Getting it right: designing adolescent-centred smoking cessation services
Getting it right: designing adolescent-centred smoking cessation services
复制标题
DOI：
10.1111/j.1360-0443.2007.01851.x
复制
发表时间：
2007-07-01
期刊：
影响因子：
6
通讯作者：
Moore, Laurence
中科院分区：
文献类型：
--
作者：
MacDonald, Sarah;Rothwell, Heather;Moore, Laurence
旨在证明确定青少年戒烟偏好的重要性，以便为设计有效的青少年戒烟服务提供信息。以手段-目的理论为基础，设计结构化的定性访谈。在威尔士东南部建立了三个青年俱乐部和两所中学。研究对象25名男性和女性，年龄在13-18岁之间，主要是日常吸烟者。调查结果受访者没有立即认为戒烟服务将为他们所用，因此他们最初在确定这种支持的属性时遇到了困难。在进一步的提示下，受访者能够表达出对支持属性的偏好，但这些属性传统上不是戒烟服务的一部分。他们的主要偏好是来自朋友和家人的支持，获得尼古丁替代疗法，以及非学校为基础的灵活支持和指导。结论该结果再次强调了现有戒烟服务在满足青少年偏好方面的不足，并建议发展更多适合青少年的支持需要重新定义现有干预措施的概念，将服务使用者置于干预设计的核心。这项研究为干预规划者强调了一些服务发展要点，包括：重新考虑提供服务的时机和地点；更加强调选择促进者；利用朋友和家人的支持；以及将这些发展纳入更广泛的烟草控制战略。
Aims To demonstrate the importance of identifying adolescent preferences for smoking cessation in order to inform the design of effective adolescent cessation services. Design Structured qualitative interviews drawing on means-end theory. Setting Three youth-clubs and two secondary schools in south-east Wales. Participants Twenty-five male and female 13-18-year-olds, mainly daily smokers. Findings Interviewees did not assume immediately that a smoking cessation service is something that will be available to them, and therefore they initially encountered difficulties in identifying attributes of such support. With further prompting interviewees were able to express a preference for support attributes, but these were not attributes that traditionally form part of cessation provision. Their main preference was for support from friends and family, access to nicotine replacement therapy and non-school-based, flexible support and guidance. Conclusion The results re-emphasize the inadequacies of existing cessation provision for meeting adolescent preferences and suggest that developing more adolescent-appropriate support requires a reconceptualization of existing interventions, with service users situated at the core of intervention design. The study highlights a number of service development points for intervention planners including: rethinking the timing and location of provision; placing more emphasis on the selection of facilitators; harnessing support from friends and family; and rooting these developments in broader tobacco control strategies.