Impact of a brief motivational smoking cessation intervention the Get PHIT randomized controlled trial.
Impact of a brief motivational smoking cessation intervention the Get PHIT randomized controlled trial.
复制标题
Get PHIT 随机对照试验的短暂动机戒烟干预的影响。
DOI：
10.1016/j.amepre.2009.03.018
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发表时间：
2009
影响因子：
5.5
通讯作者：
Richards,Julie
中科院分区：
文献类型：
--
作者：
McClure,JenniferB;Ludman,EvetteJ;Grothaus,Louis;Pabiniak,Chester;Richards,Julie
BACKGROUNDFew studies have rigorously evaluated whether providing biologically based health-risk feedback is more effective than standard interventions in increasing smokers' motivation to quit and their long-term abstinence.DESIGNAn RCT was conducted from 2005 to 2008. Data were analyzed in 2008.SETTING/PARTICIPANTSSmokers (N=536) were recruited from the community, regardless of their interest in quitting smoking.INTERVENTIONSmokers either received brief (∼20 minutes), personally tailored counseling sessions based on their lung functioning, carbon monoxide (CO) exposure, and smoking-related health conditions, or they received generic smoking-risk information and personalized counseling about their diet, BMI, and physical activity. All were advised to quit smoking and were offered access to a free phone-counseling program.MAIN OUTCOME MEASURESTreatment utilization and abstinence at 6 and 12 months post-intervention.RESULTSParticipants who received the experimental treatment demonstrated no greater motivation to quit, use of treatment services, or abstinence compared to controls at either follow-up assessment. In fact, controls reported greater motivation to quit at 12 months (M 3.42 vs 3.20, p=0.03), greater use of pharmacotherapy at 6 months (37.8% vs 28.0%, p=0.02), and greater 30-day point prevalent abstinence at 6 months, after controlling for relevant covariates (10.8% vs 6.4%, adjusted p=0.04).CONCLUSIONSThe present study found no support for adding a personalized health-risk assessment emphasizing lung health and CO exposure to generic cessation advice and counseling for community-based smokers not otherwise seeking treatment.TRIAL REGISTRATIONNCT00169260.
