Availability of nicotine replacement therapy in substance use disorder treatment: longitudinal patterns of adoption, sustainability, and discontinuation.
Availability of nicotine replacement therapy in substance use disorder treatment: longitudinal patterns of adoption, sustainability, and discontinuation.
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DOI：
10.1016/j.drugalcdep.2011.03.028
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发表时间：
2011-11-01
影响因子：
4.2
通讯作者：
Studts, Jamie L.
中科院分区：
文献类型：
--
作者：
Knudsen, Hannah K.;Studts, Jamie L.
人们越来越认识到将戒烟服务（如尼古丁替代疗法（NRT））纳入治疗物质使用障碍（SUD）的计划的临床重要性，因为大多数接受治疗的人也吸烟。以前的研究还没有检查组织特征与NRT可用性随着时间的推移，在SUD治疗计划。使用从868个SUD治疗项目的管理者那里收集的四年期间的纵向数据，测量了尼古丁贴片或尼古丁口香糖形式的NRT的可用性。使用多项逻辑回归估计组织协变量和NRT采用之间的关联。NRT可用率随时间显著降低，从基线时SUD项目的38.0%降至随访时的33.8%。多项逻辑回归模型表明，随着时间的推移，持续采用NRT的项目更倾向于医学，如在医院环境中的位置和医生的访问，并且不太可能提供门诊服务。与NRT中止者或NRT非采用者相比，NRT的持续和近期采用者更有可能在随访时提供其他戒烟干预措施。这些研究结果表明，患者对NRT的访问在不同类型的治疗组织中有所不同。未来的研究应继续衡量NRT和其他戒烟干预措施在SUD治疗中的可用性，因为这些服务可能有助于患者戒烟并降低SUD复发的可能性。
There is growing recognition regarding the clinical importance of integrating smoking cessation services, such as nicotine replacement therapy (NRT), within programs that treat substance use disorders (SUDs) since the majority of individuals receiving treatment also smoke. Previous research has not examined the organizational characteristics associated with NRT availability over time in SUD treatment programs. Using longitudinal data collected from administrators of 868 SUD treatment programs over a four-year period, the availability of NRT in the forms of the nicotine patch or nicotine gum was measured. Associations between organizational covariates and NRT adoption were estimated using multinomial logistic regression. The rate of NRT availability significantly decreased over time from 38.0% of SUD programs at baseline to 33.8% at follow-up. The multinomial logistic regression model indicated programs that sustained adoption of NRT over time were more medically-oriented, as measured by location in a hospital setting and access to physicians, and were less likely to offer outpatient services. Sustained and recent adopters of NRT were more likely to offer other smoking cessation interventions at follow-up than NRT discontinuers or NRT non-adopters. These findings suggest that patients’ access to NRT varies across different types of treatment organizations. Future research should continue to measure the availability of NRT and other smoking cessation interventions in SUD treatment since these services may help patients to quit smoking and reduce the likelihood of SUD relapse.
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