Development of an integrative cessation program for co-smokers of cigarettes and cannabis: demand analysis, program description, and acceptability.
Development of an integrative cessation program for co-smokers of cigarettes and cannabis: demand analysis, program description, and acceptability.
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DOI：
10.1186/1747-597x-8-33
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发表时间：
2013-09-12
期刊：
影响因子：
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通讯作者：
Schaub MP
中科院分区：
文献类型：
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作者：
Becker J;Hungerbuehler I;Berg O;Szamrovicz M;Haubensack A;Kormann A;Schaub MP
烟草和大麻的使用密切相关，但目前的国家和国际戒烟计划通常侧重于一种物质，而对另一种物质的处理要么很少，要么根本不处理。本研究的目的是确定的需求，并描述的发展和内容，第一个综合团体戒烟计划的香烟和大麻的共同吸烟者。首先，进行了一项初步研究，使用专家访谈，（前）吸烟者的用户焦点小组和在线调查，以调查烟草和大麻共同吸烟者的综合戒烟计划（ISCP）的需求和潜在内容。这项研究表明，专家和共同吸烟者都认为ISCP是有用的，但预期只有适度的参与准备水平。根据初步研究的结果，一个多学科专家小组制定了课程概念和征聘战略。开发的团体戒烟计划是基于当前的治疗技术（如动机访谈，认知行为疗法和自我控制训练），并分为六个课程。该计划进行了评估，其可接受性的参与者和课程教师。学员和课程教员都对课程给予了积极评价。与会者和教员特别赞赏小组讨论和旨在制定个人策略的模块，这些策略可在同时戒烟和大麻期间应用，例如处理渴望、戒断和高风险情况。对于香烟和大麻的共同使用者的双重戒烟计划有明确的需求，为这些用户量身定制的第一组戒烟计划已经开发并评估了可接受性。在不久的将来，将评估该方案的可行性。当前对照试验ISRCTN 15248397
Tobacco and cannabis use are strongly interrelated, but current national and international cessation programs typically focus on one substance, and address the other substance either only marginally or not at all. This study aimed to identify the demand for, and describe the development and content of, the first integrative group cessation program for co-smokers of cigarettes and cannabis. First, a preliminary study using expert interviews, user focus groups with (ex-)smokers, and an online survey was conducted to investigate the demand for, and potential content of, an integrative smoking cessation program (ISCP) for tobacco and cannabis co-smokers. This study revealed that both experts and co-smokers considered an ISCP to be useful but expected only modest levels of readiness for participation. Based on the findings of the preliminary study, an interdisciplinary expert team developed a course concept and a recruitment strategy. The developed group cessation program is based on current treatment techniques (such as motivational interviewing, cognitive behavioural therapy, and self-control training) and structured into six course sessions. The program was evaluated regarding its acceptability among participants and course instructors. Both the participants and course instructors evaluated the course positively. Participants and instructors especially appreciated the group discussions and the modules that were aimed at developing personal strategies that could be applied during simultaneous cessation of tobacco and cannabis, such as dealing with craving, withdrawal, and high-risk situations. There is a clear demand for a double cessation program for co-users of cigarettes and cannabis, and the first group cessation program tailored for these users has been developed and evaluated for acceptability. In the near future, the feasibility of the program will be evaluated. Current Controlled Trials ISRCTN15248397