Exploring perceptions of smoking cessation among high school smokers: Input and feedback from focus groups
Exploring perceptions of smoking cessation among high school smokers: Input and feedback from focus groups
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DOI：
10.1006/pmed.1998.0382
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发表时间：
1998-09-01
影响因子：
5.1
通讯作者：
Balch, GI
中科院分区：
文献类型：
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作者：
Balch, GI
背景：尽管年轻人戒烟的方法很多，但很少有方案被彻底评估并发现是成功的。为了帮助美国医学会制定、实施和评估一项有效的计划，开展了形成性研究。在芝加哥地区对高中吸烟者进行了四个焦点小组，以获得干预措施的投入。随后，在特拉华州和丹佛进行了五个类似的焦点小组，并对学校卫生服务提供者进行了焦点小组，以获得对草案方案和想法的反馈。参与者并不认为戒烟是认真的或紧急的。他们对戒烟计划的想法并不熟悉。他们信任的人会帮助他们戒烟，包括关心他们的人、成功戒烟的人和心理学家。他们对医生的反应褒贬不一。他们不信任学校人员和地点。参与者发现，除了金钱、小诱惑和短暂的疗程之外，很难想象还有什么会吸引他们参加戒烟计划。他们可能会朝着自己的目标或有趣的活动不断前进。说教、唠叨和说教会使他们反感。他们怀疑一个程序还能做别的什么。他们对保密高度敏感。吸引参与者至关重要。计划的组成部分包括私人医生；为更具吸引力的捆绑包增加其他主题；确保机密性；确保没有说教、说教或唠叨。(C)1998年美国医学会。
Background Despite many approaches to smoking cessation for youths, few programs have been thoroughly evaluated and found successful. To help the American Medical Association develop, implement, and evaluate an effective program, formative research was conducted.Methods. Four focus groups were conducted with high school smokers in the Chicago area to obtain input into interventions. Subsequently, five similar focus groups were conducted in Delaware and Denver, and a focus group of school health providers was conducted as well, to obtain feedback on a draft protocol and ideas.Results. Participants did not consider quitting smoking serious or urgent. They are unfamiliar with the idea of a smoking cessation program. People they would trust to help them quit include people who care about them, successful quitters, and psychologists. They had mixed reactions to physicians. They did not trust school personnel and locations. Participants found it hard to imagine what might draw them to a cessation program, except money, small enticements, and short sessions. They might keep coming to progress toward their own objectives or for interesting activities. Lecturing, nagging, and preaching would repel them. They doubted that a program would do anything else. They were highly sensitive about confidentiality.Conclusions. Attracting participants is critical. Program component ideas include personal physicians; adding other topics for a more attractive bundle; ensuring confidentiality; and ensuring no lecturing, preaching, or nagging. (C) 1998 American Medical Association.