Efficacy of Cell Phone-Delivered Smoking Cessation Counseling for Persons Living With HIV/AIDS: 3-Month Outcomes
Efficacy of Cell Phone-Delivered Smoking Cessation Counseling for Persons Living With HIV/AIDS: 3-Month Outcomes
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DOI：
10.1093/ntr/ntr121
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发表时间：
2012-01-01
影响因子：
4.7
通讯作者：
Gritz, Ellen R.
中科院分区：
文献类型：
--
作者：
Vidrine, Damon J.;Marks, Rachel M.;Gritz, Ellen R.
简介：大量证据表明，艾滋病毒/艾滋病患者 (PLWHA) 吸烟是一个重大的公共卫生问题。然而，很少有报道评估针对这一人群的戒烟干预措施。在这份简短的报告中，描述了一项针对吸烟的感染者的持续治疗试验的 3 个月结果。方法：研究参与者是从为不同感染者群体提供服务的大型艾滋病毒护理中心招募的。采用两组随机设计来比较常规护理 (UC) 戒烟治疗与手机干预 (CPI) 的疗效。入组后 3 个月在 HIV 诊所进行了随访。采用意向治疗方法，使用一系列多元回归模型来比较两组的吸烟结果。结果：474 名参与者被纳入并随机分组，分别为 UC (n = 238) 和 CPI (n = 236)。样本中的平均年龄为 44.8 (SD = 8.1) 岁，大多数为男性 (70.0%)、黑人 (76.6%)、高中及以下教育水平 (77.5%)。随访时，CPI 组的参与者戒烟（7 天）的可能性是 UC 组的 4.3 倍（95% CI = 1.9, 9.8）。同样，对于其他感兴趣的吸烟结果也观察到了显着点估计。 结论：本初步报告的结果表明，与标准护理方法相比，针对艾滋病毒感染者的戒烟干预措施（包括手机提供的主动咨询）可显着提高戒烟率。对 CPI 方法的长期（6 个月和 12 个月）功效的评估正在进行中。
Introduction: Substantial evidence indicates that cigarette smoking among people living with HIV/AIDS (PLWHA) represents a significant public health concern. However, few efforts to assess smoking cessation interventions targeting this population have been reported. In this brief report, 3-month outcomes from an ongoing treatment trial for PLWHA who smoke are described.Methods: Study participants were recruited from a large HIV care center serving a diverse population of PLWHA. A two-group randomized design was used to compare the efficacy of usual-care (UC) smoking cessation treatment versus a cell phone intervention (CPI). Follow-ups were conducted at the HIV clinic 3 months postenrollment. Using an intent-to-treat approach, a series of multiple regression models were used to compare smoking outcomes in the 2 groups.Results: Four hundred and seventy-four participants were enrolled and randomized, UC (n = 238) and CPI (n = 236). Mean age in the sample was 44.8 (SD = 8.1) years, and the majority were male (70.0%), Black (76.6%), and had an education level of high school or less (77.5%). At follow-up, participants in the CPI group were 4.3 (95% CI = 1.9, 9.8) times more likely to be abstinent (7 day) compared with those in the UC group. Similarly, significant point estimates were observed for the other smoking outcomes of interest.Conclusions: Findings from this preliminary report indicate that a smoking cessation intervention for PLWHA consisting of cell phone-delivered proactive counseling results in significantly higher abstinence rates compared with a standard care approach. Evaluation of the long-term (6-month and 12-month) efficacy of the CPI approach is ongoing.