Computer and manual self-help behavioral strategies for smoking reduction: initial feasibility and one-year follow-up.
Computer and manual self-help behavioral strategies for smoking reduction: initial feasibility and one-year follow-up.
复制标题
减少吸烟的计算机和手动自助行为策略：初步可行性和一年随访。
DOI：
10.1080/1462220021000032762
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Weil,Jennifer
中科院分区：
文献类型：
--
作者：
Riley,William;Jerome,Albert;Behar,Albert;Weil,Jennifer
本研究旨在测试两种自助行为干预措施的可行性，以减少和保持那些不能或不愿意戒烟的人吸烟减少50%，并评估减少吸烟对随后戒烟尝试的影响。93名希望减少吸烟而不是戒烟的吸烟者进入研究，并随机分配到计算机计划逐步减少（CSGR）或手动选择性消除减少（SER）。两组均显著减少吸烟（在7周治疗期内，每天约10支香烟），并维持了一年以上。与SER组相比，CSGR组报告了从治疗前到治疗后吸烟减少的平均百分比更大（CSGR为37%，SER为20%），并且达到50%减少目标的受试者百分比更大（CSGR为30%，SER为16%）。然而，在治疗后以及6个月和12个月随访时，两组在所有其他结局指标上具有可比性。尽管本研究排除了当前有戒烟愿望的受试者，但三分之一的受试者在研究开始后一年内报告了24小时戒烟尝试，8.6%的受试者在12个月随访时符合戒烟的7天时点患病率标准（经CO验证）。这项研究的结果支持自助行为干预的可行性，以产生持续的吸烟率降低，而不会对随后的戒烟尝试产生明显的负面影响。
This study sought to test the feasibility of two self-help behavioral interventions to reduce and maintain a 50% reduction in smoking among those unable or unwilling to quit, and to evaluate the impact of smoking reduction on subsequent quit attempts. Ninety-three smokers who desired to reduce rather than quit smoking were entered in the study and randomly assigned to either computerized scheduled gradual reduction (CSGR) or to a manual-based selective elimination reduction (SER). Both groups produced significant reductions in smoking (approximately 10 cigarettes per day, during the 7-week treatment phase), which were maintained over one year. The CSGR group reported greater mean percent reductions in smoking from pre- to post-treatment (37% for CSGR, 20% for SER) and a greater percentage of subjects meeting the 50% reduction goal (30% for CSGR, 16% for SER) compared with the SER group. The groups were comparable, however, on all other outcome measures at post-treatment and at 6- and 12-month follow-up. Although subjects with a current desire for smoking cessation were excluded from this study, one-third of the subjects reported a 24-hour quit attempt in the year following study initiation, and 8.6% of the subjects met 7-day point-prevalence criteria for abstinence (CO validated) at the 12-month follow-up. The results of this study lend support to the feasibility of self-help behavioral interventions to produce sustained reductions in smoking rates without apparent negative impact on subsequent quit attempts.