A Test of Motivational Plus Nicotine Replacement Interventions for HIV Positive Smokers
A Test of Motivational Plus Nicotine Replacement Interventions for HIV Positive Smokers
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DOI：
10.1007/s10461-007-9334-4
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Heckman, Carolyn J.
中科院分区：
文献类型：
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作者：
Ingersoll, Karen S.;Cropsey, Karen L.;Heckman, Carolyn J.
本研究的目的是测试两种联合动机加药物干预措施对艾滋病毒阳性吸烟者的戒烟效果。参与者是 40 名接受艾滋病毒护理的成年人，他们每天吸烟，并表示有兴趣减少吸烟。在基线、1 个月和 3 个月的随访中进行测量。参与者被随机分配到自我引导阅读加尼古丁贴片（n = 18）或动机访谈加尼古丁贴片（n = 22）。 3 个月时，各组在经生化验证的禁欲方面没有差异。该样本每天吸烟量减少了半包，吸烟天数百分比减少了 41%，并且在 3 个月的随访中，22% 的人戒烟了。尼古丁贴片的依从性较差，并且随着时间的推移而下降，但在 3 个月的随访中，贴片的使用与一氧化碳水平无关。对艾滋病毒感染者的戒烟干预措施可能会有所帮助，并且应包括鼓励无烟日、提高自我效能以及坚持尼古丁替代治疗的内容。
The purpose of this study was to test two combination motivational plus pharmacological interventions for smoking cessation among HIV positive smokers. Participants were 40 adults receiving HIV care who smoked daily reporting interest in smoking reduction. Measures were administered at baseline, 1-month, and 3-month follow-ups. Participants were randomly assigned to self-guided reading plus nicotine patch (n = 18) or motivational interviewing plus nicotine patch (n = 22). Groups did not differ at 3 months on biochemically-verified abstinence. The sample reduced cigarettes per day by half a pack and the percent of smoking days by 41%, and 22% were abstinent at 3-month follow-up. Compliance with the nicotine patch was poor and declined over time, but patch use was unrelated to carbon monoxide level at 3-month follow-up. Smoking cessation interventions for people with HIV can be helpful and should include components that encourage some smoke-free days, increase self-efficacy, and attend to adherence to nicotine replacement treatment.