Motivating Low Socioeconomic Status Smokers to Accept Evidence-Based Smoking Cessation Treatment: A Brief Intervention for the Community Agency Setting
Motivating Low Socioeconomic Status Smokers to Accept Evidence-Based Smoking Cessation Treatment: A Brief Intervention for the Community Agency Setting
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DOI：
10.1093/ntr/ntu345
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发表时间：
2015-08-01
影响因子：
4.7
通讯作者：
Baker, Timothy B.
中科院分区：
文献类型：
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作者：
Christiansen, Bruce A.;Reeder, Kevin M.;Baker, Timothy B.
简介：低社会经济地位（SES）的人，吸烟率很高，但戒烟尝试比其他吸烟者更少，更不成功。低SES吸烟者对吸烟和戒烟有特定的信念，这可能会成为戒烟尝试的障碍。本研究的目的是测试一个简短的干预，解决这些信念的影响，使电话戒烟line.Methods：522吸烟者进入研究在5威斯康星州救世军（SA）网站，102表示戒烟的动机，并作为对照组。剩下的420名吸烟者没有戒烟的动机，并被随机分配到3个条件中的一个：一个接受简短咨询的干预组，重点是戒烟目标和信念，一个注意力控制组和一个低接触控制组。主要结局是吸烟者在SA访视期间拨打威斯康星州戒烟热线（WTQL）的比率。次要结果指标包括动机变量、变化阶段、吸烟和戒烟信念的变化以及自我报告的戒烟情况。在干预条件下，无动机的参与者以显着更高的速度调用WTQL（12.2%）高于2个对照组（2.2%和1.4%）（p <0.01），接近最初有戒烟动机的参与者的呼叫率（15.7%）。干预条件的参与者也表现出改善的动机戒烟和stage of change.Conclusions：一个简短的，有针对性的动机干预，专注于戒烟的目标和信念，增加了低SES吸烟者的循证戒烟治疗的开始。
Introduction: Individuals of low socioeconomic status (SES), smoke at very high rates but make fewer and less successful quit attempts than do other smokers. Low-SES smokers have specific beliefs about smoking and quitting that may serve as barriers to making quit attempts. The purpose of this study was to test the impact of a brief intervention addressing these beliefs on making calls to a telephone quit line.Methods: Of 522 smokers entering the study at 5 Wisconsin Salvation Army (SA) sites, 102 expressed motivation to quit and served as a comparison group. The remaining 420 smokers were not motivated to quit and were randomly assigned to 1 of 3 conditions: an intervention group who received brief counseling focused on cessation goals and beliefs, an attention-control group, and a low contact control group. The primary outcome was the rate at which smokers made a call to the Wisconsin tobacco quit line (WTQL) during their SA visit. Secondary outcome measures included motivational variables, stage of change, changes in beliefs about smoking and quitting, and self-reported abstinence.Results: Unmotivated participants in the intervention condition called the WTQL at a significantly higher rate (12.2%) than did those in the 2 control conditions (2.2% and 1.4%) (p < .01) and approached the rate of calling by participants who were initially motivated to quit (15.7%). Intervention condition participants also showed improved motivation to quit and stage of change.Conclusions: A brief, targeted motivational intervention focusing on cessation goals and beliefs increased the initiation of an evidence-based tobacco cessation treatment by low-SES smokers.