"It's my business, it's my body, it's my money": experiences of smokers who are not planning to quit in the next 30 days and their views about treatment options.
"It's my business, it's my body, it's my money": experiences of smokers who are not planning to quit in the next 30 days and their views about treatment options.
复制标题
“这是我的事，是我的身体，是我的钱”：吸烟者的经历，他们不打算在接下来的30天内辞职，并且对治疗选择的看法。
DOI：
10.1186/s12889-016-3395-0
复制
发表时间：
2016-08-04
影响因子：
4.5
通讯作者：
Borrelli B
中科院分区：
文献类型：
--
作者：
Bartlett YK;Gartland N;Wearden A;Armitage CJ;Borrelli B
英国目前的循证戒烟治疗仅向准备在 30 天内戒烟的吸烟者提供。这项研究报告了尚未准备好戒烟的吸烟者的经历，并探讨了可能吸引他们的干预方法的类型。对 30 天内没有戒烟计划的吸烟者进行了五个焦点小组（n = 32，44% 为女性）。使用 Nvivo 10 软件对逐字记录进行主题分析。参与者对自己吸烟的态度很矛盾，但大多数人表示他们希望有一天戒烟。吸烟被认为既阻碍又促进社交互动，具体取决于参与者社交圈的社会规范。参与者报告说，当他们感受到戒烟的压力时，他们会做出防御性反应；与此同时，现有的鼓励戒烟的方法被认为没有吸引力。相比之下，强调戒烟内在动机的重要性，并倾向于采取量身定制、增加内在动机并让吸烟者从事与吸烟不相容的活动的干预措施。尽管不打算在未来 30 天内戒烟，但大多数参与者都希望在某个时候戒烟。即使向未来 30 天内不打算戒烟的吸烟者提供现有服务，这些服务也不太可能满足该人群的需求。未来的研究应该探索新的方法来专门吸引未来 30 天内不打算戒烟的吸烟者，例如鼓励参与与吸烟不相容的活动和培养不吸烟的习惯。
Current evidence-based smoking cessation treatments in the UK are only offered to smokers ready to quit within 30 days. This study reports the experiences of smokers who are not ready to quit and explores the types of intervention approaches that might engage them. Five focus groups were conducted with smokers who had no plans to quit within 30 days (n = 32, 44 % female). Verbatim transcripts were analyzed thematically using Nvivo 10 software. Participants were ambivalent towards their own smoking, but the majority indicated they would like to quit someday. Smoking was seen both to hinder and facilitate social interactions, depending on the social norms of the participant’s social circle. Participants reported that, when they perceive pressure to quit smoking, they respond defensively; concurrently, existing approaches to encouraging smoking cessation were seen as unappealing. In contrast, the importance of intrinsic motivation to quit was emphasized, and interventions that were tailored, increased intrinsic motivation and kept the smoker engaged in activities incompatible with smoking were preferred. Despite not planning to quit in the next 30 days, the majority of participants wanted to quit smoking at some point. Even if existing services were offered to smokers not planning to quit in the next 30 days, it is unlikely that these services would meet the needs of this population. Future research should explore novel approaches to appeal specifically to smokers not planning to quit in the next 30 days, such as encouraging engagement with activities incompatible with smoking and fostering non-smoking habits.