Assessment of the Impact of Adjunctive Proactive Telephone Counseling to Promote Smoking Cessation Among Lung Cancer Patients' Social Networks
Assessment of the Impact of Adjunctive Proactive Telephone Counseling to Promote Smoking Cessation Among Lung Cancer Patients' Social Networks
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DOI：
10.4278/ajhp.101122-quan-387
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发表时间：
2013-01-01
影响因子：
2.7
通讯作者：
McBride, Colleen M.
中科院分区：
文献类型：
--
作者：
Bastian, Lori A.;Fish, Laura J.;McBride, Colleen M.
目的.当患者被诊断患有肺癌时，他/她的社交网络成员可能更有可能参与戒烟工作。积极主动的电话咨询结合量身定制的自我指导干预可能比单独定制的自我指导干预更有效地促进戒烟。随机对照试验。设置。四个临床中心。主题。目前吸烟者是肺癌患者的家庭成员和亲密朋友。6个咨询师发起的咨询电话，使用动机访谈技术，并侧重于基于压力和应对沿着的交易模型教授适应性应对技能，以及定制的自我导向材料（包括尼古丁贴片，如果没有禁忌）（n = 245）与定制的自我导向材料（包括尼古丁贴片，如果没有禁忌）（n = 251）。参与者在基线和干预后2周、6个月和12个月接受调查。结果为7天时点普遍戒烟率。本研究的目的是测试干预后2周和6个月（主要）以及干预后12个月（次要）戒烟率的臂差异。我们没有发现主动干预对戒烟率的总体影响。在年轻的参与者（50岁）中，没有组间差异。针对肺癌患者社会网络中的吸烟者进行以适应性应对技能为重点的主动电话咨询存在困难。虽然这项研究没有证明戒烟率有任何额外的好处，但由于难以完成咨询电话，这种无效的发现可能是干预措施比预期的要弱的结果。我们讨论的经验教训和未来的研究领域，在这个特殊的人群。(Am J Health Promot 2013;27[3]：181-190.）
Purpose. When a patient is diagnosed with lung cancer, members of his/her social network may be more likely to engage in smoking cessation efforts. Proactive telephone counseling combined with a tailored self-directed intervention may be more effective at promoting smoking cessation than a tailored self-directed intervention alone.Design. Randomized controlled trial.Setting. Four clinical sites.Subjects. Current smokers who are family members and close friends of patients with lung cancer.Intervention. Six counselor-initiated counseling calls using motivational interviewing techniques and focusing on teaching adaptive coping skills based on the transactional model of stress and coping along with tailored self-directed materials (including nicotine patches, if not contraindicated) (n = 245) vs. tailored self-directed materials (including nicotine patches, if not contraindicated) (n = 251).Measures. Participants were surveyed at baseline and at 2 weeks, 6 months, and 12 months postintervention. The outcome was 7-day point prevalent abstinence.Analysis. The objective of this study was to test for arm differences in smoking cessation rates at 2 weeks and 6 months postintervention (primary) and at 12 months postintervention (secondary).Results. We found no overall effect of the proactive intervention on cessation rates. Among younger participants (age 50), there were no group differences.Conclusion. Proactive telephone counseling focusing on adaptive coping skills was difficult to implement among smokers in lung cancer patients' social network. Although this study did not demonstrate any added benefit to cessation rates, this null finding may be a result of an intervention that was weaker than intended, owing to difficulties in completing the counseling phone calls. We-discuss lessons learned and areas for future research in this special population. (Am J Health Promot 2013;27[3]:181-190.)