Tobacco quitlines: looking back and looking ahead
Tobacco quitlines: looking back and looking ahead
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DOI：
10.1136/tc.2007.020701
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发表时间：
2007-12-01
期刊：
影响因子：
5.2
通讯作者：
Zhu, Shu-Hong
中科院分区：
文献类型：
--
作者：
Anderson, Christopher M.;Zhu, Shu-Hong
基于电话的戒烟服务或戒烟热线已成为许多综合烟草控制计划的核心组成部分。本文概述了戒烟热线的历史，指出了戒烟热线发展的里程碑。它们在全球范围内得到采用的关键因素是来自大量社区样本的临床试验的确凿证据以及公共卫生官员的大力支持。北美大部分地区、欧洲、澳大利亚以及世界各地的许多其他地区现已开通戒烟热线。本文还为戒烟热线实践和研究的未来方向提供了一些建议。应为戒烟热线实施的关键领域制定基准，例如可及性、质量和成本效率。应研究药物治疗、电话和基于网络的应用程序的进步，寻找扩大服务范围的机会。需要进行研究和开发来确定如何以最具成本效益的方式最好地服务多样化的客户。应扩大资金投入并使之多样化，以使戒烟热线能够为更多的用户提供服务。医疗保健提供者应以戒烟热线推广为目标，让他们广泛努力，增加从临床医生那里收到戒烟信息的患者数量。戒烟热线推广的目标应扩大到包括增加人口中尝试无帮助戒烟的人数。早期的研究结果很快被戒烟热线实践所采用，未来为回答戒烟热线实施中出现的问题而进行的研究也可能会得到快速采用。
Telephone based tobacco cessation services, or quitlines, have become central components of many comprehensive tobacco control programmes. This paper provides an overview of their history, noting milestones in the growth of quitlines. Key factors in their worldwide adoption were solid evidence from clinical trials with large community samples and strong backing from public health officials. Quitlines are now available throughout most of North America, Europe, Australia and in many other locations around the world. The paper also offers several recommendations for future directions in quitline practice and research. Benchmarks should be established for key areas of quitline implementation, such as accessibility, quality and cost efficiency. Advances in pharmacotherapy, telephony and web based applications should be investigated for opportunities to expand service offerings. Research and development are needed to determine how best to serve a diverse clientele in the most cost effective manner. Funding should be expanded and diversified to enable quitlines to serve much larger numbers of users. Healthcare providers should be targeted for quitline promotion, to engage them in a broad effort to increase the number of patients receiving cessation messages from clinicians. The goal of quitline promotion should expand to include an increase in unaided quit attempts in the population. Early research findings were quickly adopted in quitline practice, and future research to answer questions that have arisen through the implementation of quitlines will probably also find quick adoption.