Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness.
Proactive outreach tobacco treatment for socioeconomically disadvantaged smokers with serious mental illness.
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DOI：
10.1007/s10865-019-00083-8
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发表时间：
2020-06
影响因子：
3.1
通讯作者：
Fu SS
中科院分区：
文献类型：
--
作者：
Hammett PJ;Lando HA;Erickson DJ;Widome R;Taylor BC;Nelson D;Japuntich SJ;Fu SS
患有严重精神疾病 (SMI) 的吸烟者在使用戒烟治疗和戒烟方面面临个人、人际关系和医疗保健提供者的障碍。积极主动的外展策略旨在通过促进与吸烟者加强接触和促进获得循证治疗来解决这些障碍。本研究调查了参加公共补贴的明尼苏达州医疗保健计划 (MHCP) 的患有 SMI 的吸烟者 (n = 939) 的主动外展效果，并将这种效果与在没有 SMI 的 MHCP 吸烟者 (n = 1382) 中观察到的效果进行了比较。相对于常规护理，干预措施提高了 SMI 患者（52.1% vs 40.0%，p = 0.002）和无 SMI 患者（39.3% vs 25.4%，p < 0.001）的治疗利用率。该干预措施还提高了患有 SMI 的患者（14.9% vs 9.4%，p = 0.010）和无 SMI 的患者（17.7% vs 13.6%，p = 0.09）的长期戒烟率。研究结果表明，在公共补贴的医疗保健系统内实施积极主动的宣传可能会减轻这一弱势群体的吸烟负担。试验注册 ClinicalTrials.gov 标识符：NCT01123967。
Smokers with serious mental illness (SMI) face individual, interpersonal, and healthcare provider barriers to cessation treatment utilization and smoking abstinence. Proactive outreach strategies are designed to address these barriers by promoting heightened contact with smokers and facilitating access to evidence-based treatments. The present study examined the effect of proactive outreach among smokers with SMI (n = 939) who were enrolled in the publicly subsidized Minnesota Health Care Programs (MHCP) and compared this effect to that observed among MHCP smokers without SMI (n = 1382). Relative to usual care, the intervention increased treatment utilization among those with SMI (52.1% vs 40.0%, p = 0.002) and without SMI (39.3% vs 25.4%, p < 0.001). The intervention also increased prolonged smoking abstinence among those with SMI (14.9% vs 9.4%, p = 0.010) and without SMI (17.7% vs 13.6%, p = 0.09). Findings suggest that implementation of proactive outreach within publicly subsidized healthcare systems may alleviate the burden of smoking in this vulnerable population. Trial Registration ClinicalTrials.gov identifier: NCT01123967.
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