Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers: a randomized controlled trial.
Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers: a randomized controlled trial.
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DOI：
10.1111/add.12140
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发表时间：
2013-06
期刊：
影响因子：
--
通讯作者：
Des Jarlais D
中科院分区：
文献类型：
--
作者：
Okuyemi KS;Goldade K;Whembolua GL;Thomas JL;Eischen S;Sewali B;Guo H;Connett JE;Grant J;Ahluwalia JS;Resnicow K;Owen G;Gelberg L;Des Jarlais D
目的：评估在尼古丁贴片中加入动机访谈(MI)咨询对无家可归吸烟者戒烟的效果。两组随机对照试验，随访26周。来自美国明尼苏达州明尼阿波利斯/圣保罗紧急收容所和过渡住房单元的430名无家可归的吸烟者。所有参与者都接受了为期8周的21 mg尼古丁贴片治疗。此外，干预组的参与者接受了六次单独的MI咨询，旨在提高对尼古丁贴片的依从性，并促使他们戒烟。标准护理控制组的参与者接受了一段简短的戒烟建议。主要结果是在26周时戒烟7天，通过呼出的一氧化碳和唾液可替宁证实。使用意向治疗分析，在第26周，干预组的7天禁酒率没有显著高于对照组(9.3%比5.6%，p=0.15)。在没有戒烟的参与者中，从基线到第26周的香烟数量减少在两个研究组中都是同样高的(MI的−为13.7±11.9，标准护理的−为13.5±16.2)。在尼古丁贴片中添加励志访谈咨询并没有显著增加无家可归吸烟者26周随访期的吸烟率。
To assess the effects of adding motivational interviewing (MI) counseling to nicotine patch for smoking cessation among homeless smokers. Two-group randomized controlled trial with 26-week follow-up. 430 homeless smokers from emergency shelters and transitional housing units in Minneapolis/St. Paul, Minnesota, USA. All participants received 8-week treatment of 21mg nicotine patch. In addition, participants in the intervention group received six individual sessions of MI counseling which aimed to increase adherence to nicotine patch and to motivate cessation. Participants in the Standard Care control group received one session of brief advice to quit smoking. Primary outcome was seven-day abstinence from cigarette smoking at 26 weeks as validated by exhaled carbon monoxide and salivary cotinine. Using intention-to-treat analysis, verified seven-day abstinence rate at week 26 for the intervention group was non-significantly higher than for the control group (9.3% vs. 5.6%, p=0.15). Among participants that did not quit smoking, reduction in number of cigarettes from baseline to week 26 was equally high in both study groups (−13.7 ±11.9 for MI vs. −13.5 ±16.2 for Standard Care). Adding motivational interviewing counseling to nicotine patch did not significantly increase smoking rate at 26-week follow-up for homeless smokers.
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影响因子：
5
作者：
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