Evaluation of a motivational smoking cessation intervention for women in public health clinics.

Evaluation of a motivational smoking cessation intervention for women in public health clinics.
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公共卫生诊所对女性的动机性戒烟干预措施的评估。

DOI:
10.1006/pmed.1998.0377
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发表时间:
1999
期刊:
Preventive medicine.
影响因子:
--
通讯作者:
Shaligram,C
Shaligram,C
中科院分区:
--
文献类型:
--
作者:
Manfredi,C;Crittenden,KS;Warnecke,R;Engler,J;Cho,YI;Shaligram,C

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背景 在 12 个公共卫生诊所的 33 个产前、计划生育和儿科服务中对多成分动机戒烟干预进行了评估。基于临床的干预措施由诊所人员作为常规医疗就诊的一部分实施。方法评估设计包括在基线(干预开始之前的所有诊所)和实验期(将诊所配对随机分配到干预或控制条件)中的多项研究结果的干预前和干预后测量。受试者为 683 名(基线)和 1,064 名(实验)吸烟者,并测量了这两个时间的吸烟结果。混合效应回归分析了诊所和服务中聚集的个体结果。结果控制和干预诊所在基线期间具有相似的结果。在实验中,干预组的结果有所改善,但对照诊所的结果没有改善。与对照组相比,接受干预的吸烟者更有可能戒烟(14.5% vs 7.7%)或采取戒烟行动,并且平均行动、准备阶段和戒烟动机得分更高。当诊所和服务内的聚集受到控制时,这些积极影响会持续存在。结论这种干预措施是由诊所人员作为常规就诊的一部分实施的,在这些自然条件下,不同类型的诊所服务中是有效的。
BackgroundA multicomponent motivational smoking cessation intervention was evaluated in 33 prenatal, family planning, and pediatric services in 12 public health clinics. Clinic-based intervention components were implemented by clinic personnel as part of routine medical visits.MethodsThe evaluation design included pre- and postintervention measurements of multiple study outcomes in a baseline (all clinics prior to the start of the intervention) and an experimental period (matched-pair random assignment of clinics to intervention or control conditions). Subjects were 683 (baseline) and 1,064 (experimental) smokers with measurements of smoking outcomes at both times. Mixed-effects regressions analyzed individual outcomes clustered within clinics and services.ResultsControl and intervention clinics had similar outcomes in the baseline period. In the experiment, outcomes improved in the intervention but not in the control clinics. Compared to controls, smokers exposed to the intervention were more likely to have quit (14.5 versus 7.7%) or take actions toward quitting and had higher mean action, stage of readiness, and motivation to quit scores. These positive effects persisted when clustering within clinics and services was controlled.ConclusionsThis intervention, implemented by clinic personnel as part of routine medical visits, was effective under these natural conditions across different types of clinic service.
DOI: 10.1177/109019819001700308
发表时间: 1990
影响因子: 4.2
作者:
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DOI: --
发表时间: 1988
期刊: JAMA
影响因子: --
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发表时间: 1991-04-01
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DOI: 10.1016/0002-9378(94)90159-7
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影响因子: 9.8
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通讯作者: BoydJr,NR