Stage movement following a 5A's intervention in tobacco dependent individuals with serious mental illness (SMI).
Stage movement following a 5A's intervention in tobacco dependent individuals with serious mental illness (SMI).
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DOI：
10.1016/j.addbeh.2010.11.002
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发表时间：
2011-03
影响因子：
4.4
通讯作者：
Lucksted A
中科院分区：
文献类型：
--
作者：
DiClemente CC;Delahanty JC;Kofeldt MG;Dixon L;Goldberg R;Lucksted A
严重精神病患者（SMI）吸烟会造成严重的健康问题。本研究探讨了严重精神疾病（SMI）吸烟者随着时间的推移的变化过渡阶段，以及简短干预的剂量和其他心理社会变量与阶段过渡的关系。参与者是110名患者的子样本，他们参加了一项更大的对照试验，检查精神卫生诊所的精神科医生是否实施了“5A”（询问，建议，评估，协助，安排）显着减少了SMI患者的吸烟。参与者被分类为戒烟的跨理论模型（TTM）变化阶段之一，以及基于阶段状态随时间推移的转变模式（即，回归者、稳定、不一致、成功戒烟和未成功戒烟的进展者）。一年后发现这种短暂干预的戒烟率适中（6.4%），干预剂量与积极的阶段转变有意义相关。对照试验的戒烟结果表明对戒烟的影响很小，这在对这些吸烟者的一个子集进行的阶段转换二次分析中得到了证实。然而，这些结果表明，精神科医生在心理健康治疗环境中进行的简短干预似乎确实对这些吸烟者产生了影响。
Smoking among the Seriously Mentally Ill (SMI) creates significant health problems. This study explored stage of change transitions over time among smokers with serious mental illness (SMI) and how dose of a brief intervention and other psychosocial variables were related to stage transitions. Participants were a subsample of 110 patients who participated in a larger controlled trial examining whether psychiatrists in mental health clinics implementing the “5 A’s” (Ask, Advise, Assess, Assist, Arrange) significantly reduced smoking among persons with SMI. Participants were classified into one of the Transtheoretical Model (TTM) stages of change for smoking cessation as well as classified into groups based upon the pattern of stage status transitions over time (i.e., Regressors, Stable, Inconsistent, Progressors with and without a successful quit). Modest quit rates for this brief intervention were found at one-year (6.4%) and the dose of the intervention was meaningfully related to positive stage transitions. Cessation outcomes from the controlled trial indicated a small effect on smoking cessation, which is confirmed in this stage transition secondary analysis with a subset of these smokers. However, these results suggest that a brief intervention delivered by psychiatrists in a mental health treatment setting does seem to make an impact on these smokers.
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影响因子：
3.8
作者：
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通讯作者：
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影响因子：
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