Beyond stages of change: the quitting continuum measures progress towards successful smoking cessation.
Beyond stages of change: the quitting continuum measures progress towards successful smoking cessation.
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超越改变的阶段：戒烟连续体衡量成功戒烟的进展。
DOI：
10.1046/j.1360-0443.1998.93227711.x
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Gilpin,EA
中科院分区：
文献类型：
--
作者：
Pierce,JP;Farkas,AJ;Gilpin,EA
目的扩展戒烟连续体，对戒烟过程早期阶段的吸烟者进行分类。设计一项前瞻性计算机辅助电话访谈研究，于 1990 年进行初次访谈，并于 1992 年进行再次访谈。设置和参与者在加利福尼亚州，从 1990 年的大规模横断面调查中随机选择 2514 名当前吸烟者和戒烟时间少于 5 年的戒烟者。结果我们关注高度成瘾的吸烟者（15香烟/天）并且在基线时没有强烈的戒烟史（去年 1 周或曾经 1 年）（N=822）。有戒烟意向和有限的戒烟史（去年为 1-6 天）可以预测后续进展到更高的连续水平，最终与成功戒烟相关。此外，具有一种特征的吸烟者比没有任何特征的吸烟者更有可能进步。因此，早期连续体的最低级别被进一步细分为三个子组（总共八个级别）。在大约两年的时间里，大多数吸烟者在戒烟连续过程中要么进步，要么只退步一到两个水平。结论在这个扩大的戒烟连续过程中比预期更好的进展可能是成功干预的标准。使吸烟者在连续体上达到更高水平的定制干预措施应该是未来研究的优先事项。
ObjectiveTo extend the quitting continuum to categorize smokers in the early stages of the process of smoking cessation.DesignA prospective computer assisted telephone interview study with initial interviews in 1990 and reinterviews in 1992.Setting and participantsIn California, 2514 current smokers and quitters of less than 5 years duration, selected randomly from a large scale cross‐sectional survey in 1990.ResultsWe focus on smokers with high addiction (15 cigarettes/day) and without a strong quitting history (1 week in last year or 1 year ever) at baseline (N=822). Having an intention to quit and a limited quitting history (1‐6 days in last year) was predictive of progress at follow‐up into higher continuum levels ultimately associated with successful cessation. Furthermore, smokers with one trait were much more likely to progress than those with none. Accordingly, the lowest level of the earlier continuum was further subdivided into three subgroups (making eight levels overall). Over approximately a 2‐year period, most smokers either progressed or regressed only one or two levels along the quitting continuum.ConclusionsBetter than expected progress along this expanded quitting continuum could be a criterion for a successful intervention. Tailored interventions that move smokers to a higher level on the continuum should be a priority for future research.