ALCOHOL CONTROL--SMOKING CESSATION THERAPY

酒精控制——戒烟疗法

• 批准号: 2045472
• 负责人: JANET Kay BOBO
• 金额: $ 9.45万
• 依托单位: UNIVERSITY OF NEBRASKA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-07-01 至 1997-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2045472
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; counseling; drug abuse education; drug detection; human subject; human therapy evaluation; questionnaires; smoking cessation

The long-term objective of the proposed research is development of effective cigarette smoking cessation methods for recovering alcoholics. Tobacco use rates are high in this group. Those who continue to smoke are at risk for all the adverse health effects of tobacco use observed in the general population. Further, rates of oral and esophogeal cancers greatly exceed those observed among adults who only drink or only smoke. The specific aims are to successively test 2 minimal smoking cessation interventions to determine long-term effects on alcohol and on tobacco use among graduates of residential alcohol treatment programs. The pilot phase intervention will include physician counseling and provision of smoking cessation self-help materials at treatment center discharge. The evaluation phase intervention will include similar physician counseling and self-help materials, plus 3 followup telephone calls by health educators after discharge. In the pilot phase, data from a 1991 survey of Nebraska treatment centers will identify 4 centers interested in addressing nicotine dependence in their clients, as measured by the aggregated Support for Smoking Cessation (SFSC) score. The SFSC score will assign these centers to 2 strata. Within strata, centers will be randomized to the intervention (IN) or usual care (UC) condition. Using a screening measure to identify clients who smoke, each center will enroll 30 clients [N = 120] who consent to 6 month followup and physiologic confirmation of tobacco use. In intervention centers, a specially trained physician, or alternate treatment staff member, will deliver one-time smoking cessation counseling to clients immediately prior to discharge and provide self-help materials. Followup assessment of alcohol and tobacco use will be identical for IN and UC clients and will be done by mail and telephone at 1 and 6 months after discharge. Subjects will receive a $10.00 incentive for each completed questionnaire. Tobacco quitters will be asked to provide a sample of their saliva for cotinine analysis to verify self-report data. In the evaluation phase, the expanded intervention with telephone followup will be used. 12 centers will be recruited, matched by SFSC score, and randomly assigned to the IN or UC condition (6 each). Each evaluation phase center will enroll 50 clients [N = 600]. These participants will be assessed in the same manner as pilot phase clients but will be followed for an additional 12 months, to 18 months post treatment center discharge.

拟议研究的长期目标是开发 有效戒烟康复方法 酗酒者。 该群体的烟草使用率很高。 那些 继续吸烟有可能对健康造成所有不利影响 在一般人群中观察到的烟草使用情况。 此外，费率 口腔癌和食管癌的发病率大大超过了在 只喝酒或只抽烟的成年人。 具体目标是 连续测试 2 项最低戒烟干预措施 确定对酒精和烟草使用的长期影响 住院酒精治疗项目的毕业生。 飞行员 阶段干预将包括医生咨询 并在治疗时提供戒烟自助材料 中心放电。评估阶段的干预将包括 类似的医生咨询和自助材料，加上 3 出院后健康教育人员会进行后续电话随访。 在 试验阶段，数据来自 1991 年内布拉斯加州治疗情况调查 中心将确定 4 个对解决尼古丁问题感兴趣的中心 通过汇总支持来衡量客户的依赖性 戒烟 (SFSC) 分数。 SFSC 分数将分配 这些中心分为2层。 在层内，中心将是 随机分配至干预（IN）或常规护理（UC）条件。 每个中心都采用筛查措施来识别吸烟的顾客 将招募 30 名同意接受 6 个月随访的客户 [N = 120]，并且 烟草使用的生理学确认。 在干预中心， 经过专门培训的医生或替代治疗人员， 将为客户提供一次性戒烟咨询 出院前立即提供自助材料。 酒精和烟草使用的后续评估将是相同的 IN 和 UC 客户，将通过邮件和电话 1 和 出院后6个月。 受试者将获得 10.00 美元的奖励 对于每份已完成的调查问卷。 戒烟者将被询问 提供唾液样本进行可替宁分析以验证 自报数据。 在评估阶段，扩大 将采用电话随访干预。 12个中心将 被招募，根据 SFSC 分数进行匹配，并随机分配到 IN 或 UC 条件（各 6 个）。 每个评估阶段中心将 注册 50 个客户 [N = 600]。 这些参与者将接受评估 以与试点阶段客户相同的方式，但将遵循 治疗中心后额外 12 个月至 18 个月 释放。