Self-help smoking cessation and maintenance programs: a comparative study with 12-month follow-up by the American Lung Association.
Self-help smoking cessation and maintenance programs: a comparative study with 12-month follow-up by the American Lung Association.
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自助戒烟和维持计划：美国肺脏协会进行的一项为期 12 个月随访的比较研究。
DOI：
10.2105/ajph.74.11.1212
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发表时间：
1984
影响因子：
12.7
通讯作者：
M. Ordentlich
中科院分区：
文献类型：
--
作者：
A. Davis;R. Faust;M. Ordentlich
在五个地理区域的1237名吸烟者对肺协会的公告做出了回应，他们被随机分配到四组中的一组，并邮寄美国肺协会的材料：1）传单（L）; 2）传单加维护手册（L + M）; 3）戒烟手册（C）; 4）戒烟和维护手册（C + M）。在一年内进行了5次电话访谈，后续行动完成率达到95%。非受访者以及雪茄和烟斗专用者被归类为吸烟者。20%的人最初戒烟，5%的人在12个月时持续戒烟（C + M），而2%的人在（L）（p小于0.05）。另一方面，不吸烟率（过去一个月不吸烟）在六个月后逐渐增加;在12个月时，维持组成部分（L + M）和（C + M）的比率（18%）高于（L）（12%）或（C）（15%）。单是传单和手册的成本效益最低。在所有群体中观察到的非吸烟流行率上升表明，随着时间的推移，成功戒烟的尝试增加，一个促成因素可能是随访方法。虽然实现较低的戒烟率比方法需要出席课程，自助干预具有更大的可用性，灵活性，并在某些情况下成本较低的优势。
One thousand two hundred thirty seven smokers responding to lung association announcements in five geographic areas were randomly assigned to one of four groups and mailed American Lung Association materials: 1) leaflets (L); 2) leaflets plus maintenance manual (L + M); 3) cessation manual (C); and 4) cessation and maintenance manuals (C + M). Five telephone interviews over one year achieved a 95 per cent follow-up completion rate. Nonrespondents as well as exclusive cigar and pipe users were classified as smokers. Twenty per cent quit initially, with 5 per cent continually abstinent in (C + M) at 12 months vs 2 per cent in (L) (p less than .05). Nonsmoking prevalence rates (no tobacco smoking in the past month), on the other hand, gradually increased after six months; at 12 months those with the maintenance component, (L + M) and (C + M), had higher rates (18 per cent) than (L) (12 per cent) or (C) (15 per cent). Leaflets and manual alone were least cost effective. Rising nonsmoking prevalence rates observed in all groups suggest that successful attempts to quit increased over time and that a contributing factor might have been the follow-up method. Although achieving lower quit rates than methods requiring attendance at a course, the self-help intervention has the advantages of greater availability, flexibility, and in some instances lower cost.