Understanding people who smoke and how they change:: A foundation for smoking cessation in primary care, part 2 -: Foreword
Understanding people who smoke and how they change:: A foundation for smoking cessation in primary care, part 2 -: Foreword
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DOI：
10.1067/mda.2002.129141
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发表时间：
2002-07-01
影响因子：
4
通讯作者：
A単el, D
中科院分区：
文献类型：
--
作者：
Goldberg, D;Hoffman, A;A単el, D
这篇文章的目的是为了加深理解。吸烟者的健康状况以及他们如何改变，作为在初级保健中提供戒烟干预措施的基础。我们的方法的核心是跨理论的变化模型（TMC）。TMC是一种基于证据的行为改变模型，由Prochaska及其同事在过去20年中在戒烟的背景下开发和测试。我们通过对文献的回顾、对成功戒烟者的深入访谈以及我们在初级保健和戒烟诊所中应用TMC的经验来探索戒烟的临床工作。这是文章《了解吸烟者及其变化：初级保健中戒烟的基础》的第2部分。第一部分描述了关于戒烟的理论信息：为什么吸烟是一种强大的行为，TMC的科学背景，以及TMC的构建模块结构。第2部分的第一部分是对2000年出版的公共卫生服务临床实践指南《治疗烟草使用和依赖》的回顾。第二部分的第二章是一个讨论的临床评估和战略，与吸烟者的工作接地在公共卫生服务实践指南，我们的理解的人谁吸烟，和TMC。编织在整个是采访的文字记录与4人，他们在其中描述了他们的经验吸烟和他们的途径戒烟。
The purpose of this 2-part article is to develop an understanding. of people who smoke and how they change as a foundation for the delivery of smoking cessation interventions in primary care. Central to our approach is the transtheoretical model of change (TMC). The TMC is an evidence-based model of behavior change that has been developed and tested during the past 2 decades by Prochaska and his colleagues in the context of smoking cessation. We use a review of the literature, in-depth interviews of people who successfully quit smoking, and our experience applying the TMC in the context of primary care and a smoking cessation clinic to explore the clinical work of smoking cessation.This is part 2 of the article "Understanding People Who Smoke and How They Change: A Foundation for Smoking Cessation in Primary Care." Part I describes the theoretical information known about smoking cessation: why smoking is a powerful behavior, the scientific background of the TMC, and the building-block constructs of the TMC. The first section of part 2 is a review of the Public Health Service clinical practice guideline, Treating Tobacco Use and Dependence, published in 2000. The second chapter of part 2 is a discussion of clinical assessments and strategies for working with smokers grounded in the Public Health Service practice guideline, our understanding of people who smoke, and the TMC. Woven throughout are transcripts of interviews with 4 people in which they describe their experiences smoking and their pathways to cessation.