Healthcare provider counseling to quit smoking and patient desire to quit: The role of negative smoking outcome expectancies.
Healthcare provider counseling to quit smoking and patient desire to quit: The role of negative smoking outcome expectancies.
复制标题
医疗保健提供者咨询以戒烟和戒烟的愿望：预期吸烟结果的作用。
DOI：
10.1016/j.addbeh.2018.05.008
复制
发表时间：
2018-10
影响因子：
4.4
通讯作者：
Klein, David J.
中科院分区：
文献类型：
--
作者：
Tucker, Joan S.;Stucky, Brian D.;Edelen, Maria Orlando;Shadel, William G.;Klein, David J.
美国公共卫生服务中心关于治疗烟草使用和依赖的临床实践指南建议向医疗机构中的每一位烟草使用者提供戒烟建议。然而，通过咨询鼓励患者戒烟的机制还没有得到充分的研究。这项研究测试了接受医疗保健提供者咨询和戒烟愿望之间的关联是否被吸烟的负面健康和心理社会后果预期所解释。研究人员在线收集了721名成年吸烟者的数据，这些吸烟者在过去12个月内曾看过医疗保健提供者。戒烟咨询，吸烟的负面结果预期和戒烟欲望之间的关联进行了测试，以及结果预期和戒烟欲望是否因咨询类型（仅咨询与咨询加帮助）和吸烟水平而不同。双变量相关性表明，接受咨询的患者有更强烈的戒烟愿望，特别是当咨询包括医疗保健提供者的帮助时。SEM结果表明，咨询和戒烟愿望之间的关联完全由患者对吸烟的负面健康和心理社会结果预期来解释。在健康预期的情况下，这些关联被发现跨越吸烟水平，但在心理社会预期的情况下，仅限于中度和重度吸烟者。结果表明，专门用于咨询患者吸烟的时间应该包括提供一些戒烟帮助，如推荐产品，处方或计划。无论吸烟水平如何，这种咨询应该包括一些技术，以引起患者对吸烟的负面健康和心理社会期望。
The U.S. Public Health Service Clinical Practice Guideline on treating tobacco use and dependence recommends providing advice to quit to every tobacco user seen in a healthcare setting. However, the mechanism through which counseling encourages patients to quit has not been adequately studied. This study tests whether the association between receiving healthcare provider counseling and desire to quit is accounted for by negative health and psychosocial outcome expectancies of smoking. Data were collected online from 721 adult smokers who had seen a healthcare provider in the past 12 months. Associations between counseling to quit, negative outcome expectancies of smoking, and desire to quit were tested, as well as whether outcome expectancies and desire to quit differed by type of counseling (counseling only vs. counseling plus assistance) and level of smoking. Bivariate associations indicated a stronger desire to quit among patients receiving counseling, particularly when it included healthcare provider assistance to quit. SEM results indicated that the association between counseling and desire to quit was fully accounted for by patients’ negative health and psychosocial outcome expectancies for smoking. These associations were found across levels of smoking in the case of health expectancies, but were limited to moderate and heavy smokers in the case of psychosocial expectancies. Results suggest that the time devoted to counseling patients about smoking should include providing some assistance to quit, such as recommending a product, prescription or program. Regardless of smoking level, this counseling should incorporate techniques to elicit patients’ negative health and psychosocial expectancies of smoking.
登录
查看更多内容
DOI：
10.1093/ntr/ntu065
发表时间：
2014-09-01
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
--
作者：
Edelen, Maria Orlando;Stucky, Brian D;Cai, Li
通讯作者：
Cai, Li
影响因子：
4.4
作者：
Edelen, Maria O.;Huang, Wenjing;Stucky, Brian D.
通讯作者：
Stucky, Brian D.
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
成人目前吸烟 - 美国，2016年。
DOI：
10.15585/mmwr.mm6702a1
发表时间：
2018-01-19
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Jamal A;Phillips E;Gentzke AS;Homa DM;Babb SD;King BA;Neff LJ
通讯作者：
Neff LJ
影响因子：
4.7
作者：
Hyland, A;Rezaishiraz, H;Cummings, KM
通讯作者：
Cummings, KM