Pharmacist-Led Implementation of Brief Tobacco Cessation Interventions during Mobile Health Access Events.
Pharmacist-Led Implementation of Brief Tobacco Cessation Interventions during Mobile Health Access Events.
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DOI：
10.3390/pharmacy11020072
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发表时间：
2023-04-07
期刊：
影响因子：
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通讯作者：
Hilts KE
中科院分区：
文献类型：
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作者：
Hudmon KS;Czarnik JS;Lahey AM;Crowe SJ;Conklin M;Corelli RL;Gonzalvo JD;Hilts KE
为了解决资源不足社区中受到烟草使用严重影响的个人在护理方面的差距，这个由药剂师主导的示范项目评估了在流动卫生获取活动期间实施烟草使用筛查和短暂戒烟干预措施的可行性。在印第安纳州的两个食品储藏室和一个无家可归者收容所的活动期间，口头进行了一项简短的烟草使用调查，以评估对戒烟援助的兴趣和潜在需求。建议目前使用烟草的个人戒烟，评估他们的戒烟准备情况，如果有兴趣，则提供烟草戒烟热线卡。前瞻性记录数据，使用描述性统计进行分析，并根据站点类型（食品储藏室与避难所）评估组间差异。在11个事件中（食品储藏室7次，无家可归者收容所4次），639人被评估吸烟情况（食品储藏室552人，无家可归者收容所87人）。其中，自我报告目前使用的有189人（29.6%）；23.7%在食品储藏室，66.7%在无家可归者收容所（p < 0.0001）。大约一半的人表示准备在2个月内戒烟；其中，十分之九的人接受了戒烟卡。结果表明，在为资源不足的人群服务的地点，药剂师领导的卫生活动提供了独特的机会，可以与烟草使用者接触并为他们提供简短的干预措施。
To address gaps in care for individuals from under-resourced communities disproportionately affected by tobacco use, this pharmacist-led demonstration project evaluated the feasibility of implementing tobacco use screening and brief cessation interventions during mobile health access events. A brief tobacco use survey was administered verbally during events at two food pantries and one homeless shelter in Indiana to assess the interest and potential demand for tobacco cessation assistance. Individuals currently using tobacco were advised to quit, assessed for their readiness to quit, and, if interested, offered a tobacco quitline card. Data were logged prospectively, analyzed using descriptive statistics, and group differences were assessed by site type (pantry versus shelter). Across 11 events (7 at food pantries and 4 at the homeless shelter), 639 individuals were assessed for tobacco use (n = 552 at food pantries; n = 87 at the homeless shelter). Among these, 189 self-reported current use (29.6%); 23.7% at food pantries, and 66.7% at the homeless shelter (p < 0.0001). About half indicated readiness to quit within 2 months; of these, 9 out of 10 accepted a tobacco quitline card. The results suggest that pharmacist-led health events at sites serving populations that are under-resourced afford unique opportunities to interface with and provide brief interventions for people who use tobacco.