Effect of smoking cessation counseling on recovery from alcoholism: findings from a randomized community intervention trial
Effect of smoking cessation counseling on recovery from alcoholism: findings from a randomized community intervention trial
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DOI：
10.1046/j.1360-0443.1998.9368779.x
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发表时间：
1998-06-01
期刊：
影响因子：
6
通讯作者：
Leed-Kelly, A
中科院分区：
文献类型：
--
作者：
Bobo, JK;McIlvain, HE;Leed-Kelly, A
目标。评估戒烟计划对戒酒康复者出院后使用酒精、烟草和非法药物的影响。设计和设置。采用随机社区干预试验设计，将爱荷华州、堪萨斯和内布拉斯加州的12个住院药物治疗中心进行匹配，然后随机分配到干预或对照组。参与者每个研究中心约50名成年居民（住院患者）在治疗出院后随访12个月。干预六个干预中心的参与居民接受了一个由四部分组成的、个性化定制的戒烟计划，而六个对照中心的居民则接受了常规护理。调查结果。干预组的中度和重度饮酒率都有所下降。在6个月（OR = 1.59，95%CI：1.09-2.35）和12个月（OR = 1.84，95%CI：1.28-2.92）评估时，干预部位参与者报告戒酒的可能性显著高于对照组。非法药物使用率相当。干预对戒烟率的影响无统计学意义。结论.在治疗中咨询酗酒者戒烟不会危及酒精恢复过程。然而，低强度的烟草干预不太可能产生高戒烟率。
Aims. To assess the effects of a smoking cessation program for recover,ng alcoholics on use of alcohol, tobacco and illicit drugs after discharge from residential treatment. Design and Setting. A randomized community intervention trial design was employed in which 12 residential drug treatment centers in Iowa, Kansas and Nebraska were matched and then randomly assigned to the intervention or control condition. Participants. Approximately 50 adult residents (inpatients) from each site were followed for 12 months after treatment discharge. Intervention. Participating residents in the six intervention centers received a 4-part, individually tailored, smoking cessation program while those in the six control sites received usual care. Findings. Both moderate and heavy drinking rates were reduced in the intervention group. Intervention site participants were significantly more likely than controls to report alcohol abstinence at both the 6-month (OR = 1.59, 95%CI: 1.09-2.35) and 12-month assessment (OR = 1.84, 95%CI:1.28-2.92). Illicit drug use rates were comparable. Effect of the intervention on tobacco quit rates teas not statistically significant. Conclusions. Counseling alcoholics in treatment to quit smoking does not jeopardize the alcohol recovery process. However, low-intensity tobacco interventions are unlikely to yield high tobacco quit rates.