and was implemented in 50 primary care clinics across the State of Kansas.RESULTSOf eligible patients, 73% were interested in study participation. 750 enrolled participants were predominantly Caucasian, female, employed, and averaged 47.2 years of age (SD=13.1). In addition to smoking, 427 (57%) had at least one additional major risk factor for cardiovascular disease (diabetes, hypertension, high cholesterol, heart disease or stroke). Participants smoked on average 23.7 (SD=10.4) cigarettes per day, were contemplating (61%) or preparing to quit (30%), were highly motivated and confident of their ability to quit smoking, and reported seeing their physicians multiple times in the past twelve months (Median=3.50; Mean=5.48; SD=6.58).CONCLUSIONInitial findings demonstrate the willingness of patients to enroll in a two-year disease management program to address nicotine dependence, even among patients not ready to make a quit attempt. These findings support the feasibility of identifying and enrolling rural smokers within the primary care setting.
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影响因子：
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作者：
Michel Duguet;C. Lavenot;Francis Harper;Gilles Mirambeau;A. Recondo
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DOI：
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影响因子：
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