Characterizing smoking, cessation services, and quit interest across outpatient substance abuse treatment modalities

Characterizing smoking, cessation services, and quit interest across outpatient substance abuse treatment modalities
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DOI:
10.1016/j.jsat.2013.07.009
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发表时间:
2014-02-01
影响因子:
3.9
通讯作者:
Stitzer, Maxine L.
Stitzer, Maxine L.
中科院分区:
医学2区
文献类型:
--
作者:
McClure, Erin A.;Acquavita, Shauna P.;Stitzer, Maxine L.

文献摘要

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大多数寻求药物使用障碍治疗的人都是吸烟者,但在治疗过程中很少涉及戒烟。跨治疗方式对药物滥用治疗患者进行详细的与吸烟有关的特征描述,可能有助于制定量身定制的治疗策略。本研究使用了一系列自我报告工具来比较阿片类药物替代治疗(ORT)和非阿片类药物替代治疗(非ORT)的吸烟患者的烟草使用、戒烟尝试、吸烟知识和态度、项目服务和戒烟兴趣。与非ORT参与者相比,ORT参与者吸烟更严重,有更大的烟草依赖,并且在他们的治疗方案中接受了更多的戒烟服务。两组患者均对治疗期间戒烟持积极态度。这些数据确定了几个潜在的临床目标,最值得注意的是包括戒断的信心和对戒烟药物治疗的态度,这些可能由药物滥用治疗诊所解决。(C) 2013爱思唯尔公司版权所有。
The majority of individuals seeking treatment for substance use disorders are cigarette smokers, yet smoking cessation is rarely addressed during treatment. Conducting a detailed smoking-related characterization of substance abuse treatment patients across treatment modalities may facilitate the development of tailored treatment strategies. This study administered a battery of self-report instruments to compare tobacco use, quit attempts, smoking knowledge and attitudes, program services, and interest in quitting among smoking patients enrolled in opioid replacement therapy (ORT) versus non-opioid replacement (non-ORT). ORT compared with non-ORT participants smoked more heavily, had greater tobacco dependence, and endorsed greater exposure to smoking cessation services at their treatment programs. Favorable attitudes towards cessation during treatment were found within both groups. These data identify several potential clinical targets, most notably including confidence in abstaining and attitudes toward cessation pharmacotherapies that may be addressed by substance abuse treatment clinics. (C) 2013 Elsevier Inc. All rights reserved.