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首页> 外文期刊>Tobacco Prevention and Cessation >Does behavioral intervention affect intention to quit? : A quasi-experimental study from primary healthcare settings in India
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Does behavioral intervention affect intention to quit? : A quasi-experimental study from primary healthcare settings in India

机译：行为干预是否会影响戒烟的意图？ ：印度初级医疗环境中的准实验研究

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Introduction:Tobacco is the leading cause of death and disease in India. This study examines the effect of training intervention in behavioral counseling on intention to quit tobacco in primary healthcare settings in India. The intervention included training to improve behavioral counseling practices of primary care physicians (PCPs) based on the 5As approach to increase patients’ motivation to quit tobacco.Methods:A quasi-experimental design was used for the study. The intervention consists of training of primary care physicians in the behavioral intervention in tobacco cessation. The intervention was conducted in twelve districts of two states in India (Rajasthan and Odisha) in 2016–2017. Four districts were randomly sampled for the study. A total of 1314 participants (intervention and control) were recruited for the study in the baseline and end-line surveys, respectively. Intention to quit in 30 days was the primary outcome measure. Difference-indifference (DiD) logistic regression models were used separately for smokers and smokeless tobacco users to estimate the odds of intention to quit. Analysis was done in STATA Version 14.Results:The intervention and time variable had a significantly positive influence on the intention to quit tobacco among smokers. Smokers in the intervention districts had higher odds of intention to quit (OR=9.82; 95% CI: 1.67–57.72) compared to smokers in the control districts. Smokeless tobacco (SLT) users had higher odds of intention to quit (OR=3.06; 95% CI: 1.35–6.98) in the end-line survey compared to baseline survey.Conclusions:Our findings indicate that building capacity in behavioral intervention in primary care settings can help increase the intention to quit among smokers. The observed difference in intention to quit between smokers and SLT users suggests the need of tailored counseling interventions for SLT users. There is a need for further research to design and evaluate training and behavioral interventions for SLT and dual (smoking and SLT) users in primary care settings in low- and middle-income countries.
机译：简介：烟草是印度死亡和疾病的主要原因。本研究探讨了培训干预在印度初级医疗环境中退出烟草意图的行为咨询的影响。干预包括培训，以改善初级保健医生（PCP）的行为咨询实践，基于提高患者的患者戒烟的动机。方法：用于研究的准实验设计。干预包括在烟草停止行为干预中培训初级保健医生。在2016 - 2017年，在印度（拉贾斯坦邦和奥迪沙）的两国十二区进行了干预。四个地区随机抽样进行这项研究。共有1314名参与者（干预和控制）分别在基线和终点线调查中进行研究。在30天内退出的意图是主要的结果措施。差异 - 冷漠（DID）Logistic回归模型分别用于吸烟者和无烟烟草用户，以估计戒烟的意图的几率。分析是在Stata版本14中完成的。结果：干预和时间变量对吸烟者中烟草的意图具有显着积极的影响。与控制区的吸烟者相比，干预区的吸烟者有可能戒烟的可能性较高的意图（或= 9.82; 95％CI：1.67-57.72）。与基线调查相比，无烟烟草（SLT）用户在终点调查中戒烟的意图（或= 3.06; 95％CI：1.35-6.98）的意图具有较高的意图.Conclusions：我们的研究结果表明，主要护理设置可以帮助增加吸烟者戒烟的意图。观察到的差异，吸烟者和SLT用户之间的意图戒断，建议需要针对SLT用户量身定制的咨询干预措施。需要进一步研究在低收入和中等收入国家的初级保健环境中为SLT和双（吸烟和SLT）用户进行设计和评估培训和行为干预。

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