An academic detailing intervention to disseminate physician-delivered smoking cessation counseling: smoking cessation outcomes of the Physicians Counseling Smokers Project
An academic detailing intervention to disseminate physician-delivered smoking cessation counseling: smoking cessation outcomes of the Physicians Counseling Smokers Project
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DOI：
10.1016/s0091-7435(02)00018-x
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发表时间：
2003-02-01
影响因子：
5.1
通讯作者：
Park, E
中科院分区：
文献类型：
--
作者：
Goldstein, MG;Niaura, R;Park, E
背景。对于在初级保健医生群体中传播戒烟干预措施的有效性知之甚少。本研究的目的是确定基于社区的学术详细干预措施对基于人群的吸烟者样本戒烟率的影响。方法。这项基于社区的准实验研究涉及 259 名初级保健医生和 4295 名成年吸烟者的代表性样本。在 15 个月的时间内，向干预领域的医生提供了学术详细干预措施。对 2346 名受试者的数据进行了分析，这些受试者在 24 个月内至少就诊过一次。进行多变量回归分析以确定干预措施对自我报告的戒烟率的影响，以调整后的比值比报告。结果。在研究期间报告就诊的吸烟者中，居住在干预区的吸烟者与控制区的吸烟者相比，存在临界显着效应（OR = 1.35；95% CI .99-1.83；P = 0.057）。在报告曾拜访过登记医生的 819 名吸烟者亚组中，我们观察到居住在干预地区的吸烟者存在显着影响（OR = 1.80；95% CI 1.16-2.75；P = 0.008）。结论。学术详细介绍干预措施以加强医生提供的戒烟咨询是在社区实践中传播戒烟干预措施的有效策略。 (C) 2003 年美国健康基金会和爱思唯尔科学（美国）。版权所有。
Background. Little is known about the effectiveness of interventions to disseminate smoking cessation interventions among a population of primary care physicians. This study's objective was to determine the effect of a community-based academic detailing intervention on the quit rates of a population-based sample of smokers.Methods. This community-based, quasi-experimental study involved representative samples of 259 primary care physicians and 4295 adult smokers. An academic detailing intervention was delivered to physicians in intervention areas over a period of 15 months. Analyses were performed on the data from the 2346 subjects who reported at least one physician visit over 24 months. Multivariate regression analyses were conducted to determine the impact of the intervention on self-reported smoking quit rates, reported by adjusted odds ratios.Results. Among smokers reporting a physician visit during the study period, there was a borderline significant effect for those residing in intervention areas versus control areas (OR = 1.35; 95% CI .99-1.83; P = 0.057). Among a subgroup of 819 smokers who reported a visit with an enrolled physician, we observed a significant effect for those residing in intervention areas (OR = 1.80; 95% CI 1.16-2.75; P = 0.008).Conclusion. An academic detailing intervention to enhance physician delivered smoking cessation counseling is an effective strategy for disseminating smoking cessation interventions among community-based practices. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.