Developing a nicotine patch adherence intervention for HIV-positive Latino smokers.
Developing a nicotine patch adherence intervention for HIV-positive Latino smokers.
复制标题
为艾滋病毒呈阳性的拉丁裔吸烟者开发尼古丁贴片依从性干预措施。
DOI：
10.1016/j.addbeh.2016.03.037
复制
发表时间：
2016
影响因子：
4.4
通讯作者：
Tucker,JoanS
中科院分区：
文献类型：
--
作者：
Shadel,WilliamG;Galvan,FrankH;Tucker,JoanS
本文描述了形成性研究的两个阶段，其目标是开发一种旨在改善HIV阳性拉丁裔吸烟者尼古丁贴片依从性的治疗方法。每个研究阶段（第一阶段和第二阶段）都是独立进行的，并使用不同的定性方法来指导干预措施的制定。第一阶段访谈n = 14名吸烟者，他们以前有使用尼古丁贴片的经验，以详细了解他们如何、何时和为什么使用尼古丁贴片;他们认为使用尼古丁贴片的障碍;以及他们对提高戒烟依从性的方法的看法。第二阶段为n = 35名吸烟者提供了短暂的戒烟治疗和尼古丁贴片，然后在两个月的时间内“接近真实的时间”采访他们关于他们在戒烟尝试期间使用贴片的情况（例如，障碍和促进因素）。论文作者从两个阶段的访谈记录中提取了相关主题。结果表明，尼古丁贴片的持续使用与保持高的使用动机有关（即，不一定是戒烟的动机，而是继续使用贴剂的动机）;将其使用与既定的日常生活联系起来（例如，服用其它药物，刷牙）;以及保持对贴剂功效的现实期望（例如，使用者可能仍然经历某种程度的渴望和/或戒断）。这些信息将用于开发和试点测试一个简短的治疗模块，重点是提高尼古丁贴片的依从性。
This paper describes two phases of formative research that had the goal of developing a treatment designed to improve adherence with the nicotine patch in HIV-positive Latino smokers. Each research phase (Phase I and II) was conducted independent of the other and used different qualitative methods to inform the development of the intervention. Phase I interviewedn= 14 smokers who had previous experience using the nicotine patch to gain detailed understanding of how, when, and why they used it; their perceived barriers to using it; and their perspective on ways to improve adherence to it. Phase II providedn= 35 smokers with brief smoking cessation treatment and nicotine patches, then interviewed them in “near real time” over a two month period about their use of the patch during a quit attempt (e.g., perceived barriers and facilitators). Authors of the paper extracted relevant themes emerging from the interview transcripts across the two phases. Results indicated that consistent use of the nicotine patch was associated with maintaining high motivation for use (i.e., not necessarily motivation to quit, but motivation to continue patch use); linking its use with established daily routines (e.g., with taking other medications, with brushing teeth); and maintaining realistic expectations for patch efficacy (e.g., that users may still experience some level of craving and/or withdrawal). This information will used to develop and pilot test a brief treatment module that focuses on improving nicotine patch adherence.