哮喘联盟

   摘要
   “无烟计划”是德国戒烟最普遍的认知行为群组项目。该研究旨在在日常生活场所中评估戒烟状况，以及某一特征是否能预测长期戒烟。该研究是一项纵向的现场研究，伴有一个前后随访设计。受试者为1319例吸烟者，他们被要求在项目前、项目后完成问卷调查。十二个月过后，受试者接受电话随访。48.1%的受试者参加了每一阶段的研究。在项目结束时，60.9%的受试者戒烟。一年后，有31.8%的受试者戒烟成功（意向治疗）。一项逻辑回归分析表明，男性、年长、已婚、更低的尼古丁依赖度和项目依从性显著增加戒烟的可能性，而学历、职业除外。观察中还发现，自己付款对戒烟率没有显著影响。总而言之，现代戒烟项目被强烈推荐作为现实生活中充分戒烟的方法。但是，对于不同特征的吸烟者而言，在增加持续率和乐观的成功率上，它仍然是一种挑战。
 

（刘国梁 审校）
Health Educ Res. 2013 Oct;28(5):869-78. doi: 10.1093/her/cyt086. Epub 2013 Aug 20.


 

Smoking cessation in groups--who benefits in the long term?
 

Wenig JR, Erfurt L, Kröger CB, Nowak D.
 

ABSTRACT
The 'RauchfreiProgramm' is the most widespread cognitive behavioral group program for smoking cessation in Germany. The aim of this study was to evaluate smoking cessation in the routine care setting and to investigate whether certain characteristics predict long-term abstinence. The study is a longitudinal field study with a one group pre-post-follow-up design. Participants were 1319 smokers, who were asked to complete questionnaires before and after the program. Twelve months later, participants were followed-up by phone. 48.1% of participants attended every session. At the end of the program, 60.9% of the participants were smoke-free. After one year, the abstinence rate accounted for 31.8% (Intention-to-treat). A logistic regression analysis showed that male gender, higher age, being married, lower level of nicotine dependence as well as adherence to the program significantly increased the likelihood of abstinence, whereas education and employment did not. No significant influence of self-payment on the rates of abstinence was observed. It is concluded that the modern smoking cessation program is highly recommendable as it achieves sufficient abstinence rates in a real-life setting. However, it still remains a challenge to increase adherence rates and to achieve comparable success rates in smokers with different characteristics.
 

Health Educ Res. 2013 Oct;28(5):869-78. doi: 10.1093/her/cyt086. Epub 2013 Aug 20.