PROMPTING SMOKING CESSATION IN FAMILY PRACTICE

在家庭实践中促进戒烟

• 批准号: 3422872
• 负责人: WILLIAM C WADLAND
• 金额: $ 3.45万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-09-30 至 1988-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3422872
• 关键词: family medicine; gingivitis; human subject; nicotine; tobacco abuse education; tobacco abuse prevention

The objective is to test whether a prescription for nicotine gum aids physician advice against smoking cessation when given to all smokers in the primary practice setting where patients pay for physician visits and prescriptions. The proposed intervention is a randomized clinical trial comparing physician advice and follow-up visit to physician advice and follow-up visit plus nicotine gum in terms of quit attempts and long-term smoking cessation outcomes. Two rural Vermont family practices have agreed to participate. Six hundred adult smokers will be recruited during routine, office visits. Measurements of quit attempts and smoking cessation will be made by various methods including follow-up physician visits at 1-2 weeks, mailed questionnaires to patients and family observers at 2 weeks and 6 months, telephone follow-up in non-responders, and biochemical verification of claimed quitters. The protocal for brief physician advice against smoking (10 min.) has been developed and tested in two previous studies. The prescription for nicotine gum will be accompanied by explicit instructions on its use. The major hypothesis is that the physician advice and follow-up plus nicotine gum group will have higher rates of quit attempts and cessation than the physician advice and follow-up alone group. Secondary hypotheses are that nicotine gum is effective, because it increases intentions to quit, self-efficacy about the smoker's ability to quit, and the perceived physician confidence in giving advice. The major significance of the study is that, if the major hypothesis is true, it will be the first study to show that nicotine gum prompts smokers to quit when used in the primary care setting where patients pay for care and prescriptions. Demonstrating that nicotine gum helps ambivalent smokers may provide an incentive for physicians to engage in cessation advice when they otherwise would not.

目的是测试尼古丁口香糖的处方 当给予所有吸烟者时，医师建议不要戒烟 患者支付医师就诊的主要练习环境和 处方。 拟议的干预是一项随机临床试验 比较医师的建议和后续访问对医师的建议和 后续访问以及戒烟尝试和长期的尼古丁口香糖 戒烟结果。 佛蒙特州的两种农村家庭习俗已经同意 参加。 在 例行，办公室访问。 戒烟和吸烟的测量 戒烟将由包括后续医师在内的各种方法进行 1-2周的访问，向患者和家庭观察员邮寄问卷 在2周零6个月时，无反应者的电话随访， 声称戒烟者的生化验证。 简短的原始 对吸烟的医师建议（10分钟）已开发和测试 先前的两项研究。 尼古丁口香糖的处方将是 伴随着有关其使用的明确说明。 主要的假设是 医师的建议和后续行动以及尼古丁口香糖组将 与医师建议相比，退出尝试和停止的比率更高， 单独的后续小组。 次要假设是尼古丁口香糖是 有效，因为它增加了退出的意图，关于 吸烟者的戒烟能力，以及感知的医师对给予的信心 建议。 该研究的主要意义是，如果主要 假设是正确的，这将是第一项表明尼古丁口香糖的研究 提示吸烟者在初级保健环境中使用时戒烟 患者支付护理和处方费。 证明尼古丁口香糖 帮助矛盾的吸烟者可能会激励医生参与 在戒烟建议中，当他们否则不会。