A school nurse-delivered adolescent smoking cessation intervention: a randomized controlled trial.
A school nurse-delivered adolescent smoking cessation intervention: a randomized controlled trial.
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学校护士提供青少年戒烟干预：一项随机对照试验。
DOI：
10.1016/j.ypmed.2006.04.006
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发表时间：
2006
影响因子：
5.1
通讯作者：
Sheetz,Anne
中科院分区：
文献类型：
--
作者：
Pbert,Lori;Osganian,StavroulaK;Gorak,Diane;Druker,Susan;Reed,George;O'Neill,KatherineM;Sheetz,Anne
背景本研究的目的是评估由学校护士提供的戒烟干预措施的有效性，以提高有兴趣戒烟的青少年的戒烟率。方法将马萨诸塞州的71所高中随机分为四个阶段由学校护士提供一对一的戒烟干预（37所学校，n = 571）或常规戒烟护理控制条件（34所学校，n = 577）。在过去30天内吸烟的9-12年级青少年在基线、6周和3个月完成了调查。该研究在2002-2003学年进行，结果表明，与对照组相比，干预组学生在6周（分别为18%和2%）和3个月（分别为24%和5%）时的30天自我报告禁欲率明显更高。在调整了学校和潜在的混杂因素后，干预学校的学生在6周时戒烟的几率是对照学校学生的8倍（OR = 8.4; 95%CI 3.7，20.6），在3个月时戒烟的几率是对照学校学生的6倍（OR = 6.4; 95%CI 3.4，11.4）。学校护士提供了高度的fidelity.CONCLUSIONSA四届戒烟干预可以切实可行地由学校护士提供，并增加自我报告的短期戒烟率有兴趣戒烟的学生。
BACKGROUNDThe aim of the present study was to evaluate the efficacy of a school nurse-delivered smoking cessation intervention to improve abstinence rates among adolescents interested in quitting.METHODSSeventy-one high schools in Massachusetts were randomized to either a four-session one-on-one school nurse-delivered smoking cessation intervention (37 schools, n = 571) or usual smoking cessation care control condition (34 schools, n = 577). Adolescents in grades 9–12 who smoked in the past 30 days completed surveys at baseline, 6 weeks and 3 months. The study was conducted during the 2002–2003 school year.RESULTSThirty-day self-reported abstinence rates were significantly greater in students in the intervention compared to control condition at 6 weeks (18% vs. 2%, respectively) and 3 months (24% vs. 5%, respectively). After adjusting for school and potential confounders, students in the intervention schools had odds of quitting 8 times greater than students in the control schools at 6 weeks (OR = 8.4; 95% CI 3.7, 20.6) and 6 times greater at 3 months (OR = 6.4; 95% CI 3.4, 11.4). School nurses delivered intervention with a high degree of fidelity.CONCLUSIONSA four-session smoking cessation intervention can feasibly be delivered by school nurses and increase self-reported short-term abstinence rates among students interested in quitting smoking.