Support-Person Promotion of a Smoking Quitline A Randomized Controlled Trial
Support-Person Promotion of a Smoking Quitline A Randomized Controlled Trial
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DOI：
10.1016/j.amepre.2011.03.012
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发表时间：
2011-07-01
影响因子：
5.5
通讯作者：
Zhu, Shu-Hong
中科院分区：
文献类型：
--
作者：
Patten, Christi A.;Smith, Christina M.;Zhu, Shu-Hong
戒烟热线和其他循证戒烟治疗在很大程度上未被吸烟者利用，限制了其对公共卫生的影响。社会支持与成功戒烟相关。因此，针对吸烟者社会网络的努力可能是促进戒烟热线利用的潜在途径。目的：本研究探讨了对有兴趣帮助吸烟者的非吸烟者进行干预的有效性（即，支持人们），以促进吸烟者使用明尼苏达州戒烟（R）帮助热线。数据收集时间为2007年至2010年，分析时间为2010年至2011年。设计：两组随机设计，评估支持者干预（n = 267）与对照条件的比较（书面材料，n = 267）。设置/参与者：入组了534名支持者（91%女性，93%白人）居住在明尼苏达州。干预：书面材料加上每周三次的电话会议，每次持续10 - 30分钟。基于科恩的社会支持理论，干预措施为参与者提供了所需的信息和技能，以鼓励他们的吸烟者致电QUITALITY Helpline.Main结果measures：参与者完成了支持提供措施（SPM）的邮件在基线和第4周（治疗结束）。帮助热线摄入工作人员记录吸烟者呼叫帮助热线，通过6个月的follow-up.Results：呼叫帮助热线的比例显着（p = 0.012）更大的吸烟者与支持的人在干预组（16.1%，43/267）比对照组（8.6%，23/267）。在调整与吸烟者居住在一起的支持者后，治疗效果仍然显著（OR = 2.04，95%CI = 1.19，3.49，p = 0.010）。在随机分配到干预组的支持者中，完成更多的会话与吸烟者拨打热线电话的增加有关（p = 0.004）。在调整基线评分后，干预组支持者在第4周的M +/-SD SPM评分（16.4 +/-3.3）显著高于对照组（15.3 +/-3.6），p = 0.002。结论：支持者干预可有效提高吸烟者对戒烟热线的利用率。有可能通过针对吸烟者的社会网络来增加戒烟热线的覆盖面。
Background: Quitlines and other evidence-based cessation treatments are greatly underutilized by smokers, limiting their public health impact. Social support is correlated with successful cessation. Thus, efforts targeting the social network of smokers could be a potential avenue to promote quitline utilization.Purpose: This study examined the efficacy of an intervention for nonsmokers interested in helping a smoker (i.e., support people) to promote smoker utilization of the Minnesota QUITPLAN (R) Helpline. Data were collected from 2007 to 2010, and analyses were conducted from 2010 to 2011.Design: Two-group randomized design evaluating the support-person intervention (n=267) compared with a control condition (written materials, n=267).Setting/participants: Enrolled were 534 support people (91% female, 93% Caucasian) residing in Minnesota.Intervention: Written materials plus three weekly telephone sessions lasting 10-30 minutes each. Based on Cohen's theory of social support, the intervention provided participants with information and skills needed to encourage their smoker to call the QUITPLAN Helpline.Main outcome measures: Participants completed the Support Provided Measure (SPM) by mail at baseline and Week 4 (end-of-treatment). Helpline intake staff documented smoker calls to the Helpline through 6 months of follow-up.Results: The proportion of calls to the Helpline was significantly (p=0.012) greater for smokers linked to support people in the intervention group (16.1%, 43/267) than in the control group (8.6%, 23/267). The treatment effect remained significant after adjusting for support person residing with the smoker (OR=2.04, 95% CI=1.19, 3.49, p=0.010). Among support people randomly assigned to the intervention group, greater number of sessions completed was associated with increased smokers' calls to the Helpline (p=0.004). After adjusting for the baseline score, the M +/- SD SPM score at Week 4 was significantly higher for support people in the intervention group (16.4 +/- 3.3) than for those in the control group (15.3 +/- 3.6), p=0.002.Conclusions: A support-person intervention is effective in increasing smoker utilization of the QUITPLAN Helpline. There is potential for increasing the reach of quitlines by targeting the social network of smokers.