A STEPPED APPROACH TO SMOKING REDUCTION

逐步减少吸烟的方法

• 批准号: 3807157
• 负责人: BETI THOMPSON
• 金额: --
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/3807157
• 关键词: behavioral medicine; cancer prevention; health service demonstration project; human subject; longitudinal human study; occupational health /safety; smoking cessation; tobacco abuse education; tobacco abuse prevention

A five year study is proposed to assess the feasibility, effectiveness, and costs of a stepped approach to increase long- term smoking cessation rates in the defined population of a worksite. Key features of this study include: (1) identifying all smokers at the worksite; (2) providing ongoing active encouragement to each smoker to participate in smoking cessation activities; (3) offering each smoker increasingly intensive assistance in quitting smoking; (4) offering each smoker who achieves initial cessation a series of increasingly intensive aids to maintain cessation; (5) recycling those who fail to achieve initial cessation, or who relapse, through the increasingly intensive cessation activities: and (6) estimating the costs per worksite smoker and per long-term quitter of this approach. This stepped approach model is consistent with the medical model in which increasingly intensive and/or expensive therapies are successively tried until a cure is achieved. The participating employer in this study is King County. King County employs five thousand workers, including both white- collar and blue-collar workers, in 32 separate work units. Half of the work units will be randomized to the intervention arm and half to usual care. The procedures for this study include: (1) a recruitment sequence; (2) a cessation sequence; and (3) a relapse prevention sequence. In the recruitment sequence, all smokers will be contacted and invited to participate in the study. In the cessation and relapse prevention sequences, four steps (ordered from least to most intensive) are possible: (1) hotline counseling; (2) self-help materials; (3) group-help sessions; and (4) referral to smoker's physician for more intensive therapy. There are two primary outcomes of this study: (1) long-term smoking cessation rates (continuous abstinence from cigarettes for at least six months at the time of the final assessment); and (2) costs of the stepped approach per long-term quitter. This comprehensive, stepped approach, if successful and cost-effective, can easily be exported to other worksites and settings.

建议进行为期五年的研究来评估可行性， 采取阶梯式方法提高长期效益的有效性和成本 特定人群的长期戒烟率 工地。 本研究的主要特点包括：（1）确定所有 工作场所吸烟者； (2) 提供持续的积极鼓励 让每个吸烟者参与戒烟活动； (3) 为每个吸烟者提供越来越多的戒烟帮助 吸烟； (4) 为每位初次戒烟的吸烟者提供 一系列日益强化的辅助措施以维持戒烟； (5) 回收那些未能实现初步戒烟的人，或 通过日益强化的戒烟活动，旧病复发： (6) 估算每个工作场所吸烟者和每个长期吸烟者的成本 这种方法的放弃者。 这种阶梯式方法模型是 与日益集约化的医疗模式相一致 和/或连续尝试昂贵的疗法，直到治愈 实现了。 参与本研究的雇主是金县。 金县雇用了 5000 名工人，其中包括白人 32 个不同工作单位的领班工人和蓝领工人。 一半 的工作单位将被随机分配到干预组，并且 平时护理的一半。 本研究的程序包括： (1) 招募顺序； (2) 停止顺序； (3) 复发 预防顺序。 在招募过程中，所有吸烟者都会 被联系并被邀请参与该研究。 在 戒烟和复发预防序列，四个步骤（有序 从最少到最密集）可能是：（1）热线 咨询； （二）自助材料； (3) 小组帮助会议；和 (4) 转诊至吸烟者的医生进行更强化的治疗。 本研究有两个主要结果：（1）长期 戒烟率（持续戒烟的时间 最终评估时至少六个月）；和（2） 每个长期戒烟者采取阶梯式方法的成本。 这 如果成功且具有成本效益，则采取全面、分步的方法， 可以轻松导出到其他工作场所和设置。