Development and preliminary pilot evaluation of a brief tablet computer intervention to motivate tobacco quitline use among smokers in substance use treatment.

Development and preliminary pilot evaluation of a brief tablet computer intervention to motivate tobacco quitline use among smokers in substance use treatment.
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DOI:
10.1111/ajad.12559
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发表时间:
2017-09
期刊:
The American journal on addictions
影响因子:
--
通讯作者:
Ondersma SJ
Ondersma SJ
中科院分区:
其他
文献类型:
--
作者:
Brown RA;Hecht J;Bloom EL;Minami H;Kahler CW;Abrantes AM;Dubreuil ME;Gordon A;Price LH;Ondersma SJ

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大多数接受物质使用障碍(SUD)治疗的人也吸烟;然而,SUD治疗中戒烟服务的可用性仍然有限。在这项研究中,我们开发并试行了一种针对吸烟者的简短干预措施,旨在激励吸烟者参与戒烟治疗(TIME-TQ)。首先,我们采访了19名接受SUD治疗的吸烟者,以了解TIME-TQ(第1阶段)的发展情况。其次,我们在相同的SUD治疗方案中向16名吸烟者提供了原型TIME-TQ,并在出院后随访3个月(第2阶段)。来自第1阶段参与者的反馈被用于改进原型TIME-TQ中包含的响应选择和视频片段。第二阶段的参与者对TIME-TQ的相关性、兴趣、尊重和乐于助人的评价很高。此外,他们报告说,在接受TIME-TQ后,戒烟的准备和戒烟的重要性显着增加。16人中有8人接受了戒烟热线转诊,13人中有8人接受了随访(4人接受转诊,4人拒绝),报告在随访期间努力戒烟或减少吸烟。然而,只有3人接受了戒烟咨询,没有一人达到持续的禁欲期。我们的研究结果表明,TIME-TQ激活这些患者戒烟,但我们的转诊方法(标准传真转诊)是不成功的,帮助参与者完全参与戒烟治疗或实现一段时间的禁欲。我们现在正在进行一项随机对照试验,以评估时间-TQ与修订后的转诊程序,旨在增加治疗参与,并最终,禁欲率。
The majority of individuals in substance use disorder (SUD) treatment also smoke cigarettes; yet, the availability of smoking cessation services in SUD treatment remains limited. In this study, we developed and piloted a brief intervention for smokers in SUD treatment intended to motivate engagement in tobacco quitline treatment (TIME-TQ). First, we interviewed 19 smokers in SUD treatment to inform the development of TIME-TQ (Phase 1). Second, we delivered a prototype TIME-TQ to 16 smokers in the same SUD treatment program and followed them for 3 months post-discharge (Phase 2). Feedback from Phase 1 participants was used to refine response choices and video segments included in the prototype TIME-TQ. Phase 2 participants rated TIME-TQ high on relevance, interest, respectfulness, and helpfulness. Additionally, they reported significant increases in readiness to quit and perceived importance of quitting after receiving TIME-TQ. Eight of the 16 accepted a quitline referral, and 8 of 13 reached for follow-up (4 referral acceptors, 4 decliners) reported efforts to quit or reduce smoking during the follow-up period. However, only 3 received quitline counseling and none achieved a sustained period of abstinence. Our results suggest that TIME-TQ activated these patients to quit smoking, but our referral method (standard fax referral) was unsuccessful in helping participants fully engage in quitline treatment or achieving a period of abstinence. We are now conducting an RCT to evaluate TIME-TQ with a revised referral procedure intended to increase treatment engagement and, ultimately, abstinence rates.
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