Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting.
Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting.
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DOI：
10.1186/1471-2318-8-25
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发表时间：
2008-10-06
期刊：
影响因子：
4.1
通讯作者：
Chan SS
中科院分区：
文献类型：
--
作者：
Abdullah AS;Lam TH;Chan SK;Leung GM;Chi I;Ho WW;Chan SS
在过去的十年里，制定了不同的戒烟方案，但老年人的使用率很低。我们评估了一项针对香港中国老年人的移动戒烟服务试点，并确定了戒烟的预测因素。流动戒烟计划以60岁或以上的年长吸烟者为对像，并在方便长者的地方提供服务。训练有素的咨询师提供个别咨询和4周的免费尼古丁替代疗法(NRT)。1个月面对面随访，3个月和6个月电话加尿可替宁验证。数据收集采用结构化记录表。从过程、结果和成本三个方面对服务进行了评估。102个政府和非政府社会服务单位以及私营安老院参加了MSCP。我们举办了90场健康讲座，3266名老年人(1140名吸烟者和2126名非吸烟者)参加了讲座。在1140名吸烟者中，365人(32%)接受了强化戒烟服务。按意向处理，验证的7日点戒毒率为20.3%(95%可信区间：16.2%-24.8%)。每天吸烟少于11支和坚持NRT 4周或更长时间是戒烟的显著预测因素。每次接触的平均成本为54美元(仅限吸烟者)；每个接受咨询的吸烟者：168美元；每个自我报告的戒烟者：594美元；每个经可替宁验证的戒烟者：827美元。这一流动戒烟计划对中国老年吸烟者来说是可以接受的，戒烟率与西方其他综合计划相当。流动诊所是一种很有希望的模式，可以接触到老年人，可能还有其他难以接触到的吸烟者。
Different smoking cessation programmes have been developed in the last decade but utilization by the elderly is low. We evaluated a pilot mobile smoking cessation service for the Chinese elderly in Hong Kong and identified predictors of quitting. The Mobile Smoking Cessation Programme (MSCP) targeted elderly smokers (aged 60 or above) and provided service in a place that was convenient to the elderly. Trained counsellors provided individual counselling and 4 week's free supply of nicotine replacement therapy (NRT). Follow up was arranged at 1 month by face-to-face and at 3 and 6 months by telephone plus urinary cotinine validation. A structured record sheet was used for data collection. The service was evaluated in terms of process, outcome and cost. 102 governmental and non-governmental social service units and private residential homes for the elderly participated in the MSCP. We held 90 health talks with 3266 elderly (1140 smokers and 2126 non-smokers) attended. Of the 1140 smokers, 365 (32%) received intensive smoking cessation service. By intention-to-treat, the validated 7 day point prevalence quit rate was 20.3% (95% confidence interval: 16.2%–24.8%). Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting. The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827. This mobile smoking cessation programme was acceptable to elderly Chinese smokers, with quit rate comparable to other comprehensive programmes in the West. A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers.