通过电话戒烟热线免费派发尼古丁贴剂的费用
2011/06/17
摘要
背景：许多电话戒烟热线向寻求戒烟的吸烟者提供免费的尼古丁替代治疗（NRT）。然而，为吸烟者提供免费NRT将是一项巨大的开支。
目的：比较NRT的使用方式、戒烟率和给戒烟热线咨询的吸烟者不同剂量免费NRT的开支。
设计：包含3组研究对象的随机试验。
研究机构和参与者：共计2806名成人吸烟者入选本项研究，他们每天吸烟10支以上。这些吸烟者通过纽约州吸烟者戒烟热线(NYSSQL)进行戒烟咨询。按照下列方案对吸烟者派发不同数量的尼古丁贴剂：（1）提供2周的尼古丁贴剂；（2）提供4周的尼古丁贴剂；（3）提供6周的尼古丁贴剂。此外，所有受试者均接受免费的戒烟指导和1次主动的电话随访（在初始NYSSQL咨询后2周内提供）。在2806名受试者中，1682完成了为期7个月的随访，评价他们对派发NRT的使用情况和吸烟状态。
主要检测结果：尼古丁贴剂使用、戒烟率、吸烟量的下降和成本-效益分析。
结果：大部分(85%)吸烟者主诉使用了提供的尼古丁贴剂，但使用的量不一致，使用量与提供的量成一定比例。在7个月的随访中，3组间的7天和30天不吸烟者比例无显著差异。每位吸烟者戒烟的开支在3组间也无显著差异。
结论：对于通过戒烟热线咨询戒烟的吸烟中，免费给予尼古丁贴剂超过2周，在获得戒烟的比例上并不高于免费派发2周尼古丁贴剂的吸烟者。
（陈欣 审校）
J Public Health Manag Pract. 2011 May-Jun;17(3):E16-23.
Costs of giving out free nicotine patches through a telephone quit line.
Cummings KM, Hyland A, Carlin-Menter S, Mahoney MC, Willett J, Juster HR.
Department of Health Behavior, Roswell Park Cancer Institute (Drs Cummings and Hyland), New York State Smokers’ Quit Line, Roswell Park Cancer Institute (Drs Carlin-Menter and Mahoney), Buffalo, New York; and New York State Tobacco Control Program (Dr Willett) and New York State Department of Health, Tobacco Surveillance, Evaluation, & Research (Dr Juster), Albany.
Abstract
BACKGROUND: Many telephone quit lines provide free nicotine replacement therapy (NRT) to smokers who are trying to stop smoking. However, providing free NRT to smokers can be costly.
OBJECTIVE: To compare NRT usage patterns, quit rate, and costs of giving smokers calling a telephone quit line different amounts of free NRT.
DESIGN: A 3-group randomized trial was conducted.
SETTING AND PARTICIPANTS: A total of 2806 adult smokers of 10+ cigarettes per day who called the New York State Smokers’ Quit Line (NYSSQL) were sent different amounts of nicotine patches for free as follows: (1) a 2-week supply of nicotine patches, (2) a 4-week supply, and (3) a 6-week supply. In addition, all study participants received a free stop smoking guide plus 1 proactive follow-up call attempt conducted 2 weeks after initially contacting the NYSSQL. Of the 2806 enrolled participants, 1682 completed the 7-month follow-up to assess their use of the NRT sent to them and smoking status.
MAIN OUTCOME MEASURES: Nicotine patch usage, quit rates, reductions in cigarette consumption, and cost-effectiveness measures.
RESULTS: Most respondents (85%) reported using the nicotine patches sent to them, although the amount used varied in direct proportion to the amount sent. The 7- and 30-day nonsmoker prevalence rates measured at 7-month follow-up did not differ significantly between the 3 groups. The cost per attributable quit was also not significantly different between the 3 groups.
CONCLUSION: Sending out more than a free 2-week supply of patches to smokers who contact a quit line is no more effective in achieving smoking cessation than sending just 2 weeks of patches.
J Public Health Manag Pract. 2011 May-Jun;17(3):E16-23.
背景：许多电话戒烟热线向寻求戒烟的吸烟者提供免费的尼古丁替代治疗（NRT）。然而，为吸烟者提供免费NRT将是一项巨大的开支。
目的：比较NRT的使用方式、戒烟率和给戒烟热线咨询的吸烟者不同剂量免费NRT的开支。
设计：包含3组研究对象的随机试验。
研究机构和参与者：共计2806名成人吸烟者入选本项研究，他们每天吸烟10支以上。这些吸烟者通过纽约州吸烟者戒烟热线(NYSSQL)进行戒烟咨询。按照下列方案对吸烟者派发不同数量的尼古丁贴剂：（1）提供2周的尼古丁贴剂；（2）提供4周的尼古丁贴剂；（3）提供6周的尼古丁贴剂。此外，所有受试者均接受免费的戒烟指导和1次主动的电话随访（在初始NYSSQL咨询后2周内提供）。在2806名受试者中，1682完成了为期7个月的随访，评价他们对派发NRT的使用情况和吸烟状态。
主要检测结果：尼古丁贴剂使用、戒烟率、吸烟量的下降和成本-效益分析。
结果：大部分(85%)吸烟者主诉使用了提供的尼古丁贴剂，但使用的量不一致，使用量与提供的量成一定比例。在7个月的随访中，3组间的7天和30天不吸烟者比例无显著差异。每位吸烟者戒烟的开支在3组间也无显著差异。
结论：对于通过戒烟热线咨询戒烟的吸烟中，免费给予尼古丁贴剂超过2周，在获得戒烟的比例上并不高于免费派发2周尼古丁贴剂的吸烟者。
（陈欣 审校）
J Public Health Manag Pract. 2011 May-Jun;17(3):E16-23.
Costs of giving out free nicotine patches through a telephone quit line.
Cummings KM, Hyland A, Carlin-Menter S, Mahoney MC, Willett J, Juster HR.
Department of Health Behavior, Roswell Park Cancer Institute (Drs Cummings and Hyland), New York State Smokers’ Quit Line, Roswell Park Cancer Institute (Drs Carlin-Menter and Mahoney), Buffalo, New York; and New York State Tobacco Control Program (Dr Willett) and New York State Department of Health, Tobacco Surveillance, Evaluation, & Research (Dr Juster), Albany.
Abstract
BACKGROUND: Many telephone quit lines provide free nicotine replacement therapy (NRT) to smokers who are trying to stop smoking. However, providing free NRT to smokers can be costly.
OBJECTIVE: To compare NRT usage patterns, quit rate, and costs of giving smokers calling a telephone quit line different amounts of free NRT.
DESIGN: A 3-group randomized trial was conducted.
SETTING AND PARTICIPANTS: A total of 2806 adult smokers of 10+ cigarettes per day who called the New York State Smokers’ Quit Line (NYSSQL) were sent different amounts of nicotine patches for free as follows: (1) a 2-week supply of nicotine patches, (2) a 4-week supply, and (3) a 6-week supply. In addition, all study participants received a free stop smoking guide plus 1 proactive follow-up call attempt conducted 2 weeks after initially contacting the NYSSQL. Of the 2806 enrolled participants, 1682 completed the 7-month follow-up to assess their use of the NRT sent to them and smoking status.
MAIN OUTCOME MEASURES: Nicotine patch usage, quit rates, reductions in cigarette consumption, and cost-effectiveness measures.
RESULTS: Most respondents (85%) reported using the nicotine patches sent to them, although the amount used varied in direct proportion to the amount sent. The 7- and 30-day nonsmoker prevalence rates measured at 7-month follow-up did not differ significantly between the 3 groups. The cost per attributable quit was also not significantly different between the 3 groups.
CONCLUSION: Sending out more than a free 2-week supply of patches to smokers who contact a quit line is no more effective in achieving smoking cessation than sending just 2 weeks of patches.
J Public Health Manag Pract. 2011 May-Jun;17(3):E16-23.
上一篇：
中国年轻吸烟者电话戒烟咨询后的戒烟结果：纵向研究
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MCH公共健康诊所采用宣传手段改善PHS戒烟指南的实施：试验评价结果和背景因素
