Essential Elements of Self-Help/Minimal Intervention Strategies for Smoking Cessation

Essential Elements of Self-Help/Minimal Intervention Strategies for Smoking Cessation
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戒烟自助/最小干预策略的基本要素

DOI:
10.1177/109019819001700308
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发表时间:
1990
影响因子:
4.2
通讯作者:
J. Gruman
J. Gruman
中科院分区:
医学3区
文献类型:
--
作者:
T. Glynn;G. Boyd;J. Gruman

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二十年的研究表明,自助/最小干预戒烟策略*可能是吸烟者戒烟的首选方法,可以产生接近于更正规计划的成功率,成本更低,更容易接触到相关人群。为了最大限度地利用这些自助/最小干预方法,国家癌症研究所(NCI)支持了一系列随机、对照干预试验,并于1988年6月召集了一个专家咨询小组,以解决“戒烟自助/最小干预策略的基本要素是什么?”的问题。小组的建议是:(1)干预努力应侧重于增加吸烟者认真戒烟的动机;(2)扩大方案的实施范围,以包括所有吸烟者;(3)方案应针对戒烟阶段和特定人群;(4)所有方案包括(A)侧重于吸烟的健康和社会后果,以及(B)旨在戒烟、维持不吸烟、预防复发和循环利用的策略和练习;(5)广泛提供材料和方案,而不是对现有方案进行“微调”或开发新的方案;(6)程序使用特定的附加策略。如此一来,1990年代吸烟流行率的下降速度可能会重新加快,这将大大促进NCI的2000年目标和卫生局局长无烟社会的目标。
Two decades of research suggest that self-help/minimal intervention strategies for smoking cessation* may be the preferred means by which smokers stop and can produce success rates approximating those of more formal programs, at lower cost and with greater access to relevant populations. In order to make the best possible use of these self-help/ minimal intervention approaches, the National Cancer Institute (NCI) supported a series of randomized, controlled intervention trials and, in June of 1988, convened an Expert Advisory Panel to address the question "What are the essential elements of self-help/ minimal intervention strategies for smoking cessation?". The panel's recommendations were that: (1) Intervention efforts should focus on increasing smokers' motivations to make serious quit attempts; (2) Delivery of programs be broadened to include all smokers; (3) Programs be targeted to stages of cessation and specific populations; (4) All programs include (a) elements focused on health and social consequences of smoking, and (b) strategies and exercises aimed at quitting, maintenance of nonsmoking, relapse preven tion, and recycling; (5) Materials and programs be made widely available rather than "fine tuning" existing programs or developing new ones; and (6) Programs make use of specific adjunctive strategies. In this way, a reacceleration of the decline in smoking prevalence may be realized in the 1990s and significantly contribute to the NCI's Year 2000 goals and the Surgeon General's aim of a smoke-free society.
DOI: 10.1037//0003-066x.44.11.1355
发表时间: 1989
期刊: The American psychologist
影响因子: --
作者:
Cohen,S;Lichtenstein,E;Prochaska,JO;Rossi,JS;Gritz,ER;Carr,CR;Orleans,CT;Schoenbach,VJ;Biener,L;Abrams,D
通讯作者: Abrams,D
DOI: 10.2105/ajph.77.2.153
发表时间: 1987-02-01
影响因子: 12.7
作者:
FLAY, BR
通讯作者: FLAY, BR
DOI: 10.1037/0022-006x.51.3.390
发表时间: 1983-01-01
影响因子: 5.9
作者:
PROCHASKA, JO;DICLEMENTE, CC
通讯作者: DICLEMENTE, CC
DOI: 10.1001/jama.260.11.1575
发表时间: 1988
期刊: JAMA
影响因子: --
作者:
Fortmann,SP;Killen,JD;Telch,MJ;Newman,B
通讯作者: Newman,B