戒烟公共卫生临床示范项目在患有创伤后应激障碍的退伍军人中的应用
2010/02/01
患有创伤后应激障碍的退伍军人具有较高的吸烟风险，一旦吸烟，戒烟也困难重重。我们设计的此项临床示范项目，旨在提供廉价的、具有较高可行性的戒烟措施，并在尽可能多的吸烟者中应用。通过邀请信联系到584名退伍老兵。对感兴趣的退伍军人进行标准调查表电话随访，并提供三种干预措施：1）通过国家癌症研究所的戒烟热线咨询；2）网络戒烟咨询；3）在当地退伍老兵事务所采用药物戒烟。23％联系对象参与此临床项目。通过电话给予上述干预措施2个月后，电话随访显示，25％能提供随访信息的参与者主述存在持续性戒烟。该项临床示范项目具有2.6％的戒烟效力(如， [31.1%接受戒烟干预的对象]除以 [8.4%的成功戒烟者])，表明2.6%吸烟者主述有8周的持续戒断。
结果显示，此项简单、价廉的戒烟干预措施具有可行性，能增加患有创伤后应激障碍的退伍军人的戒断率。
（陈欣 审校）
Addict Behav. 2010 Jan;35(1):19-22. Epub 2009 Aug 19.
Public health clinical demonstration project for smoking cessation in veterans with posttraumatic stress disorder.
Dedert EA, Wilson SM, Calhoun PS, Moore SD, Hamlett-Berry KW, Beckham JC.
Durham Veterans Affairs Medical Center, Durham, NC 27705, USA.
Veterans with posttraumatic stress disorder are at high risk for smoking and experience difficulty with smoking cessation. We designed this clinical demonstration project to provide a low-cost, feasibly implemented smoking cessation intervention that would maximize the number of smokers who accessed the intervention. Five hundred eighty-four veteran smokers were contacted by invitational letters. Interested veterans received follow-up telephone calls using standardized scripts offering three intervention resources: 1) a referral to the National Cancer Institute’s Smoking Quitline, 2) web-based counseling, and 3) local Veteran Affairs pharmacologic treatment for smoking cessation. Twenty-three percent of survey recipients participated in the clinical program. Two months after these resources were offered by phone, follow-up phone calls indicated that 25% of participants providing follow-up information reported maintaining smoking abstinence. This clinical demonstration project was associated with a 2.6% impact (i.e., reach [31.1% of smokers accessed intervention] by efficacy [8.4% of those accessing intervention quit]), meaning that 2.6% of the total number of targeted smokers reported 8 week abstinence. Results suggested that this brief, low-cost intervention was feasible and promoted smoking cessation in veterans with posttraumatic stress disorder.
Dedert EA, et al. Addict Behav. 2010 Jan;35(1):19-22. Epub 2009 Aug 19.
结果显示，此项简单、价廉的戒烟干预措施具有可行性，能增加患有创伤后应激障碍的退伍军人的戒断率。
（陈欣 审校）
Addict Behav. 2010 Jan;35(1):19-22. Epub 2009 Aug 19.
Public health clinical demonstration project for smoking cessation in veterans with posttraumatic stress disorder.
Dedert EA, Wilson SM, Calhoun PS, Moore SD, Hamlett-Berry KW, Beckham JC.
Durham Veterans Affairs Medical Center, Durham, NC 27705, USA.
Veterans with posttraumatic stress disorder are at high risk for smoking and experience difficulty with smoking cessation. We designed this clinical demonstration project to provide a low-cost, feasibly implemented smoking cessation intervention that would maximize the number of smokers who accessed the intervention. Five hundred eighty-four veteran smokers were contacted by invitational letters. Interested veterans received follow-up telephone calls using standardized scripts offering three intervention resources: 1) a referral to the National Cancer Institute’s Smoking Quitline, 2) web-based counseling, and 3) local Veteran Affairs pharmacologic treatment for smoking cessation. Twenty-three percent of survey recipients participated in the clinical program. Two months after these resources were offered by phone, follow-up phone calls indicated that 25% of participants providing follow-up information reported maintaining smoking abstinence. This clinical demonstration project was associated with a 2.6% impact (i.e., reach [31.1% of smokers accessed intervention] by efficacy [8.4% of those accessing intervention quit]), meaning that 2.6% of the total number of targeted smokers reported 8 week abstinence. Results suggested that this brief, low-cost intervention was feasible and promoted smoking cessation in veterans with posttraumatic stress disorder.
Dedert EA, et al. Addict Behav. 2010 Jan;35(1):19-22. Epub 2009 Aug 19.
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网络戒烟计划：可接受性及效果
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预测戒烟效果持续性的前瞻性研究：一项随机对照临床试验结果
